IDEAS home Printed from https://ideas.repec.org/a/bla/sajeco/v91y2023i4p498-527.html
   My bibliography  Save this article

Ruggedness and child health outcomes: Evidence from Burundi, Cameroon, Ethiopia and Nigeria

Author

Listed:
  • Carolyn Chisadza
  • Matthew Clance
  • Fritz van der Merwe
  • Eleni Yitbarek

Abstract

This paper examines the effect of terrain ruggedness on child stunting in Burundi, Cameroon, Ethiopia and Nigeria. Using a cross‐section analysis with data from the Demographic and Health Surveys (DHS) and a measure that captures variation in the terrains of the countries, we find that the more difficult it is to traverse the terrain in Burundi, Cameroon and Nigeria, the higher the likelihood of child stunting. However, this association is not consistent for Ethiopia until we account for the Oromia region, which has the capital city Addis Ababa. These results remain robust with the inclusion of socio‐economic factors related to child health (e.g. maternal health, maternal education and household income), demographic factors (e.g. gender of child), other geographical factors (e.g. rainfall patterns and malaria prevalence) and survey and region effects. The results suggest that there are complementary factors to geography that may contribute to poor child health outcomes, such as the quality of infrastructure and the ability to access healthcare services. Given that child health is a key development outcome, understanding such spatial variations associated with child health inequalities can assist in designing effective intervention programmes and allocating resources where they are most needed.

