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Water, sanitation and child health: Evidence from subnational panel data in 59 countries

Water, sanitation and child health: Evidence from subnational panel data in 59 countries PDF Author: Headey, Derek D.
Publisher: Intl Food Policy Res Inst
ISBN:
Category : Political Science
Languages : en
Pages : 84

Book Description
Water, sanitation and hygiene (WASH) investments are widely seen as essential for improving health in early childhood. However, the experimental literature on WASH interventions identifies inconsistent impacts on child health outcomes, with relatively robust impacts on diarrhea and other symptoms of infection, but weak and varying impacts on child nutrition. In contrast, observational research exploiting cross-sectional variation in water and sanitation access is much more sanguine, finding strong associations with diarrhea prevalence, mortality and stunting. In practice, both literatures suffer from significant methodological limitations. Experimental WASH evaluations are often subject to poor compliance, rural bias, and short duration of exposure, while cross-sectional observational evidence may be highly vulnerable to omitted variables bias. To overcome some of the limitations of both literatures, we construct a panel of 442 subnational regions in 59 countries with multiple Demographic Health Surveys. This large subnational panel is used to implement difference-in-difference regressions that allow us to examine whether longer term changes in water and sanitation at the subnational level predict improvements in child morbidity, mortality and nutrition. We find results that are partially consistent with both literatures. Improved water access is statistically insignificantly associated with most outcomes, although water piped into the dwelling predicts reductions in child stunting. Improvements in sanitation predict large reductions in diarrhea prevalence and child mortality, but are not associated with changes in stunting or wasting. We estimate that sanitation improvements can account for just under 10% of the decline in child mortality from 1990-2015.

Water, sanitation and child health: Evidence from subnational panel data in 59 countries

Water, sanitation and child health: Evidence from subnational panel data in 59 countries PDF Author: Headey, Derek D.
Publisher: Intl Food Policy Res Inst
ISBN:
Category : Political Science
Languages : en
Pages : 84

Book Description
Water, sanitation and hygiene (WASH) investments are widely seen as essential for improving health in early childhood. However, the experimental literature on WASH interventions identifies inconsistent impacts on child health outcomes, with relatively robust impacts on diarrhea and other symptoms of infection, but weak and varying impacts on child nutrition. In contrast, observational research exploiting cross-sectional variation in water and sanitation access is much more sanguine, finding strong associations with diarrhea prevalence, mortality and stunting. In practice, both literatures suffer from significant methodological limitations. Experimental WASH evaluations are often subject to poor compliance, rural bias, and short duration of exposure, while cross-sectional observational evidence may be highly vulnerable to omitted variables bias. To overcome some of the limitations of both literatures, we construct a panel of 442 subnational regions in 59 countries with multiple Demographic Health Surveys. This large subnational panel is used to implement difference-in-difference regressions that allow us to examine whether longer term changes in water and sanitation at the subnational level predict improvements in child morbidity, mortality and nutrition. We find results that are partially consistent with both literatures. Improved water access is statistically insignificantly associated with most outcomes, although water piped into the dwelling predicts reductions in child stunting. Improvements in sanitation predict large reductions in diarrhea prevalence and child mortality, but are not associated with changes in stunting or wasting. We estimate that sanitation improvements can account for just under 10% of the decline in child mortality from 1990-2015.

Gender Inequality and its Implications on Education and Health

Gender Inequality and its Implications on Education and Health PDF Author: Chandrima Chakraborty
Publisher: Emerald Group Publishing
ISBN: 183753182X
Category : Social Science
Languages : en
Pages : 288

Book Description
Raising awareness among stakeholders and institutions to recognise the importance of gender inequality throughout the world and its various implications – especially on education and health – Gender Inequality and its Implications on Education and Health provides strategies to achieve gender equality.

