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The impacts of armed conflict on child health: Evidence from 56 developing countries

Author

Listed:
  • Kien Le

    (Faculty of Economics and Public Management, Ho Chi Minh City Open University)

  • My Nguyen

    (Faculty of Economics and Public Management, Ho Chi Minh City Open University)

Abstract

This article evaluates the extent to which armed conflicts influence early childhood health for 56 developing countries over nearly 30 years. Exploiting both spatial and temporal variations in conflict exposure within a difference-in-differences framework, the article uncovers detrimental ramifications of armed conflicts on the health outcomes of children under five years old. Particularly, children exposed to armed conflicts have lower height-for-age, weight-for-height, and weight-for-age z-scores by 0.08, 0.05, and 0.10 standard deviations, respectively. Taking the average corresponding anthropometric z-scores of unexposed children as the benchmarks, exposure to armed conflicts makes children 6.6% shorter for their age, 11% thinner for their height, and 9% thinner for their age. Exposure to armed conflicts further makes children 2.2, 0.8, and 2.6 percentage points more likely to be stunted, wasted, and underweight, respectively (i.e. 7.3%, 7.9%, and 10.2% increases compared to the benchmark averages of those unexposed to armed conflicts). In addition, the heterogeneity analyses suggest that children born to low-education mothers, children from relatively poor households, and children living in rural areas tend to bear the larger health setbacks. Given the long-lasting impacts of poor health in early childhood on adult outcomes, delivering nutrition interventions to children in conflict zones is of utmost importance, and extra attention should be given to children of disadvantaged backgrounds. JEL codes: I10, I15, J13, O15

Suggested Citation

  • Kien Le & My Nguyen, 2023. "The impacts of armed conflict on child health: Evidence from 56 developing countries," Journal of Peace Research, Peace Research Institute Oslo, vol. 60(2), pages 243-257, March.
  • Handle: RePEc:sae:joupea:v:60:y:2023:i:2:p:243-257
    DOI: 10.1177/00223433211066417
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    References listed on IDEAS

