Maternal education and child health: Is there a strong causal relationship?

Using data from the first round of Demographic and Health Surveys for 22 developing countries, we examine the effect of maternal education on three markers of child health: infant mortality, children s height-for-age, and immunization status. In contrast to other studies, we argue that although there is a strong correlation between maternal education and markers of child health, a causal relationship is far from established. Education acts as a proxy for the socioeconomic status of the family and geographic area of residence. Introducing controls for husband’s education and access to piped water and toilet attenuate the impact of maternal education on infant mortality and children’s height-for-age. This effect is further reduced by controlling for area of residence through the use of fixed-effects models. In the final model. maternal education has a statistically significant impact on infant mortality and height-forage in only a handful of countries. In contrast. maternal education remains statistically significant for chidren’s immunization status in about one-half of the countries even after individual-level and community-level controls are introduced.

[1]  Boerma Jt,et al.  Maternal education and child survival: a comparative analysis of DHS data. , 1991 .

[2]  Ruhul Dahrial.  The behavior of maximum likelihood estimator of misspecified dynamic type 2 tobit models with panel data , 2007 .

[3]  W. Greene,et al.  计量经济分析 = Econometric analysis , 2009 .

[4]  Boerma Jt,et al.  Childhood morbidity and treatment patterns , 1991 .

[5]  Boerma Jt,et al.  Immunization: levels, trends and differentials , 1990 .

[6]  J. Caldwell,et al.  Education as a factor in mortality decline: an examination of Nigerian data , 1979 .

[7]  H. R. Chowdhury,et al.  International differences in clinical patterns of diarrhoeal deaths: a comparison of children from Brazil, Senegal, Bangladesh, and India. , 1993, Journal of diarrhoeal diseases research.

[8]  S. Preston,et al.  Fatal Years: Child Mortality in Late Nineteenth-Century America , 1992 .

[9]  J. Caldwell,et al.  Womens position and child mortality and morbidity in less developed countries. , 1993 .

[10]  M. Brockerhoff.  Rural-to-Urban migration and child survival in Senegal , 1990, Demography.

[11]  A. Palloni,et al.  The effects of breastfeeding and pace of childbearing on mortality at early ages , 1986, Demography.

[12]  John C. Caldwell,et al.  How is greater maternal education translated into lower child mortality , 1994 .

[13]  J. McDonald,et al.  Socio-economic factors in Infant and child mortality: A cross-national comparison , 1984 .

[14]  O. Frank.  Socio-Economic Differentials in Child Mortality in Developing Countries. , 1986 .

[15]  A. Palloni.  Mortality in Latin America: emerging patterns , 1981 .

[16]  Dean T. Jamison,et al.  World development report 1993 : investing in health , 1993 .

[17]  T. Schultz.  RETURNS TO WOMEN'S EDUCATION , 1990 .

[18]  Gary Chamberlain,et al.  Analysis of Covariance with Qualitative Data , 1979 .

[19]  J. Hobcraft,et al.  Women's education, child welfare and child survival: a review of the evidence. , 1993, Health transition review : the cultural, social, and behavioural determinants of health.

[20]  B. Popkin,et al.  Influences on the Extent of Breast-Feeding: A Prospective Study in the PhiLippines , 1991, Demography.

[21]  A. Basu.  Maternal education, fertility and child mortality: disentangling verbal relationships , 1994 .

[22]  P. J. Huber.  The behavior of maximum likelihood estimates under nonstandard conditions , 1967 .

[23]  P. Fine,et al.  BCG vaccination against tuberculosis and leprosy. , 1988, British medical bulletin.

[24]  R. Martorell,et al.  Growth in early childhood in developing countries. , 1986 .