An Investment Framework for Nutrition

An Investment Framework for Nutrition PDF Author: Meera Shekar
Publisher: World Bank Publications
ISBN: 1464810117
Category : Business & Economics
Languages : en
Pages : 243

Book Description
An Investment Framework for Nutrition: Reaching the Global Targets for Stunting, Anemia, Breastfeeding, and Wasting estimates the costs, impacts, and financing scenarios to achieve the World Health Assembly global nutrition targets for stunting, anemia in women, exclusive breastfeeding and the scaling up of the treatment of severe wasting among young children. To reach these four targets, the world needs US$70 billion over 10 years to invest in high-impact nutrition-specific interventions. This investment would have enormous benefits: 65 million cases of stunting and 265 million cases of anemia in women would be prevented in 2025 as compared with the 2015 baseline. In addition, at least 91 million more children would be treated for severe wasting and 105 million additional babies would be exclusively breastfed during the first six months of life over 10 years. Altogether, achieving these targets would avert at least 3.7 million child deaths. Every dollar invested in this package of interventions would yield between US$4 and US$35 in economic returns, making investing in early nutrition one of the best value-for-money development actions. Although some of the targets—especially those for reducing stunting in children and anemia in women—are ambitious and will require concerted efforts in financing, scale-up, and sustained commitment, recent experience from several countries suggests that meeting these targets is feasible. These investments in the critical 1000-day window of early childhood are inalienable and portable and will pay lifelong dividends—not only for children directly affected but also for us all in the form of more robust societies—that will drive future economies.

Improving Nutrition Outcomes with Better Water, Sanitation and Hygiene

Improving Nutrition Outcomes with Better Water, Sanitation and Hygiene PDF Author: World Health Organization
Publisher:
ISBN: 9789241565103
Category : Medical
Languages : en
Pages : 0

Book Description
This publication, jointly prepared by WHO, the United Nations Children's Fund (UNICEF) and the United States Agency for International Development (USAID), summarizes the current evidence on the benefits of WASH (water, sanitation and hygiene) for improving nutrition outcomes and describes how WASH interventions can be integrated into nutrition programs. It provides practical suggestions, targeted at nutrition program managers and implementers, on both "what" WASH interventions should be included in nutrition programs and "how" to include them. It also seeks to help the WASH community to better understand their role, both as providers of technical expertise in WASH interventions and in prioritizing longer-term improvements to WASH infrastructure in areas where under-nutrition is a concern.

Explaining Child Malnutrition in Developing Countries

Explaining Child Malnutrition in Developing Countries PDF Author: Lisa C. Smith
Publisher: Intl Food Policy Res Inst
ISBN: 0896291146
Category : Medical
Languages : en
Pages : 132

Book Description
One in three preschool children in developing countries is undernourished. Consequently, they are likely to have impaired immune systems, poor cognitive development, low productivity as adults, and susceptibility to diet-related chronic diseases such as hypertension and coronary heart disease later in life. Undernourished female preschoolers are likely to grow into undernourished young women who are more likely to give birth to babies who are undernourished even before they are born, thus perpetuating the intergenerational transmission of deprivation. This report sheds light on some of the main causes of child malnutrition, projects how many children are likely to be malnourished in the year 2020 given current trends, and identifies priority actions for reducing malnutrition most quickly in the coming decades.

Strengthening the Human Right to Sanitation as an Instrument for Inclusive Development

Strengthening the Human Right to Sanitation as an Instrument for Inclusive Development PDF Author: Pedi Obani
Publisher: CRC Press
ISBN: 042986597X
Category : Science
Languages : en
Pages : 381

Book Description
Over a third of the current 7.3 billion people worldwide are burdened with poor sanitation services. The resulting social, relational and ecological exclusion make the realisation of the human right to sanitation (HRS) a critical concern development concern. However, the literature has evolved in a largely compartmentalised manner, focusing on the formal recognition of the HRS in domestic legal systems, without sufficiently addressing the drivers of poor sanitation services. This research expounds on the impact of the HRS on human wellbeing and the environment within the context of a developing country like Nigeria as a case study. The findings show that contrary to the focus in the literature, the drivers of poor sanitation services are not confined to legal factors, such as the formal recognition of the HRS within domestic legal systems. Rather, the drivers include social, economic and environmental limitations to improved sanitation services. Based on the findings, the book argues that the focus in the literature on the formal recognition of the HRS in national legal systems is insufficient for tackling the main drivers of poor sanitation services. It is therefore necessary to reformulate the HRS discourse using complementary governance instruments that advance social, relational and ecological inclusion.

