跳至主要内容

Ex Ante Inequality and Under-Nutrition Vulnerability Dynamics: Case Study of the Sundarbans Delta Region, West Bengal, India

Read full paper at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=50612#.VEcnlVfHRK0

Author(s) 
In this paper ex ante inequality measure is used to estimate inequality in childhood chronic under-nutrition among different vulnerable subgroups. Ex ante inequality in nutritional achievement is determined by estimating Concentration Index by ranking the sample population as per different contextual absolute and predicted vulnerabilities. Such vulnerabilities include climatic shock induced asset loss, livelihood insecurity, physical accessibility and consumption sacrifice after treatment seeking of children for under-nutrition related morbidities and perception of care givers regarding quality and effectiveness of care provided by unqualified providers. Results found that vulnerability to consumption poverty aggravated chronic under-nutrition among less vulnerable groups mainly among those who perceived that unqualified providers provided quality service and were very effective during crisis. Whereas, vulnerability to investment poverty due to asset loss aggravates chronic under-nutrition among more vulnerable groups as their low economic resilience against any safety net results in no treatment seeking but rely on home remedies to cure the child. Though due to good social cohesion, traditional knowledge and beliefs for treatment are shared among each other but this is not sufficient to break the under-nutrition morbidity vicious circle, especially when the under-nutrition is chronic in nature. So the paper finally suggests several policy suggestions for different vulnerable segments.
Cite this paper
Mukherjee, M. (2014) Ex Ante Inequality and Under-Nutrition Vulnerability Dynamics: Case Study of the Sundarbans Delta Region, West Bengal, India. Food and Nutrition Sciences, 5, 1951-1963. doi: 10.4236/fns.2014.520207
 

