Inequalities in infant malnutrition between rural and urban areas in Cameroon: a Blinder- Oaxaca decomposition

Authors

  • Nguenda Anya Saturnin Bertrand

DOI:

https://doi.org/10.61538/ajer.v6i2.404

Abstract

Child malnutrition is an obstacle to human capital and a deprivation of capabilities. In Cameroon, malnutrition is a public health problem and rural areas suffer more from child malnutrition than the urban areas. The objective of this study is to identify the factors that explain inequality in the distribution of child malnutrition between urban and rural areas in Cameroon. The methodology used is based on the Oaxaca-Blinder decomposition. The data used is from the Demographic and Health Survey organized in 2011 by the National Institute of Statistics. Differences in endowments of children and mothers explain 75% of the weight difference of children under 5 years between urban and rural areas. We specifically find that a paid job for the mother reduces by approximately 2.56 % the differences in the weights of children of less than 5 years between urban and rural areas. Also, the education of the mother reduces the difference in weight between the rural and urban children by 2.44% for primary education, 5.48% for secondary education and 3.54% for higher education. Lastly, the difference in weight between the children of rural and urban areas increases when the households are poor. The reduction inequalities of child malnutrition between urban and rural areas in Cameroon thus passes through the improvement  of the education of the mother, the strengthening of the economic capacities of women in rural areas and the improvement of the living conditions of rural households.

Author Biography

Nguenda Anya Saturnin Bertrand

Researcher-Lecturer,Faculty of Economics and Applied Management, University of Douala, Cameroon

References

AKOTO E. et HILL A. (1998), Morbidité, malnutrition et mortalité des enfants in population et sociétés en Afrique au sud du Sahara. L’harmattan, paris, 334p.

AKOTO E. (1993), Déterminants socio-culturels de la mortalité des enfants en Afrique noire: hypothèses et recherches d'explication, Louvain-la-neuve, Académia, 269 p.

AMUGSI DA, MITTELMARK MB and LARTEY A. (2013), An analysis of socio-

demographic patterns in child malnutrition trends using Ghana demographic and health survey data in the period 1993–2008. BMC Public Health. Vol. 13, N°960. doi:

1186/1471-2458-13-960.

BLINDER A. (1973), Wage Discrimination: Reduced Form and Structural Estimates , The Journal of Human Resources, Vol.8, p. 436-55

DELPEUCH F, TRAISSAC P, MARTIN-PRE Y and MASSAMBA BM. (2000), Economic crisis and malnutrition: socioeconomic determinants of anthropometric status of preschool children and their mothers in an African urban area. Public Health Nutrition , Vol.3, p. 39–47

DSCE( 2009), Document de Stratégie pour la Croissance et l’Emploi,

EDS-MICS ( 2011), Enquêtes Démographique et de Santé au Cameroun. Institut National de la Statistique, Cameroun.

GARRETT J and RUEL MT. (1999), Are determinants of rural and urban food security and nutritional status different? Some insights from Mozambique, Word Development 1999, 2 Vol 7, p.1955–1975.

GEWWE P. (1999), How does Schooling of Mothers Improve Child Health? Evidence from Morocco , Document de travail n° 128, World Bank LSMS, Washington, D.C.

GROSSMAN M. (1972), On the concept of health capital and the demand for health , Journal of Political Economy, Vol. 80, p. 223-255.

HONG R. (2007), Effect of economic inequality on chronic childhood under nutrition in Ghana. Public Health Nutrition , Vol. 10, p.371–378.

JINABHAI CC, TAYLOR M and SULLIVAN KR. (2003), Implications of the prevalence of stunting, overweight and obesity amongst South African primary school children: a possible nutritional transition? European Journal of Clinical Nutrition, Vol.57, p.358–

MUSSA R.(2014), A matching decomposition of the rural-urban difference in malnutrition in Malawi, Health Economics Review, Vol 4, N. 11

NOVIGNON j, ABOAGYE E, AGYEMANG O S and ARYEETEY G (2015), Socioeconomic related inequalities in child malnutrition: evidence from the Ghana multiple indicator cluster survey, Health Economics Review, Vol. 5, p. 34

OAXACA R. (1973), Male-Female Wage Differentials in Urban Labor Market , International Economic Review, Vol.14, p. 693-709.

O'DONNELL O, DOORSLAER E V, WASGSTAFF A. and LINDELOW M.(2008),

Analyzing Health Equity Using Household Survey Data. A Guide to Techniques and Their Implementation. Washington, DC : The World Bank

RICCI J A. and BECKER S. (1996), Risk factors for wasting and stunting among children in Metro Cebu, Philippines , American Journal of Clinical Nutrition, Vol. 63, p. 966-975.

RUEL MT, HADDADL, GARRETT J.( 1999): Some urban facts of life: implications for research and policy, Word Development, Vol. 27, p.1917–1938.

SCHULTZ TW. (1961), Investment in Human Capital , American Economic Review, Vol. 51, p.

-17.

SEN A .(2002), Why health equity?, Health Economics, Vol.11, P.659–666

SEN, A.(1981). Poverty and famines, An essay on entitlement and deprivation.Oxford, Claredon

Press.

SHARAF M F and RASHAD A S .(2016), Regional inequalities in child malnutrition in Egypt,

Jordan, and Yemen: a Blinder-Oaxaca decomposition analysis, Health Economics Review , Vol. 6, N°23

SMITH L, RUEL MT, NDIAYE A. (2005), Why is child malnutrition lower in urban than in rural areas? Evidence from 36 developing countries, Word Development 2005, Vol 33,p.

–1305.

SRINIVASAN C, ZANELLOZ G and SHANKAR B. (2013), Rural-urban disparities in child nutrition in Bangladesh and Nepal, BMC Public Health , Vol.13, N° 581

THARAKAN CT, and SUCHINDRAN C M.(1999), Determinants of child malnutrition- An intervention model for Botswana , Nutrition Research, Vol. 19, N°6, p. 843-60.

THOMAS D, STRAUSS J. and HENRIQUES M-H.(1991), How does mother education affect child height , The Journal of Human Ressources, Vol. 26, N° 2, P. 183-211.

UNICEF (1998), The State of the World's Children . New York: Oxford University Press.

Vol.57, p.358–365.

WAGSTAFF A. DOORSLAER E V. and WATANABE N. (2003), On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam , Journal of Econometrics, Vol. 112, N°1, p. 207-223

Downloads