How Many More Infants Are Likely to Die in Africa as a Result of the Global Financial Crisis?

The human consequences of the current global financial crisis for the developing world are presumed to be severe yet few studies have quantified such impact. The authors estimate the additional number of infant deaths in sub-Saharan Africa likely due to the crisis and discuss possible mitigation strategies. They pool birth-level data as reported in female adult retrospective birth histories from all Demographic and Health Surveys collected in sub-Saharan Africa nations. This results in a data set of 639,000 births to 264,000 women in 30 countries. The authors use regression models with flexible controls for temporal trends to assess an infant s likelihood of death as a function of fluctuations in national income. They then apply this estimated likelihood to expected growth shortfalls as a result of the crisis. At current growth projections, their estimates suggest there will be 30,000 - 50,000 excess infant deaths in sub-Saharan Africa. Most of these additional deaths are likely to be poorer children (born to women in rural areas and lower education levels) and are overwhelmingly female. If the crisis continues to worsen the number of deaths may grow much larger, especially those to girls. Policies that protect the income of poor households and that maintain critical health services during times of economic contraction should be considered. Interventions targeted at female infants and young girls may be particularly beneficial.

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Bibliographic Details
Main Authors: Schady, Norbert, Friedman, Jed
Language:English
Published: 2009-08-01
Subjects:AID, BABIES, BIRTH RATE, BIRTH RATES, CHILD BIRTH, CHILD DEATHS, CHILD DEVELOPMENT, CHILD HEALTH, COMPLICATIONS, CONDITIONAL CASH TRANSFERS, DEVELOPING COUNTRIES, DROPOUT, EFFECTIVE POLICIES, FAMILIES, FEMALE, FEMALES, FERTILITY, FERTILITY RATES, FORECASTS, FUTURE GROWTH, GENDER, HEALTH PROVIDERS, HEALTH SERVICES, HIGH-RISK, HOUSEHOLD LEVEL, HUMAN DEVELOPMENT, IMPORTANT POLICY, INCOME, INCREASE IN MORTALITY, INFANT, INFANT DEATH, INFANT DEATHS, INFANT MORTALITY, INFANT MORTALITY RATE, INFANT MORTALITY RATES, INFANTS, INVESTMENTS IN EDUCATION, LEVELS OF EDUCATION, LIVE BIRTHS, MORTALITY RATE, MOTHER, MOTHERS, NEONATAL MORTALITY, NUMBER OF BIRTHS, NUMBER OF CHILDREN, NUMBER OF DEATHS, NUTRITION, NUTRITION OUTCOMES, OLDER WOMEN, PLACE OF RESIDENCE, POLICY RESEARCH, POLICY RESEARCH WORKING PAPER, POOR HOUSEHOLDS, PREGNANCY, PROBABILITY, PROGRESS, PUBLIC HEALTH, PUBLIC HEALTH EXPENDITURES, PUBLIC SERVICES, RESPECT, RURAL AREAS, SOCIOECONOMIC STATUS, SON PREFERENCE, SPONTANEOUS ABORTIONS, UNEMPLOYMENT, VICTIMS, VITAL STATISTICS, WOMAN, WOMEN'S HEALTH, WORLD HEALTH ORGANIZATION, YOUNG GIRLS, YOUNGER WOMEN,
Online Access:http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20090820140450
https://hdl.handle.net/10986/4215
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Summary:The human consequences of the current global financial crisis for the developing world are presumed to be severe yet few studies have quantified such impact. The authors estimate the additional number of infant deaths in sub-Saharan Africa likely due to the crisis and discuss possible mitigation strategies. They pool birth-level data as reported in female adult retrospective birth histories from all Demographic and Health Surveys collected in sub-Saharan Africa nations. This results in a data set of 639,000 births to 264,000 women in 30 countries. The authors use regression models with flexible controls for temporal trends to assess an infant s likelihood of death as a function of fluctuations in national income. They then apply this estimated likelihood to expected growth shortfalls as a result of the crisis. At current growth projections, their estimates suggest there will be 30,000 - 50,000 excess infant deaths in sub-Saharan Africa. Most of these additional deaths are likely to be poorer children (born to women in rural areas and lower education levels) and are overwhelmingly female. If the crisis continues to worsen the number of deaths may grow much larger, especially those to girls. Policies that protect the income of poor households and that maintain critical health services during times of economic contraction should be considered. Interventions targeted at female infants and young girls may be particularly beneficial.