[1] Holzmann, R. and Jorgensen, S. (1999) Social Protection as Social Risk Management: Conceptual Underpinnings for the Social Protection Sector Strategy Paper. The World Bank, Washington DC.
[2] O’Donnell, O., Van Doorslaer, E., Wagstaff, A. and Lindelow, M. (2008) Analyzing Health Equity Using Household Survey Data. The World Bank, Washington DC.
[3] United Nations Development Programme (2011) India Human Development Report.
[4] Koolman, X. and van Eddy, D. (2004) On the Interpretation of a Concentration Index of Inequality. Working Paper #4, ECuity II Project.
[5] Alwang, J., Siegel, P.B. and Jorgensen, S.L. (2001) Vulnerability: A View from Different Disciplines. Social Protection Discussion Paper Series. The World Bank, Washington DC.
[6] Ellbers, C. and Gunning, J. (2003) Growth and Risk: Methodology and Micro-Evidence. Tinbergen Institute Discussion Papers, 03-068/2.
[7] Ligon, E. and Schechter, L. (2003) Measuring Vulnerability. The Economic Journal, 113, C95-C102.
http://dx.doi.org/10.1111/1468-0297.00117
[8] Calvo, C. and Dercon, S. (2005) Measuring Individual Vulnerability. University of Oxford. Discussion Paper Series No. 229.
[9] Baeza, C. and Packard, T. (2006) Beyond Survival Protecting Households from Health Shocks in Latin America. The World Bank, Washington DC.
http://dx.doi.org/10.1596/978-0-8213-6571-7
[10] Azam, S. and Imai, K.S. (2009) Vulnerability and Poverty in Bangladesh. Chronic Poverty Research Centre.
[11] Ravallion, M. (1998) Poverty Lines in Theory and Practice. Living Standards Measurement Study, Working Paper No. 133, World Bank, Washington DC.
[12] Reardon, T. and Vosti S. (1995) Links between Rural Poverty and the Environment in Developing Countries: Asset Categories and Investment Poverty. World Development, 23, 1495-1506.
http://dx.doi.org/10.1016/0305-750X(95)00061-G
[13] Chambers, R. (1989) Editorial Introduction: Vulnerability, Coping and Policy. IDS Bulletin, 20, 1-7.
http://dx.doi.org/10.1111/j.1759-5436.1989.mp20002001.x
[14] Maxwell, D., Levin, C., Armar-Klemesu, M., Ruel, M., Morris, S. and Ahaideke, C. (2000) Urban Livelihoods and Food and Nutrition Security in Greater Accra, Ghana. Research Report 112, International Food Policy Research Institute (IFPI), Washington DC.
[15] Coudouel, A. and Hentschel, J. (2000) Poverty Data and Measurement. Preliminary Draft for a Sourcebook on Poverty Reduction Strategies. The World Bank, Washington DC.
[16] Moser, C. and Holland, J. (1997) Household Responses to Poverty and Vulnerability, Volume 4: Confronting Crisis in Cawama, Lusaka, Zambia. Urban Management Programme Policy Paper, UMPP No. 24. The World Bank, Washington DC.
http://dx.doi.org/10.1596/0-8213-3850-1
[17] Bebbington, A. (1999) Capitals and Capabilities: A Framework for Analyzing Peasant Viability, Rural Livelihoods and Poverty. World Development, 27, 2021-2034.
http://dx.doi.org/10.1016/S0305-750X(99)00104-7
[18] Blackie, P., Cannon, T., Davis, I. and Wisner, B. (1994) At Risk: Natural Hazards, People’s Vulnerability and Disasters. Routledge, New York.
[19] The World Bank (2009) Poverty and Climate Change Reducing the Vulnerability of the Poor through Adaptation. Washington DC.
[20] Mukherjee, M., Kanjilal, B., Barman, D. and Mazumdar, P.G. (2012) Child Health in the Sundarbans: How Far Mutually Reinforcing Shocks Act as Contextual Determinants? Journal of Health Management, 14, 117-140.
http://dx.doi.org/10.1177/097206341201400203
[21] Sanfilippo, M., de Neubourg, C. and Martorano, B. (2012) The Impact of Social Protection on Children: A Review of the Literature. Working Paper 2012-06, UNICEF Office of Research, Florence.
[22] Asian Development Bank (2001) Social Protection in Asia and the Pacific. Asian Development Bank, Manila.
[23] Fajth (2009) Joint Statement on Child Sensitive Social Protection. Presentation at Social Protection Floor Initiative, Turin.
[24] UNICEF, et al. (2009) Joint Statement on Advancing Child-Sensitive Social Protection.
http://www.unicef.org/aids/files/CSSP_joint_statement_10.16.09.pdf.
[25] Roetten, K. and Sabates-Wheeler, R. (2011) A Child Sensitive Approach to Social Protection: Serving Practical and Strategic Needs. Proceedings of the Conference “Social Protection for Social Justice”, London, 13-15 April 2011.
[26] Dercon, S. (2011) Social Protection, Efficiency and Growth. CSAE Working Paper WPS/2011-17, Oxford.
[27] Wagstaff, A. (2002) Poverty and Health Sector Inequalities. Bulletin of the World Health Organization, 80, 97-105.
[28] Wagstaff, A. (2003) Child Health on a Dollar a Day: Some Tentative Cross-Country Comparisons. Social Science & Medicine, 57, 1529-1538.
http://dx.doi.org/10.1016/S0277-9536(02)00555-5
[29] Deolalikar, A. (2004) Poverty and Child Malnutrition in Bangladesh. The World Bank, Washington DC.
[30] Navaneetham, K. and Jose, S. (2005) Poverty, Malnutrition and Mortality in South Asia: A Review of Issues and Options. Proceedings of CICRED Seminar on Mortality as Both a Determinant and a Consequence of Poverty and Hunger, Thiruvananthapuram, 23-25 February 2005, 1-21.
[31] Svedberg, P. (2000) Poverty and Under-Nutrition: Theory, Measurement and Policy. Oxford University Press, Oxford.
http://dx.doi.org/10.1093/0198292686.001.0001
[32] Svedberg, P. (2006) Declining Child Malnutrition: A Reassessment. International Journal of Epidemiology, 35, 1336-1346.
http://dx.doi.org/10.1093/ije/dyl157
[33] Svedberg, P. (2008) Why Malnutrition in Shining India Persists. 4th Annual Conference on Economic Growth and Development, New Delhi.
[34] Fotso, J.C. (2006) Child Health Inequities in Developing Countries: Differences across Urban and Rural Areas. International Journal for Equity in Health, 5, 9.
http://dx.doi.org/10.1186/1475-9276-5-9
[35] Hong, R. and Mishra, V. (2006) Effect of Wealth Inequality on Chronic Under-Nutrition in Cambodian Children. Journal of Health and Population Nutrition, 24, 89-99.
[36] Giashuddin, M.S., Kabir, M. and Hasan, M. (2005) Economic Disparity and Child Nutrition in Bangladesh. Indian Journal of Pediatrics, 72, 481-487.
http://dx.doi.org/10.1007/BF02724424
[37] Larrea, C. and Freire, W. (2002) Social Inequality and Child Malnutrition in Four Andean Countries. Revista Panamericana de Salud Pública, 11, 356-364.
http://dx.doi.org/10.1590/S1020-49892002000500010
[38] Poel, E., Hosseinpoor, A., Speybroeck, N., Ourti, T. and Vega, J. (2008) Socioeconomic Inequality in Malnutrition in Developing Countries. Bulletin of the World Health Organization, 86, 282-291.
http://dx.doi.org/10.2471/BLT.07.044800
[39] Pongou, R., Ezzati, M. and Salomon, J.A. (2006) Household and Community Socioeconomic and Environmental Determinants of Child Nutritional Status in Cameroon. BMC Public Health, 6, 98.
http://dx.doi.org/10.1186/1471-2458-6-98
[40] Smith, L.C. and Haddad, L. (1999) Explaining Child Malnutrition in Developing Countries: A Cross-Country Analysis. Food Consumption and Nutrition Division Discussion Paper 60, International Food Policy Research Institute, Washington DC.
[41] Taguri, A., Betilmal, I., Mahmud, S.M., Ahmed, A.M., Goulet, O., Galan, P. and Hercberg, S. (2008) Risk Factors for Stunting among Under-Fives in Libya. Public Health Nutrition, 12, 1141-1149.
http://dx.doi.org/10.1017/S1368980008003716
[42] Zere, E. and McIntyre, D. (2003) Inequities in Under-Five Child Malnutrition in South Africa. International Journal for Equity in Health, 2, 7.
http://dx.doi.org/10.1186/1475-9276-2-7
[43] Gravelle, H. (2003) Measuring Income Related Inequality in Health: Standardisation and the Partial Concentration Index. Health Economics, 12, 803-819.
http://dx.doi.org/10.1002/hec.813
[44] Moradi, A. (2010) Estimation of the Inequality Concentration Index of Health Care Financing through Beta Lorenz Curve, the Case of Islamic Republic of Iran. Proceedings of the International Conference on Applied Economics, Athens, 26-28 August 2010.
[45] Wagstaff, A. (2005) The Bounds of the Concentration Index When the Variable of Interest Is Binary, with an Application to Immunization Inequality. Health Economics, 14, 429-432.
http://dx.doi.org/10.1002/hec.953
[46] Census (2001) Government of India.
[47] Institute of Health Management Research (2010) Health Care in the Sundarbans (India): Challenges and Plan for a Better Future. www.futurehealthsystems.org
[48] Zaman, H. (1998) Who Benefits and to What Extent? An Evaluation of BRAC’s Micro-Credit Program. University of Sussex, Sussex.
[49] Zaman, H. (2000) Assessing the Poverty and Vulnerability Impact of Micro-Credit in Bangladesh: A Case Study of BRAC. The World Bank, Washington DC.
[50] Wagstaff, A. and van Doorslaer, E. (2000) Equity in Health Care Finance and Delivery. In: Culyer, A. and Newhouse, J.P., Eds., Handbook of Health Economics 1B, Elsevier Science, Amsterdam, 1803-1861.
http://dx.doi.org/10.1016/S1574-0064(00)80047-5
[51] Bentley, M.E. (1988) The Household Management of Childhood Diarrhea in Rural North India. Social Science & Medicine, 27, 75-85.
http://dx.doi.org/10.1016/0277-9536(88)90165-7           eww141022lx

