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Infant and Child Mortality in Andhra Pradesh: Analysing changes over time and between states

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  • Masset, Edoardo
  • White, Howard

Abstract

Most countries of the world are reducing infant and child mortality too slowly to meet the Millennium Development Goal of a two-thirds reduction by 2015. Yet, some countries and regions have achieved impressive reductions, Kerala in India being one example. This paper examines the determinants of infant and child mortality in Andhra Pradesh, where the Young Lives project is taking place, and Kerala and the factors explaining their differential performance. The determinants of mortality are estimated using a Cox proportional hazards model. Infant mortality is found to depend on biological factors, including mother’s age and birth order, and also factors related to health service provision such as tetanus injection and use of antenatal services. Economic well being is not significant once these other factors are taken into account. By contrast, economic well-being is a significant determinant of child mortality, but substantially outweighed in importance by other factors such as maternal education and knowledge of health practices (ORS) and access to safe water. The data also show gender discrimination in Andhra Pradesh, notably toward girls with only female siblings, which is absent from Kerala. We conclude that raising service levels across India toward the levels found in Kerala is a necessary step toward meeting the MDGs, and that the success of these efforts is reinforced by female empowerment.

Suggested Citation

  • Masset, Edoardo & White, Howard, 2003. "Infant and Child Mortality in Andhra Pradesh: Analysing changes over time and between states," MPRA Paper 11206, University Library of Munich, Germany.
  • Handle: RePEc:pra:mprapa:11206
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    References listed on IDEAS

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    1. Robert Retherford & Minja Choe & Shyam Thapa & Bhakta Gubhaju, 1989. "To what extent does breastfeeding explain Birth-interval effects on early childhood mortality?," Demography, Springer;Population Association of America (PAA), vol. 26(3), pages 439-450, August.
    2. Anne Pebley & Paul Stupp, 1987. "Reproductive patterns and child mortality in guatemala," Demography, Springer;Population Association of America (PAA), vol. 24(1), pages 43-60, February.
    3. Bidani, Benu & Ravallion, Martin, 1997. "Decomposing social indicators using distributional data," Journal of Econometrics, Elsevier, vol. 77(1), pages 125-139, March.
    4. Filmer, Deon & Pritchett, Lant, 1999. "The impact of public spending on health: does money matter?," Social Science & Medicine, Elsevier, vol. 49(10), pages 1309-1323, November.
    5. Alberto Palloni & Marta Tienda, 1986. "The effects of breastfeeding and pace of childbearing on mortality at early ages," Demography, Springer;Population Association of America (PAA), vol. 23(1), pages 31-52, February.
    6. Christiaensen, Luc & Alderman, Harold, 2004. "Child Malnutrition in Ethiopia: Can Maternal Knowledge Augment the Role of Income?," Economic Development and Cultural Change, University of Chicago Press, vol. 52(2), pages 287-312, January.
    7. Beenstock, Michael & Sturdy, Patricia, 1990. "The determinants of infant mortality in regional India," World Development, Elsevier, vol. 18(3), pages 443-453, March.
    8. Fogel, Robert William, 1993. "New findings on secular trends in nutrition and mortality: Some implications for population theory," Handbook of Population and Family Economics, in: M. R. Rosenzweig & Stark, O. (ed.), Handbook of Population and Family Economics, edition 1, volume 1, chapter 9, pages 433-481, Elsevier.
    9. Sudhir Anand & Martin Ravallion, 1993. "Human Development in Poor Countries: On the Role of Private Incomes and Public Services," Journal of Economic Perspectives, American Economic Association, vol. 7(1), pages 133-150, Winter.
    10. Bicego, George T. & Ties Boerma, J., 1993. "Maternal education and child survival: A comparative study of survey data from 17 countries," Social Science & Medicine, Elsevier, vol. 36(9), pages 1207-1227, May.
    11. Brockerhoff, Martin & Derose, Laurie F., 1996. "Child survival in East Africa: The impact of preventive health care," World Development, Elsevier, vol. 24(12), pages 1841-1857, December.
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    Cited by:

    1. Indunil De Silva & Sudarno Sumarto, 2018. "Child Malnutrition in Indonesia: Can Education, Sanitation and Healthcare Augment the Role of Income?," Journal of International Development, John Wiley & Sons, Ltd., vol. 30(5), pages 837-864, July.
    2. Vos, R.P. & Cuesta, J.D. & León, M. & Lucio, R. & Rosero, J., 2005. "Reaching the millennium development goal for child mortality : Improving equity and efficiency in Ecuador's health budget," ISS Working Papers - General Series 19169, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
    3. Hati, Koushik Kumar & Majumder, Rajarshi, 2013. "Health Infrastructure, Health Outcome and Economic Wellbeing: A District Level Study in India," MPRA Paper 53363, University Library of Munich, Germany.
    4. Ali, Amjad & Bibi, Chan, 2016. "Determinants of Social Progress and its Scenarios under the role of Macroeconomic Instability: Empirics from Pakistan," MPRA Paper 72920, University Library of Munich, Germany.

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    More about this item

    Keywords

    infant mortality; child mortality; health; india; social development; andhra pradesh; kerela; hazards model; health production function;
    All these keywords.

    JEL classification:

    • O10 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - General
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

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