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Does Health Aid Reduce Infant and Child Mortality from Diarrhoea in Sub-Saharan Africa?

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  • Lynda Pickbourn
  • Léonce Ndikumana

Abstract

Achieving sustained improvements in health outcomes remains a challenge for sub-Saharan Africa, where diarrhoea remains a leading cause of death in children under the age of five. This paper examines the impact of foreign aid to the health sector on diarrhoea mortality in children under five in 47 sub-Saharan African countries, using panel data on the sectoral allocation of official development assistance in conjunction with country-level data on health outcomes. After controlling for fixed effects and the potential endogeneity of health aid, we find that increased health aid and increased public health expenditure are associated with lower diarrhoea mortality in children under five. In addition, health aid increases government spending on health, suggesting that the overall impact of health aid on diarrheal death rates could exceed the direct effect. Furthermore, increased access to improved sources of water and sanitation are important in reducing child mortality from diarrhoea.

Suggested Citation

  • Lynda Pickbourn & Léonce Ndikumana, 2019. "Does Health Aid Reduce Infant and Child Mortality from Diarrhoea in Sub-Saharan Africa?," Journal of Development Studies, Taylor & Francis Journals, vol. 55(10), pages 2212-2231, October.
    • Handle: RePEc:taf:jdevst:v:55:y:2019:i:10:p:2212-2231
    DOI: 10.1080/00220388.2018.1536264
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    Cited by:

    1. Durevall, Dick & Isaksson, Ann-Sofie, 2022. "Aid and child health Local effects of aid on stunting in Malawi," Working Papers in Economics 830, University of Gothenburg, Department of Economics.
    2. Munyanyi, Musharavati Ephraim & Awaworyi Churchill, Sefa, 2022. "Foreign aid and energy poverty: Sub-national evidence from Senegal," Energy Economics, Elsevier, vol. 108(C).
    3. Tadadjeu, Sosson & Njangang, Henri & Asongu, Simplice A. & Kamguia, Brice, 2023. "Natural resources, child mortality and governance quality in African countries," Resources Policy, Elsevier, vol. 83(C).
    4. Anke Hoeffler & Patricia Justino, 2024. "Aid and fragile states," Chapters, in: Raj M. Desai & Shantayanan Devarajan & Jennifer L. Tobin (ed.), Handbook of Aid and Development, chapter 14, pages 225-246, Edward Elgar Publishing.
    5. Ramkissoon, Benjamin & Deonanan, Regan, 2023. "How do remittances impact child mortality and are there preconditions?," Social Science & Medicine, Elsevier, vol. 333(C).
    6. Noshaba Aziz & Jun He & Tanwne Sarker & Hongguang Sui, 2021. "Exploring the Role of Health Expenditure and Maternal Mortality in South Asian Countries: An Approach towards Shaping Better Health Policy," IJERPH, MDPI, vol. 18(21), pages 1-14, November.
    7. Lynda Pickbourn & Raymond Caraher & Léonce Ndikumana, 2022. "Does project-level aid for water and sanitation improve child health outcomes?: Evidence from household panel data in Uganda," WIDER Working Paper Series wp-2022-141, World Institute for Development Economic Research (UNU-WIDER).
    8. Hyunyi Choi & Keuntae Cho, 2023. "Effects of Science, Technology, and Innovation Official Development Assistance on Innovative Capacity in Developing Countries," Sustainability, MDPI, vol. 15(4), pages 1-17, February.
    9. Didier Wayoro & Léonce Ndikumana, 2020. "Impact of development aid on infant mortality: Micro‐level evidence from Côte d'Ivoire," African Development Review, African Development Bank, vol. 32(3), pages 432-445, September.
    10. Li, Jia, 2024. "Less stunted? The impact of Chinese health aid on child nutrition," Social Science & Medicine, Elsevier, vol. 342(C).

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