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Are Poor Individuals Mainly Found in Poor Households? Evidence using Nutrition Data for Africa

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  • Caitlin S. Brown
  • Martin Ravallion
  • Dominique van de Walle

Abstract

Antipoverty policies assume that targeting poor households suffices in reaching poor individuals. We question this assumption. Our comprehensive assessment for sub-Saharan Africa reveals that undernourished women and children are spread widely across the household wealth and consumption distributions. Roughly three-quarters of underweight women and undernourished children are not found in the poorest 20% of households, and around half are not found in the poorest 40%. Countries with higher undernutrition tend to have higher shares of undernourished individuals in non-poor households. The results are consistent with intra-household inequality but other factors also appear to be at work including common health risks.

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  • Caitlin S. Brown & Martin Ravallion & Dominique van de Walle, 2017. "Are Poor Individuals Mainly Found in Poor Households? Evidence using Nutrition Data for Africa," NBER Working Papers 24047, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:24047
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    1. Alderman, Harold & Lokshin, Michael & Radyakin, Sergiy, 2011. "Tall claims : mortality selection and the height of children," Policy Research Working Paper Series 5846, The World Bank.
    2. David Coady & Margaret Grosh & John Hoddinott, 2004. "Targeting of Transfers in Developing Countries : Review of Lessons and Experience," World Bank Publications - Books, The World Bank Group, number 14902.
    3. Pitt, Mark M, 1983. "Food Preferences and Nutrition in Rural Bangladesh," The Review of Economics and Statistics, MIT Press, vol. 65(1), pages 105-114, February.
    4. Brown, Caitlin & Ravallion, Martin & van de Walle, Dominique, 2018. "A poor means test? Econometric targeting in Africa," Journal of Development Economics, Elsevier, vol. 134(C), pages 109-124.
    5. Alderman, Harold & Lokshin, Michael & Radyakin, Sergiy, 2011. "Tall claims: Mortality selection and the height of children in India," Economics & Human Biology, Elsevier, vol. 9(4), pages 393-406.
    6. Adam Wagstaff & Caryn Bredenkamp & Leander R. Buisman, 2014. "Progress on Global Health Goals: Are the Poor Being Left Behind?," The World Bank Research Observer, World Bank, vol. 29(2), pages 137-162.
    7. Anne Case & Christina Paxson & Joseph Ableidinger, 2004. "Orphans in Africa: parental death, poverty, and school enrollment," Demography, Springer;Population Association of America (PAA), vol. 41(3), pages 483-508, August.
    8. David Evans & Edward Miguel, 2007. "Orphans and schooling in africa: a longitudinal analysis," Demography, Springer;Population Association of America (PAA), vol. 44(1), pages 35-57, February.
    9. Vivi Alatas & Abhijit Banerjee & Rema Hanna & Benjamin A. Olken & Julia Tobias, 2012. "Targeting the Poor: Evidence from a Field Experiment in Indonesia," American Economic Review, American Economic Association, vol. 102(4), pages 1206-1240, June.
    10. Haddad, Lawrence & Kanbur, Ravi, 1990. "How Serious Is the Neglect of Intra-Household Inequality?," Economic Journal, Royal Economic Society, vol. 100(402), pages 866-881, September.
    11. repec:pri:cheawb:case_paxson_orphansafrica is not listed on IDEAS
    12. Esther Duflo & Michael Greenstone & Raymond Guiteras & Thomas Clasen, 2015. "Toilets Can Work: Short and Medium Run Health Impacts of Addressing Complementarities and Externalities in Water and Sanitation," NBER Working Papers 21521, National Bureau of Economic Research, Inc.
    13. Ravallion, Martin, 1990. "Income Effects on Undernutrition," Economic Development and Cultural Change, University of Chicago Press, vol. 38(3), pages 489-515, April.
    14. Alexander Moradi, 2010. "Selective Mortality or Growth after Childhood? What Really is Key to Understand the Puzzlingly Tall Adult Heights in Sub-Saharan Africa," CSAE Working Paper Series 2010-17, Centre for the Study of African Economies, University of Oxford.
    15. Dean Spears, 2012. "How much international variation in child height can sanitation explain?," Working Papers 1438, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
    16. Smith, Lisa C. & Haddad, Lawrence, 2015. "Reducing Child Undernutrition: Past Drivers and Priorities for the Post-MDG Era," World Development, Elsevier, vol. 68(C), pages 180-204.
    17. Wagstaff, Adam, 2003. "Child health on a dollar a day: some tentative cross-country comparisons," Social Science & Medicine, Elsevier, vol. 57(9), pages 1529-1538, November.
    18. Petrou, Stavros & Kupek, Emil, 2010. "Poverty and childhood undernutrition in developing countries: A multi-national cohort study," Social Science & Medicine, Elsevier, vol. 71(7), pages 1366-1373, October.
    19. repec:pri:rpdevs:case_paxson_orphansafrica.pdf is not listed on IDEAS
    20. Jean-Marie Baland & Roberta Ziparo, 2017. "Intra-household bargaining in poor countries," WIDER Working Paper Series wp-2017-108, World Institute for Development Economic Research (UNU-WIDER).
    21. Ravallion, Martin, 2016. "The Economics of Poverty: History, Measurement, and Policy," OUP Catalogue, Oxford University Press, number 9780190212773.
    22. Anna Folke Larsen & Derek Headey & William A. Masters, 2017. "Misreporting Month of Birth: Implications for nutrition research," Discussion Papers Series, Department of Economics, Tufts University 0821, Department of Economics, Tufts University.
