Socioeconomic Inequalities in Child Malnutrition in the Developing World

Among the conclusions the authors reach about malnutrition rates, among different economic groups: 1) inequalities in malnutrition almost disfavor the poor; 2) it's not just that the poor have higher rates of malnutrition. The rate of malnutri...

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Main Authors: Wagstaff, Adam, Watanabe, Naoko
Format: Policy Research Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2014
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2000/09/693208/socioeconomic-inequalities-child-malnutrition-developing-world
http://hdl.handle.net/10986/19791
id okr-10986-19791
recordtype oai_dc
spelling okr-10986-197912021-04-23T14:03:46Z Socioeconomic Inequalities in Child Malnutrition in the Developing World Wagstaff, Adam Watanabe, Naoko CHILD HEALTH CHILD MALNUTRITION CHRONIC MALNUTRITION EMPLOYMENT GENDER HEALTH OUTCOMES HEALTH SERVICES HUMAN DEVELOPMENT INTERVENTION MALNUTRITION RATES MORTALITY NUTRITIONAL STATUS POOR CHILDREN PREVALENCE OF MALNUTRITION STUNTING WASTED CHILDREN WASTING Among the conclusions the authors reach about malnutrition rates, among different economic groups: 1) inequalities in malnutrition almost disfavor the poor; 2) it's not just that the poor have higher rates of malnutrition. The rate of malnutrition declines continuously with rising living standards; 3) the tendency of poorer children to have higher rates of stunting, and underweight, is not due to chance, or sampling variability. Inequalities in stunting, and underweight, as measured by the concentration index, are statistically significant in almost countries; 4) inequalities in underweight tend to be larger than inequalities in stunting, which tend to be larger than inequalities in wasting; 5) in most cases, whatever the malnutrition indicator, differences in inequality between countries are not statistically significant; 6) even if attention is restricted to the cross-country differences in inequality that are statistically significant, interesting conclusions emerge, Egypt, and Vietnam have the most equal distributions of malnutrition, and Nicaragua, Peru, and, to a lesser extent, Morocco, have highly unequal distributions; 7) some countries (such as Egypt and Romania) do well in terms of both the average (the prevalence of malnutrition) and the distribution (equality). Others do badly on both counts. Peru, for example, has a higher average level of stunting than Egypt, and higher poor-non-poor inequality. But many countries do well on one count, and badly on the other. Brazil, for example, has a far lower (less than 20 percent) stunting rate overall, than Bangladesh (more than 50 percent), but has four times as much inequality (as measured by the concentration index); 8) use of an achievement index that captures both the average level, and the inequality of malnutrition, leads to some interesting rank reversals in the country league table. With stunting, for example, focusing on the achievement index moves Egypt (a low-inequality country) from sixth position to fourth, higher than Brazil and Russia (two countries with high inequality). 2014-08-27T20:54:45Z 2014-08-27T20:54:45Z 2000-09 http://documents.worldbank.org/curated/en/2000/09/693208/socioeconomic-inequalities-child-malnutrition-developing-world http://hdl.handle.net/10986/19791 English en_US Policy Research Working Paper;No. 2434 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic CHILD HEALTH
CHILD MALNUTRITION
CHRONIC MALNUTRITION
EMPLOYMENT
GENDER
HEALTH OUTCOMES
HEALTH SERVICES
HUMAN DEVELOPMENT
INTERVENTION
MALNUTRITION RATES
MORTALITY
NUTRITIONAL STATUS
POOR CHILDREN
PREVALENCE OF MALNUTRITION
STUNTING
WASTED CHILDREN
WASTING
spellingShingle CHILD HEALTH
CHILD MALNUTRITION
CHRONIC MALNUTRITION
EMPLOYMENT
GENDER
HEALTH OUTCOMES
HEALTH SERVICES
HUMAN DEVELOPMENT
INTERVENTION
MALNUTRITION RATES
MORTALITY
NUTRITIONAL STATUS
POOR CHILDREN
PREVALENCE OF MALNUTRITION
STUNTING
WASTED CHILDREN
WASTING
Wagstaff, Adam
Watanabe, Naoko
Socioeconomic Inequalities in Child Malnutrition in the Developing World
relation Policy Research Working Paper;No. 2434
description Among the conclusions the authors reach about malnutrition rates, among different economic groups: 1) inequalities in malnutrition almost disfavor the poor; 2) it's not just that the poor have higher rates of malnutrition. The rate of malnutrition declines continuously with rising living standards; 3) the tendency of poorer children to have higher rates of stunting, and underweight, is not due to chance, or sampling variability. Inequalities in stunting, and underweight, as measured by the concentration index, are statistically significant in almost countries; 4) inequalities in underweight tend to be larger than inequalities in stunting, which tend to be larger than inequalities in wasting; 5) in most cases, whatever the malnutrition indicator, differences in inequality between countries are not statistically significant; 6) even if attention is restricted to the cross-country differences in inequality that are statistically significant, interesting conclusions emerge, Egypt, and Vietnam have the most equal distributions of malnutrition, and Nicaragua, Peru, and, to a lesser extent, Morocco, have highly unequal distributions; 7) some countries (such as Egypt and Romania) do well in terms of both the average (the prevalence of malnutrition) and the distribution (equality). Others do badly on both counts. Peru, for example, has a higher average level of stunting than Egypt, and higher poor-non-poor inequality. But many countries do well on one count, and badly on the other. Brazil, for example, has a far lower (less than 20 percent) stunting rate overall, than Bangladesh (more than 50 percent), but has four times as much inequality (as measured by the concentration index); 8) use of an achievement index that captures both the average level, and the inequality of malnutrition, leads to some interesting rank reversals in the country league table. With stunting, for example, focusing on the achievement index moves Egypt (a low-inequality country) from sixth position to fourth, higher than Brazil and Russia (two countries with high inequality).
format Publications & Research :: Policy Research Working Paper
author Wagstaff, Adam
Watanabe, Naoko
author_facet Wagstaff, Adam
Watanabe, Naoko
author_sort Wagstaff, Adam
title Socioeconomic Inequalities in Child Malnutrition in the Developing World
title_short Socioeconomic Inequalities in Child Malnutrition in the Developing World
title_full Socioeconomic Inequalities in Child Malnutrition in the Developing World
title_fullStr Socioeconomic Inequalities in Child Malnutrition in the Developing World
title_full_unstemmed Socioeconomic Inequalities in Child Malnutrition in the Developing World
title_sort socioeconomic inequalities in child malnutrition in the developing world
publisher World Bank, Washington, DC
publishDate 2014
url http://documents.worldbank.org/curated/en/2000/09/693208/socioeconomic-inequalities-child-malnutrition-developing-world
http://hdl.handle.net/10986/19791
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