Suggested Citation

  • Carolyn Chisadza & Matthew Clance & Fritz van der Merwe & Eleni Yitbarek, 2023. "Ruggedness and child health outcomes: Evidence from Burundi, Cameroon, Ethiopia and Nigeria," South African Journal of Economics, Economic Society of South Africa, vol. 91(4), pages 498-527, December.
    • Handle: RePEc:bla:sajeco:v:91:y:2023:i:4:p:498-527
    DOI: 10.1111/saje.12354
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/saje.12354
    Download Restriction: no
    File URL: https://libkey.io/10.1111/saje.12354?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Galasso, Emanuela & Wagstaff, Adam, 2019. "The aggregate income losses from childhood stunting and the returns to a nutrition intervention aimed at reducing stunting," Economics & Human Biology, Elsevier, vol. 34(C), pages 225-238.
    2. Emmanuel Quansah & Lilian Akorfa Ohene & Linda Norman & Michael Osei Mireku & Thomas K Karikari, 2016. "Social Factors Influencing Child Health in Ghana," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-20, January.
    3. Stanley L. Engerman & Kenneth Lee Sokoloff, 2002. "Factor Endowments, Inequality, and Paths of Development Among New World Economies," Economía Journal, The Latin American and Caribbean Economic Association - LACEA, vol. 0(Fall 2002), pages 41-110, August.
    4. Katy Cornwell & Brett Inder, 2015. "Child Health and Rainfall in Early Life," Journal of Development Studies, Taylor & Francis Journals, vol. 51(7), pages 865-880, July.
    5. Agha, Sohail, 2000. "The determinants of infant mortality in Pakistan," Social Science & Medicine, Elsevier, vol. 51(2), pages 199-208, July.
    6. Daron Acemoglu & Simon Johnson & James A. Robinson, 2001. "The Colonial Origins of Comparative Development: An Empirical Investigation," American Economic Review, American Economic Association, vol. 91(5), pages 1369-1401, December.
    7. Nathan Nunn & Diego Puga, 2012. "Ruggedness: The Blessing of Bad Geography in Africa," The Review of Economics and Statistics, MIT Press, vol. 94(1), pages 20-36, February.
    8. Melissa Dell & Benjamin F. Jones & Benjamin A. Olken, 2012. "Temperature Shocks and Economic Growth: Evidence from the Last Half Century," American Economic Journal: Macroeconomics, American Economic Association, vol. 4(3), pages 66-95, July.
    9. repec:bla:econom:v:70:y:2003:i:277:p:73-97 is not listed on IDEAS
    10. Arendt, Jacob Nielsen & Christensen, Mads Lybech & Hjorth-Trolle, Anders, 2021. "Maternal education and child health: Causal evidence from Denmark," Journal of Health Economics, Elsevier, vol. 80(C).
    11. van der Merwe, Eduard & Clance, Matthew & Yitbarek, Eleni, 2022. "Climate change and child malnutrition: A Nigerian perspective," Food Policy, Elsevier, vol. 113(C).
    12. Gabriella Conti & James Heckman & Sergio Urzua, 2010. "The Education-Health Gradient," American Economic Review, American Economic Association, vol. 100(2), pages 234-238, May.
    13. Porter, Gina, 2002. "Living in a Walking World: Rural Mobility and Social Equity Issues in Sub-Saharan Africa," World Development, Elsevier, vol. 30(2), pages 285-300, February.
    14. Harper, Caroline & Marcus, Rachel & Moore, Karen, 2003. "Enduring Poverty and the Conditions of Childhood: Lifecourse and Intergenerational Poverty Transmissions," World Development, Elsevier, vol. 31(3), pages 535-554, March.
    15. Xinshu Zhao & John G. Lynch & Qimei Chen, 2010. "Reconsidering Baron and Kenny: Myths and Truths about Mediation Analysis," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 37(2), pages 197-206, August.
    16. Kathleen Beegle & Luc Christiaensen, 2019. "Accelerating Poverty Reduction in Africa [Accélérer la réduction de la pauvreté en Afrique]," World Bank Publications - Books, The World Bank Group, number 32354.
    17. Conley, T. G., 1999. "GMM estimation with cross sectional dependence," Journal of Econometrics, Elsevier, vol. 92(1), pages 1-45, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Evan Wigton-Jones, 2020. "Legacies of inequality: the case of Brazil," Journal of Economic Growth, Springer, vol. 25(4), pages 455-501, December.
    2. Fenske, James & Kala, Namrata, 2015. "Climate and the slave trade," Journal of Development Economics, Elsevier, vol. 112(C), pages 19-32.
    3. Flückiger, Matthias & Ludwig, Markus, 2017. "Malaria suitability, urbanization and persistence: Evidence from China over more than 2000 years," European Economic Review, Elsevier, vol. 92(C), pages 146-160.
    4. Maximiliano Marzetti & Rok Spruk, 2023. "Long-Term Economic Effects of Populist Legal Reforms: Evidence from Argentina," Comparative Economic Studies, Palgrave Macmillan;Association for Comparative Economic Studies, vol. 65(1), pages 60-95, March.
    5. Melissa Dell & Benjamin F. Jones & Benjamin A. Olken, 2014. "What Do We Learn from the Weather? The New Climate-Economy Literature," Journal of Economic Literature, American Economic Association, vol. 52(3), pages 740-798, September.
    6. Stelios Michalopoulos & Elias Papaioannou, 2016. "The Long-Run Effects of the Scramble for Africa," American Economic Review, American Economic Association, vol. 106(7), pages 1802-1848, July.
    7. de Souza, Joao Paulo A., 2015. "Evidence of growth complementarity between agriculture and industry in developing countries," Structural Change and Economic Dynamics, Elsevier, vol. 34(C), pages 1-18.
    8. Rodríguez-Pose, Andrés & Ketterer, Tobias, 2016. "Institutions vs. ‘First-Nature’ Geography – What Drives Economic Growth in Europe’s Regions?," CEPR Discussion Papers 11322, C.E.P.R. Discussion Papers.
    9. Testa, Patrick A., 2021. "Shocks and the spatial distribution of economic activity: The role of institutions," Journal of Economic Behavior & Organization, Elsevier, vol. 183(C), pages 791-810.
    10. Besley, Timothy & Reynal-Querol, Marta, 2014. "The Legacy of Historical Conflict: Evidence from Africa," American Political Science Review, Cambridge University Press, vol. 108(2), pages 319-336, May.
    11. Gören, Erkan, 2017. "The persistent effects of novelty-seeking traits on comparative economic development," Journal of Development Economics, Elsevier, vol. 126(C), pages 112-126.
    12. Donn L Feir & Rob Gillezeau & Maggie E C Jones, 2024. "The Slaughter of the Bison and Reversal of Fortunes on the Great Plains," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 91(3), pages 1634-1670.
    13. Giuliano, Paola & Matranga, Andrea, 2020. "Historical Data: Where to Find Them, How to Use Them," CEPR Discussion Papers 15362, C.E.P.R. Discussion Papers.
    14. James Fenske & Namrata Kala, 2012. "Climate, ecosystem resilience and the slave trade," CSAE Working Paper Series 2012-23, Centre for the Study of African Economies, University of Oxford.
    15. Letta, Marco & Montalbano, Pierluigi & Tol, Richard S.J., 2018. "Temperature shocks, short-term growth and poverty thresholds: Evidence from rural Tanzania," World Development, Elsevier, vol. 112(C), pages 13-32.
    16. Papaioannou, Elias & Michalopoulos, Stelios, 2010. "Divide and Rule or the Rule of the Divided? Evidence from Africa," CEPR Discussion Papers 8088, C.E.P.R. Discussion Papers.
    17. Ang, James B. & Madsen, Jakob B. & Wang, Wen, 2021. "Rice farming, culture and democracy," European Economic Review, Elsevier, vol. 136(C).
    18. Nunn, Nathan, 2014. "Historical Development," Handbook of Economic Growth, in: Philippe Aghion & Steven Durlauf (ed.), Handbook of Economic Growth, edition 1, volume 2, chapter 7, pages 347-402, Elsevier.
    19. Michael Berlemann & Daniela Wenzel, 2018. "Precipitation and Economic Growth," CESifo Working Paper Series 7258, CESifo.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:sajeco:v:91:y:2023:i:4:p:498-527. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://edirc.repec.org/data/essaaea.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.