    23. Bhalotra, Sonia & Rawlings, Samantha B., 2011. "Intergenerational persistence in health in developing countries: The penalty of gender inequality?," Journal of Public Economics, Elsevier, vol. 95(3), pages 286-299.
    24. Jean-Marie Baland & Roberta Ziparo, 2017. "Intra-household bargaining in poor countries," WIDER Working Paper Series 108, World Institute for Development Economic Research (UNU-WIDER).
    25. Manley, James & Gitter, Seth & Slavchevska, Vanya, 2013. "How Effective are Cash Transfers at Improving Nutritional Status?," World Development, Elsevier, vol. 48(C), pages 133-155.
    26. Ravallion, Martin, 1992. "Does Undernutrition Respond to Incomes and Prices? Dominance Tests for Indonesia," The World Bank Economic Review, World Bank, vol. 6(1), pages 109-124, January.
    27. Behrman, Jere R & Deolalikar, Anil B, 1987. "Will Developing Country Nutrition Improve with Income? A Case Study for Rural South India," Journal of Political Economy, University of Chicago Press, vol. 95(3), pages 492-507, June.
    28. repec:pri:rpdevs:case_paxson_orphansafrica is not listed on IDEAS
    29. David E. Sahn & David Stifel, 2003. "Exploring Alternative Measures of Welfare in the Absence of Expenditure Data," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 49(4), pages 463-489, December.
    30. Agarwal, Neha & Aiyar, Anaka & Bhattacharjee, Arpita & Cummins, Joseph & Gunadi, Christian & Singhania, Deepak & Taylor, Matthew & Wigton-Jones, Evan, 2017. "Month of birth and child height in 40 countries," Economics Letters, Elsevier, vol. 157(C), pages 10-13.
    31. Bidani, Benu & Ravallion, Martin, 1997. "Decomposing social indicators using distributional data," Journal of Econometrics, Elsevier, vol. 77(1), pages 125-139, March.
    32. van de Walle, Dominique, 2013. "Lasting Welfare Effects of Widowhood in Mali," World Development, Elsevier, vol. 51(C), pages 1-19.
    33. Deon Filmer & Lant Pritchett, 1999. "The Effect of Household Wealth on Educational Attainment: Evidence from 35 Countries," Population and Development Review, The Population Council, Inc., vol. 25(1), pages 85-120, March.
    34. Lawrence Haddad & Harold Alderman & Simon Appleton & Lina Song & Yisehac Yohannes, 2003. "Reducing Child Malnutrition: How Far Does Income Growth Take Us?," The World Bank Economic Review, World Bank, vol. 17(1), pages 107-131, June.
    35. Wagstaff, Adam & Watanabe, Naoko, 2000. "Socioeconomic inequalities in child malnutrition in the developing world," Policy Research Working Paper Series 2434, The World Bank.
    36. World Bank, 2012. "World Development Report 2012 [Rapport sur le développement dans le monde 2012]," World Bank Publications - Books, The World Bank Group, number 4391.
    37. Kakwani, Nanak & Wagstaff, Adam & van Doorslaer, Eddy, 1997. "Socioeconomic inequalities in health: Measurement, computation, and statistical inference," Journal of Econometrics, Elsevier, vol. 77(1), pages 87-103, March.
    38. repec:pri:cheawb:case_paxson_orphansafrica.pdf is not listed on IDEAS
    39. Siwan Anderson & Debraj Ray, 2010. "Missing Women: Age and Disease," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 77(4), pages 1262-1300.
    40. Richard H. Steckel, 1995. "Stature and the Standard of Living," Journal of Economic Literature, American Economic Association, vol. 33(4), pages 1903-1940, December.
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    7. Dizon,Felipe Jr Fadullon & Josephson,Anna Leigh & Wang,Zetianyu, 2022. "Intra-Household Inequality in Food Consumption and Diets in the Philippines," Policy Research Working Paper Series 10170, The World Bank.
    8. Freude, Boipelo & Henning, Christian H. C. A., 2019. "Is women's undernutrition synonymous with household food insufficiency? Evidence from Northern Ghana," Working Papers of Agricultural Policy WP2019-08, University of Kiel, Department of Agricultural Economics, Chair of Agricultural Policy.
    9. Berman, Nicolas & Rotunno, Lorenzo & Ziparo, Roberta, 2020. "Sweet child of mine: Income, health and inequality," CEPR Discussion Papers 14444, C.E.P.R. Discussion Papers.
    10. Maria Sassi, 2020. "Evidence of Between- and Within-Household Child Nutrition Inequality in Malawi: Does the Gender of the Household Head Matter?," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 32(1), pages 28-50, January.
    11. Alemayehu A. Ambel & Getachew Yirga Belete & Oliver Fiala, 2024. "Fiscal Policy and Child Poverty in Ethiopia," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 17(1), pages 221-259, February.
    12. Coates, Jennifer & Patenaude, Bryan N. & Rogers, Beatrice Lorge & Roba, Alemzewed Challa & Woldetensay, Yitbarek Kidane & Tilahun, Addisalem Fikre & Spielman, Kathryn L., 2018. "Intra-household nutrient inequity in rural Ethiopia," Food Policy, Elsevier, vol. 81(C), pages 82-94.
    13. Echeverría, Lucía, 2020. "Modelos colectivos de consumo y distribución intra-hogar. Teoría y aplicaciones," Nülan. Deposited Documents 3832, Universidad Nacional de Mar del Plata, Facultad de Ciencias Económicas y Sociales, Centro de Documentación.
    14. Getachew Yirga Belete, 2022. "Children’s multidimensional deprivation, monetary poverty and undernutrition in Ethiopia," Review of Economics of the Household, Springer, vol. 20(4), pages 1087-1118, December.
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    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I32 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Measurement and Analysis of Poverty
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs

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