评论

此博客中的热门博文

Does Immigration Promote the Investment of the Monopolistic Firm?

In the present paper, we examine the effect of increasing uncertainty of immigrants’ growth on the optimal timing of investment of a firm that has a monopolistic power over the labor market. It is revealed that when the uncertainty of immigrants’ growth is more than a threshold level, increasing uncertainty of immigrants’ growth accelerates the optimal timing of firms’ investment and enhances the economic growth, even if the uncertainty of immigrants’ growth is formulated by the geometric Brownian motion, which is in sharp contrast to the standard result that an increase in the uncertainty postpones the optimal timing. With an increase in the immigrants over the past ten years, workforces in the host countries have been growing significantly to the extent that the immigrants represent 70% of the increase in the workforce in Europe, and 47% in the United States as OECD indicates. In the present paper, we attempted to investigate the effect of increased uncertainty caused by the growi...

Education Policy Implementation: A Mechanism for Enhancing Primary Education Development in Zanzibar

Education is one of the fundamental rights of individuals; therefore, the government of a country needs to develop and strengthen educational policy and quality as well as to ensure that everyone has equal access to basic education. The improvement of access and quality of education in the world is becoming as an essential factor in development, whereas the basic education (primary school), is acknowledged as a foundation of the higher educational development for every country. To fulfill this goal, governments introduce several policies and procedures; however, it requires some reforms and participation from the politician, policymakers, and other stakeholders to re-examine educational policy so that it can lead to multiplication and betterment of the reforms. Educational reforms actually focus on accountability. A positive educational development and reform is very challenging and needs more effort and strategy on how to use and utilize the resources effectively as such it can achie...