Child hunger in the developing world: An analysis of environmental and social correlates

Abstract Using two complementary methods in a framework that allows incorporating both environmental and household-level factors, we explore the correlates of underweight status among children. We use individual children as the units of analysis in 19 African countries, and subnational survey strata in 43 African, Asian and Latin American countries. We consider the relationship between household-level demographic and health survey data, environmental factors from external geospatial data sets and two indicators of malnutrition among children aged 1–3, deviations from the international standards of weight-for-age and height-for-age. We discuss methods for data integration. In general, household determinants explain more variation than environmental factors, perhaps partly due to more error-prone measurement at the community level. Among individual children, some measures of agricultural capacity are related to lower incidence of child hunger, while among regions, measures relating to urbanness and population density show a stronger relationship. We give recommendations for further study, data collection and policy making.

[1]  R. Whitehead,et al.  Growth charts and the assessment of infant feeding practices in the western world and in developing countries. , 1984, Early human development.

[2]  A. Roth,et al.  The shuttle radar topography mission—a new class of digital elevation models acquired by spaceborne radar , 2003 .

[3]  B. A. Lond,et al.  Andrew Moynihan Claye. , 1977, Lancet.

[4]  S. Schwartz The fallacy of the ecological fallacy: the potential misuse of a concept and the consequences. , 1994, American journal of public health.

[5]  K. Osinusi A study of the pattern of breast feeding in Ibadan, Nigeria. , 1987, The Journal of tropical medicine and hygiene.

[6]  N. Ramankutty,et al.  Green surprise? How terrestrial ecosystems could affect earth’s climate , 2003 .

[7]  J. Morduch,et al.  Sibling rivalry and the gender gap: Evidence from child health outcomes in Ghana , 1998, Journal of population economics.

[8]  D. Freedman Ecological Inference and the Ecological Fallacy , 1999 .

[9]  J. Townshend,et al.  A new global 1‐km dataset of percentage tree cover derived from remote sensing , 2000 .

[10]  A. Storeygard,et al.  A spatial analysis of childhood mortality in West Africa , 2004 .

[11]  Michel Meybeck,et al.  A New Typology for Mountains and Other Relief Classes , 2001 .

[12]  Lawrence Haddad,et al.  Explaining Child Malnutrition in Developing Countries: A Cross-Country Analysis , 1999 .

[13]  James M. Tanner,et al.  A history of the study of human growth , 1981 .

[14]  Ethiopia,et al.  Ethiopia demographic and health survey, 2000 , 2006 .

[15]  J. Menken,et al.  Demographic Effects of Breastfeeding: Fertility, Mortality, and Population Growth , 1996 .

[16]  A. Roux The Study of Group-Level Factors in Epidemiology: Rethinking Variables, Study Designs, and Analytical Approaches , 2004 .

[17]  Q. Wodon,et al.  Are Orphans Especially Vulnerable ? Evidence from Rwanda , 2004 .

[18]  Jeffrey D. Sachs,et al.  The End of Poverty , 2005 .

[19]  N. Madise,et al.  Heterogeneity of child nutritional status between households: A comparison of six sub-Saharan African countries , 1999 .

[20]  A. R. Frisancho Physical Status: The Use and Interpretation of Anthropometry , 1996, The American Journal of Clinical Nutrition.

[21]  R. Pérez‐Escamilla,et al.  Specifying the antecedents of breast-feeding duration in Peru through a structural equation model , 1999, Public Health Nutrition.

[22]  R. Martorell,et al.  Height and weight standards for preschool children. How relevant are ethnic differences in growth potential? , 1974, Lancet.

[23]  Eritrea,et al.  Eritrea Demographic and Health Survey 2002 , 2003 .

[24]  L. Grummer-Strawn,et al.  Contraceptive and health benefits of breastfeeding: a review of the recent evidence. , 1991 .

[25]  Swaminathan,et al.  Halving hunger: It can be done , 2005 .

[26]  P. Engelhard [An end to poverty]]. , 1994, Vivre autrement.

[27]  N. Ramankutty,et al.  Characterizing patterns of global land use: An analysis of global croplands data , 1998 .

[28]  P. Engle,et al.  Care and nutrition: concepts and measurement. , 1997 .

[29]  P. Graitcer,et al.  MEASURING CHILDREN: ONE REFERENCE FOR ALL , 1981, The Lancet.

[30]  P. Sánchez,et al.  Soil Fertility and Hunger in Africa , 2002, Science.

[31]  H. White,et al.  The determinants of child health and nutrition : a meta-analysis , 2004 .

[32]  Peter Wallensteen,et al.  Armed Conflict 1946-2001: A New Dataset , 2002 .

[33]  Robert M. Townsend,et al.  Risk and Insurance in Village India , 1994 .

[34]  John A. Dixon,et al.  Farming Systems and Poverty IMPROVING FARMERS' LIVELIHOODS IN A CHANGING WORLD , 2001 .

[35]  Zambia,et al.  Zambia Demographic and Health Survey 2001-2002 , 2003 .

[36]  J. Sachs,et al.  A global index representing the stability of malaria transmission. , 2004, The American journal of tropical medicine and hygiene.

[37]  Eliot A. Cohen,et al.  National Imagery and Mapping Agency , 2001 .