Nourishing millions: Stories of change in nutrition: Synopsis

Nourishing millions: Stories of change in nutrition: Synopsis PDF Author: Yosef, Sivan
Publisher: Intl Food Policy Res Inst
ISBN: 0896299902
Category : Political Science
Languages : en
Pages : 8

Book Description
In recent years, the world has seen unprecedented attention and political commitment to addressing malnutrition. Milestones such as the Scaling Up Nutrition (SUN) Movement, the Lancet Maternal and Child Nutrition Series, and the Second International Conference on Nutrition (ICN2) have marked the rapid rise of nutrition on the global policy and research agenda. These developments reverse years of relative neglect for nutrition. Undernutrition is a global challenge with huge social and economic costs. It kills millions of young children annually, stunts growth, erodes child development, reduces the amount of schooling children attain, and increases the likelihood of their being poor as adults, if they survive. Stunting persists through a lifetime and beyond—underweight mothers are more likely to give birth to underweight children, perpetuating undernutrition across generations. Undernutrition reduces global gross domestic product by US$1.4–$2.1 trillion a year—the size of the total economy of Africa south of the Sahara.

Safe Water, Sanitation, and Early Childhood Malnutrition in East Africa

Safe Water, Sanitation, and Early Childhood Malnutrition in East Africa PDF Author: Assata Zerai
Publisher: Lexington Books
ISBN: 1498520847
Category : Social Science
Languages : en
Pages : 189

Book Description
To understand safe water and sanitation in East Africa, it is important to consider the contributions of African feminist analysis. This perspective will unveil inequities in the distribution of resources, demonstrate how localized solutions which are driven by women’s collaborative work have had an impact by temporarily easing the burden, and paint a multilayered picture of the lives of women and girls who are the predominant providers of water to households. This book explores the effects of water and sanitation quality and availability on early childhood morbidity in East Africa from an African feminist sociological perspective. It presents a framework that considers the ways that the development industry, neoliberalism, neocolonial relations, gender, class, ethnicity, globalization, and other dimensions of oppression intersect to impact upon the experiences and agency of women and children accessing clean water and safe sanitation and reducing early childhood morbidity in Kenya, Tanzania and Uganda. This work offers a vital contribution to the social scientific literature by adapting the vibrant intellectual work of African feminists to a quantitative methodology and enlarging the scope of empirically and theoretically grounded studies within the field of environmental sociology.

Equality in Water and Sanitation Services

Equality in Water and Sanitation Services PDF Author: Oliver Cumming
Publisher: Routledge
ISBN: 1315471515
Category : Business & Economics
Languages : en
Pages : 335

Book Description
There is growing acceptance that the progress delivered under the Millennium Development Goal target for drinking water and sanitation has been inequitable. As a result, the progressive reduction of inequalities is now an explicit focus of the Sustainable Development Goal (SDG) targets, adopted in 2015, for universal access to drinking water, sanitation and hygiene (WASH). This shift in focus has implications for the way in which the next generation of WASH policies and programmes will be conceived, designed, financed and monitored. This book provides an authoritative textbook for students, as well as a point of reference for policy-makers and practitioners interested in reducing inequalities in access to WASH services. Four key areas are addressed: background to the human right to water and development goals; dimensions of inequality; case studies in delivering water and sanitation equitably; and monitoring progress in reducing inequality.

Undernutrition and Public Policy in India

Undernutrition and Public Policy in India PDF Author: Sonalde Desai
Publisher: Routledge
ISBN: 1317358422
Category : Political Science
Languages : en
Pages : 327

Book Description
Despite substantial economic growth, India has one of the highest undernutrition rates in the world; it is home to almost 40 per cent of the world’s stunted children. This volume assesses the status and causes of undernutrition in the country, and examines the effectiveness of policies designed to address undernutrition. The essays tackle wide-ranging themes and challenging issues including nutrition; water, sanitation and hygiene (WASH); maternal, neonatal and child health; Integrated Child Development Services (ICDS); Public Distribution System (PDS); crop procurement; and National Food Security Act 2013. With contributions from leading academic researchers, policymakers, as well as civil society representatives, this volume will be indispensable to scholars, teachers and students of public policy, development economics, development sociology, and Indian economy. It will also be useful to government institutions, think tanks and NGOs.