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The intergenerational effect of tuition-free lower-secondary education on children's nutritional outcomes in Africa.
Martin, Alfredo; Sprague, Aleta; Raub, Amy; Bose, Bijetri; Bhuwania, Pragya; Kidman, Rachel; Nandi, Arijit; Behrman, Jere; Heymann, Jody.
Afiliación
  • Martin A; WORLD Policy Analysis Center, University of California, Los Angeles, CA, USA.
  • Sprague A; WORLD Policy Analysis Center, University of California, Los Angeles, CA, USA.
  • Raub A; WORLD Policy Analysis Center, University of California, Los Angeles, CA, USA.
  • Bose B; WORLD Policy Analysis Center, University of California, Los Angeles, CA, USA.
  • Bhuwania P; WORLD Policy Analysis Center, University of California, Los Angeles, CA, USA.
  • Kidman R; Program in Public Health and Department of Family, Population and Preventive Medicine, Stony Brook University, Stony Brook, NY, USA.
  • Nandi A; Institute for Health and Social Policy and Department of Epidemiology, Biostatistics, and Occupational Health, McGill University Faculty of Medicine and Health Sciences, Montreal, Canada.
  • Behrman J; Departments of Economics and Sociology, University of Pennsylvania, Philadelphia, PA, USA.
  • Heymann J; Population Studies Center, University of Pennsylvania, Philadelphia, PA, USA.
Glob Public Health ; 19(1): 2291703, 2024 01.
Article en En | MEDLINE | ID: mdl-38118117
ABSTRACT
One in five child deaths under age 5 are a result of severe wasting. Malnutrition at early ages is linked to lifelong consequences, such as reduced cognitive skills, reduced earnings in adulthood and chronic health conditions. Countries worldwide have committed to addressing child undernutrition, and ending hunger is foundational to the Millennium Development Goals. In this paper, we study the intergenerational effect of providing free tuition in secondary school on future children's nutrition. We combined a novel longitudinal dataset that captures educational policies for 40 African countries from 1990 to 2019 with the Demographic and Health Survey (DHS). We identified three countries that introduced free secondary education several years after implementing free primary education. Exploiting this variation in timing we estimate the additional impact of providing free secondary education over free primary education. Using a difference-in-difference approach, we find that introducing free secondary education significantly reduced wasting. Cohorts exposed to free secondary had an 18% relative decrease in wasting. The impact on cohorts exposed only to free primary was smaller and not statistically significant. Expanding free secondary education has long-term, intergenerational benefits and is an effective path to reducing malnutrition. Results are robust to different specifications.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desnutrición Límite: Child / Child, preschool / Humans País/Región como asunto: Africa Idioma: En Revista: Glob Public Health Asunto de la revista: SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desnutrición Límite: Child / Child, preschool / Humans País/Región como asunto: Africa Idioma: En Revista: Glob Public Health Asunto de la revista: SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido