Economic and other determinants of infant and child mortality in small developing countries: the case of Central America and the Caribbean

Inter-country differences in infant and child mortality are explained by looking at demographic, economic, health and educational factors. A model is presented in which the infant mortality rate, the child mortality rate, and the birth rate are endogenous. The model is tested using cross-national multiple regression analysis and simulations. The presence of simultaneity is confirmed. Introducing non-economic factors transforms the character of the relationship between exogenous and endogenous variables, from a 'diminishing returns' to an 'increasing returns' one. The role played by public expenditure in education, vaccination coverage, low birth weight, female schooling, number of nurses, access to safe water, or malnutrition can be assessed, as well as that played by 'structural adjustment' variables such as the inflation rate or the external debt to GNP ratio. Infant and child mortality can be diminished everywhere in the region with relatively small amounts of expenditure. Disappointing outcomes in some countries obey political rather than economic problems. It would be a mistake to blame the debt crisis.     

Impact of sanitation,safe drinking water and health expenditure on infant mortality rate in developing economies

Despite of significant growth in all walks of life, the issue of infant mortality still a major concern in most of the developing economies. The World Development Indicators have reported that 4.45 million infants died across the globe in 2015, meaning that 32 deaths per every 1,000 live births. A number of times, the World Health Organization (WHO) have stressed the significance of sanitation, safe drinking water and healthcare facilities in reducing infant mortality rate, though most developing countries still lacks in these services. Given this background, the present study aims to examine the role of sanitation, water facilities and health expenditure on infant mortality rate across a panel of 84 developing economies using annual data from 1995 to 2013. The study also account for per capita income and depth of food deficiency as the control factors in the model. The findings of this study establish a significant long-run equilibrium association among the variables. The long-run elasticities on infant mortality suggest that improved water and sanitation facilities, health expenditure and per capita income substantially reduce infant mortality rate, while food deficiency increases. Given these findings, we suggest that increasing access to improved water, sanitation and healthcare facilities will significantly reduce child mortality in developing economies around the world.     

Evolution of infant and child mortality in Chile: a model

The author contends that birth rate and infant and child mortality rates are jointly determined by demographic, economic, health care, and other influences. Working under this structural assumption, a multiequation model is developed, estimated, and simulated, in which real earnings, unemployment, midwife visits, access to cheap energy, public health expenditures, and degree of urbanization are determinant factors of declining infant and child mortality in Chile. Most notably, mortality declined during a period of increasing unemployment and falling living standards for at least part of the population. The study found all 3 rates to be jointly determined, but by different variables. Specifically, unemployment affected birth rate and child mortality rate, while declining infant mortality was based upon midwife visits, health expenditure, and access to cheap energy. At the policy level, trade-offs often result between infant and child mortality, especially where high birth rates prevail. Where movement along the Phillips curve is possible, higher earnings should be preferred over lower unemployment for the benefit of infant and child mortality. Preferred policy would week to provide a carefully balanced combination of better earnings and more midwife visits.     

Measuring the efficiency of health systems of OECD countries by data envelopment analysis

This study aims to assess the efficiency of health sectors of 34 OECD countries by employing input-oriented data envelopment analysis (DEA) method both under constant and variable returns to scale assumptions. In the analysis, the number of doctors, number of patient beds and health expenditure per capita were used as input variables and life expectancy at birth and infant mortality rate were used as outputs. At the first stage, DEA analysis was performed for 34 countries, and at the second stage outlier 8 countries were eliminated to form a more homogeneous group and to achieve more accurate results. 11 of the 26 countries were found to have efficient health systems, and there is room for efficiency improvements in health sector in the remaining 15 countries.     

Are Parental Characteristics Important for Child Survival? The Case of Vietnam

While remaining one of the poorest countries in the world, Vietnam's infant and child mortality rates have been much lower than those observed for countries with similar or even higher levels of real income per capita. The paper investigates the role of parents' characteristics in affecting survival of their children, using a logistic discrete-time model and data from the Vietnam Demographic and Health Survey 1988 . It is found that infant mortality is significantly higher for children of mothers with no formal education. However, parents' other socioeconomic characteristics, including mothers attaining levels of education higher than the primary level, are not important for explaining differences in child survival. There is some evidence that children of higher orders of birth face higher risk. Results on the effects of maternal education diverge from findings for other countries, but can perhaps be explained by the country's distinctive features.     

The impact of the credit crisis on poor developing countries: Growth,worker remittances,accumulation and migration

We show that the credit crisis of OECD countries has a negative impact on the growth of the world economy according to an error-correction model including China and Australia. This causes negative growth effects in poor developing countries. The reduced growth has a direct or indirect impact on the convergence issue, aid, remittances, labour force growth, investment and savings, net foreign debt, migration, tax revenues, public expenditure on education and literacy. We estimate dynamic equations of all these variables using dynamic panel data methods for a panel of countries with per capita income below $1200 (2000). The estimated equations are then integrated to a dynamic system of thirteen equations for thirteen variables that allows for highly non-linear baseline simulations for these open economies. Then we analyze the effects of transitional shocks as predicted by the international organizations for the OECD and world growth for 2008 and 2009. Whereas growth rates return to the baseline scenario until 2013 with overshooting for China and Australia, the level of the GDP per capita shows permanent effects, which are positive only for China. In the poor countries, investment, remittances, savings, tax revenues, public expenditure on education, all as a share of GDP as well as literacy and the GDP per capita, are reduced compared to the baseline until 2087 where our analysis ends. Investment, emigration and labour force growth start returning to baseline values between 2013 and 2017. GDP per capita and tax revenues start returning to baseline around 2040. Education variables do not return to baseline without additional effort.     

Fatal fluctuations? Cyclicality in infant mortality in India

This paper investigates the impact of aggregate income shocks on infant mortality in India and investigates likely mechanisms. A recent OECD-dominated literature reports the provocative finding that mortality at most ages is pro-cyclical. Similar analyses for poorer countries are scarce, and both income risk and mortality risk are greater in poor countries. This paper uses data and methods designed to avoid some of the specification problems in previous studies and it explores mechanisms and extensions that have not been previously considered. It uses individual data on infant mortality for about 150,000 children born in 1970-1997, merged by cohort and state of birth with a state panel containing information on aggregate income. Identification rests upon comparing the effects of annual deviations in income from trend on the mortality risks of children born at different times to the same mother, conditional upon a number of state-time varying covariates including rainshocks and state social expenditure. Rural infant mortality is counter-cyclical, the elasticity being about − 0.33. This is despite the finding that relatively high-risk women avert birth or suffer fetal loss in recessions. It seems in part related to recessions stimulating distress labor amongst mothers, in contrast to the case in richer countries, where they discourage labor market participation. Health-care seeking declines in recessions, and this appears to be related to the opportunity cost of maternal time. Disaggregation reveals that the average results are driven by rural households in which the mother is uneducated or had her first birth in teenage, and that it is only girls that are at risk; boys are protected from income shocks. Exposure to poor conditions in the fetal and neonatal period appears to have a larger effect on infant mortality than similar exposure in the postneonatal period.     

Impact of FDI and trade on environmental quality in the CAFTA-DR region

This study investigates the relationship between foreign direct investment (FDI), trade and industrial emissions in member countries of the Central American Free Trade Agreement–Dominican Republic (CAFTA-DR) between 1979 and 2010. Our model is based on extant literature about the Environmental Kuznets’ Curve framework. In this study, we consider sulphur dioxide (SO₂), nitrogen oxides (NO_x) and carbon dioxide (CO₂) as our dependent variables. Our key independent variables are FDI and trade. Our study finds evidence that foreign investment and trade have had a negative impact on our selected emissions. However, our models also estimate turning points which are below the current GDP per capita values for all CAFTA-DR member countries. This is an encouraging trend in terms of the potential reduction in emissions in the region.     

Infant mortality in Europe,socio-economic determinants based on aggregate data

A great deal of research has been conducted on the determinant factors of infant mortality. In this work, the focus is placed on the aggregate determinants of infant mortality in the EU. Data is collected from Eurostat and World Health Organization – Health for All databases for the period 2005-12. Robust regressions and panel data regressions are estimated in order to test the main determinants of infant mortality in the EU. Both the GDP and birth before the age of 20 influence infant mortality rate. It is likely that as mothers mean age at the first child increases, the rate of infant mortality decreases. The results found here contribute to the discussion on the factors explaining infant mortality in Europe and to future health policy. In particular, controlling teen motherhood may help to reduce infant mortality rate in the EU.     