    as
    1. Esther Duflo, 2012. "Women Empowerment and Economic Development," Journal of Economic Literature, American Economic Association, vol. 50(4), pages 1051-1079, December.
    2. Nathan Nunn & Nancy Qian, 2014. "US Food Aid and Civil Conflict," American Economic Review, American Economic Association, vol. 104(6), pages 1630-1666, June.
    3. Steven Stillman & Duncan Thomas, 2008. "Nutritional Status During an Economic Crisis: Evidence from Russia," Economic Journal, Royal Economic Society, vol. 118(531), pages 1385-1417, August.
    4. Mariano Rabassa & Emmanuel Skoufias & Hanan Jacoby, 2014. "Weather and Child Health in Rural Nigeria," Journal of African Economies, Centre for the Study of African Economies, vol. 23(4), pages 464-492.
    5. Bengtsson, Niklas, 2010. "How responsive is body weight to transitory income changes? Evidence from rural Tanzania," Journal of Development Economics, Elsevier, vol. 92(1), pages 53-61, May.
    6. Kien Le & My Nguyen, 2020. "Aerial bombardment and educational attainment," International Review of Applied Economics, Taylor & Francis Journals, vol. 34(3), pages 361-383, May.
    7. Skoufias, Emmanuel & Vinha, Katja, 2012. "Climate variability and child height in rural Mexico," Economics & Human Biology, Elsevier, vol. 10(1), pages 54-73.
    8. Tom Bundervoet & Philip Verwimp & Richard Akresh, 2009. "Health and Civil War in Rural Burundi," Journal of Human Resources, University of Wisconsin Press, vol. 44(2).
    9. Akresh, Richard & Lucchetti, Leonardo & Thirumurthy, Harsha, 2012. "Wars and child health: Evidence from the Eritrean–Ethiopian conflict," Journal of Development Economics, Elsevier, vol. 99(2), pages 330-340.
    10. Gudrun Østby & Henrik Urdal & Andreas Forø Tollefsen & Andreas Kotsadam & Ragnhild Belbo & Christin Ormhaug, 2018. "Organized Violence and Institutional Child Delivery: Micro-Level Evidence From Sub-Saharan Africa, 1989–2014," Demography, Springer;Population Association of America (PAA), vol. 55(4), pages 1295-1316, August.
    11. Mevlude Akbulut-Yuksel, 2014. "Children of War: The Long-Run Effects of Large-Scale Physical Destruction and Warfare on Children," Journal of Human Resources, University of Wisconsin Press, vol. 49(3), pages 634-662.
    12. Tilman Brück & Michele Di Maio & Sami H Miaari, 2019. "Learning The Hard Way: The Effect of Violent Conflict on Student Academic Achievement," Journal of the European Economic Association, European Economic Association, vol. 17(5), pages 1502-1537.
    13. Alderman, Harold & Headey, Derek D., 2017. "How Important is Parental Education for Child Nutrition?," World Development, Elsevier, vol. 94(C), pages 448-464.
    14. Tilman Brück & Patricia Justino & Charles Patrick Martin-Shields, 2017. "Conflict and development: Recent research advances and future agendas," WIDER Working Paper Series wp-2017-178, World Institute for Development Economic Research (UNU-WIDER).
    15. Le, Kien & Nguyen, My, 2020. "Shedding light on maternal education and child health in developing countries," World Development, Elsevier, vol. 133(C).
    16. Tilman Brück & Patricia Justino & Charles Patrick MartinShields, 2017. "Conflict and development: Recent research advances and future agendas," WIDER Working Paper Series 178, World Institute for Development Economic Research (UNU-WIDER).
    17. Case, Anne & Fertig, Angela & Paxson, Christina, 2005. "The lasting impact of childhood health and circumstance," Journal of Health Economics, Elsevier, vol. 24(2), pages 365-389, March.
    18. Le, Kien & Nguyen, My, 2020. "Armed conflict and birth weight," Economics & Human Biology, Elsevier, vol. 39(C).
    19. Guillaume Vandenbroucke, 2014. "Fertility and Wars: The Case of World War I in France," American Economic Journal: Macroeconomics, American Economic Association, vol. 6(2), pages 108-136, April.
    20. Kotsadam, Andreas & Østby, Gudrun & Rustad, Siri Aas & Tollefsen, Andreas Forø & Urdal, Henrik, 2018. "Development aid and infant mortality. Micro-level evidence from Nigeria," World Development, Elsevier, vol. 105(C), pages 59-69.
    21. Quintana-Domeque, Climent & Ródenas-Serrano, Pedro, 2017. "The hidden costs of terrorism: The effects on health at birth," Journal of Health Economics, Elsevier, vol. 56(C), pages 47-60.
    22. Le, Kien & Nguyen, My, 2021. "In-utero Exposure to Rainfall Variability and Early Childhood Health," World Development, Elsevier, vol. 144(C).
    23. Gary Solon & Steven J. Haider & Jeffrey M. Wooldridge, 2015. "What Are We Weighting For?," Journal of Human Resources, University of Wisconsin Press, vol. 50(2), pages 301-316.
    24. Marianne Page & Jessamyn Schaller & David Simon, 2019. "The Effects of Aggregate and Gender-Specific Labor Demand Shocks on Child Health," Journal of Human Resources, University of Wisconsin Press, vol. 54(1), pages 37-78.
    25. Minoiu, Camelia & Shemyakina, Olga N., 2014. "Armed conflict, household victimization, and child health in Côte d'Ivoire," Journal of Development Economics, Elsevier, vol. 108(C), pages 237-255.
    26. repec:bla:obuest:v:63:y:2001:i:4:p:409-36 is not listed on IDEAS
    27. Joseph Price, 2008. "Parent-Child Quality Time: Does Birth Order Matter?," Journal of Human Resources, University of Wisconsin Press, vol. 43(1).
    28. Lazzaroni, Sara & Wagner, Natascha, 2016. "Misfortunes never come singly: Structural change, multiple shocks and child malnutrition in rural Senegal," Economics & Human Biology, Elsevier, vol. 23(C), pages 246-262.
    29. Glewwe, Paul & Jacoby, Hanan G. & King, Elizabeth M., 2001. "Early childhood nutrition and academic achievement: a longitudinal analysis," Journal of Public Economics, Elsevier, vol. 81(3), pages 345-368, September.
    30. John Hoddinott & Bill Kinsey, 2001. "Child Growth in the Time of Drought," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 63(4), pages 409-436, September.
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    More about this item

    Keywords

    anthropometry; armed conflicts; child heath; developing countries;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

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