The Impact of Power Equality,Income, and the Environment on Human Health: Some Inter‐Country Comparisons

Economic studies on environmental degradation generally have a narrow focus on per capita income as an explanatory variable, and often fail to distinguish among the various types of environmental quality or damage. This paper addresses both problems by examining the effect of relative equality in the distribution of power on environmental outcomes, and making a clear distinction between health‐related environmental outcomes and so‐called ‘environmental amenities,’ only the latter of which should correlate strongly with income. This paper introduces a national index of power equality that is derived from related socioeconomic variables, and studies its effects on individual country achievement in addressing environmental quality and population health. This model is applied to a data set of 180 countries, as well as to subgroups of the entire country set. Employing disability‐adjusted life expectancy and the population child mortality rate as two health proxies, this paper finds that power equality in most cases positively influences population health, and that power equality is in every case no worse and in some cases better than per capita income at explaining population health.     

Energy dependence,oil prices and exchange rates: the Dominican economy since 1990

This paper studies the impact that oil prices have had on the floating exchange rate (ER) of the Dominican peso during the 1990–2008 period. The existing empirical literature has documented a link between these two variables for large developed economies and oil-producing countries, always including the 1970s oil crises in their sample periods. Few authors analyze the case of small open economies dependent on oil imports. Since the acceleration of economic growth in the Dominican Republic during the last decade has greatly increased its degree of external energy dependence, this country’s experience presents an ideal case study. We estimate the influence that changes in international gasoline prices have on the real exchange rate between the Dominican peso and the United States dollar. The cointegrated nature of the gasoline price and ER time series are tested and a vector error correction model is developed. Our results indicate that a 10% rise in the price of gas coincides with a 1.2% depreciation of the peso in the long run and that the causality runs from gas prices to the peso.     

Determinants of food consumption in rural Sierra Leone: Application of the quadratic expenditure system to the consumption-leisure component of a household-firm model

This paper reports the application of a quadratic expenditure system with demographic variables to the household consumption-leisure choice component of a household-firm model. A system of seven commodities is estimated: including five foods, non-food and leisure. Appropriate for such a level of disaggregation a demand system is used, the Quadratic Expenditure System, which allows for a flexible relationship between full income and commodity expenditures without sacrificing parsimony in parameters. Demographic data on households are explicitly incorporated into the model allowing for a richer specification than can be achieved by using per capita variables. The data are from a cross-section survey of households in rural Sierra Leone. Price variation exists by region, permitting estimation of a complete demand system. Engel curves are found to be significantly non-linear, with marginal expenditure on rice, the major staple, declining with higher income. Most foods are found to be reasonably price responsive with sizeable own price substitution effects, declining with higher income. Aggregate labor supply is found to be price inelastic.     

Does the Mortality Decline Promote Economic Growth?

This paper analyzes qualitatively and quantitatively the effects of declining mortality rates on fertility, education and economic growth. The analysis demonstrates that if individuals are prudent in the face of uncertainty about child survival, a decline in an exogenous mortality rate reduces precautionary demand for children and increases parental investment in each child. Once mortality is endogenized, population growth becomes a hump-shaped function of income per capita. At low levels of income population growth rises as income per capita rises leading to a Malthusian steady-state equilibrium, whereas at high levels of income population growth declines leading to a sustained growth steady-state equilibrium.     

The impact of regulatory measures on commercial bank interest rates: A micro analysis of the Barbados case

This study estimates the impact on commercial banks' interest-rate behavior of the more pervasive regulatory measures adopted by the Central Bank of Barbados. The results indicate that the cash ratio, the stipulated government securities ratio, and the savings deposit rate floor significantly impacted the loan rate for every bank. Generally, the deposit rate for any given bank has been responsive to fewer policy variables than the loan rate. The loan rates, though generally responsive to all policy variables other than the bank rate, have exhibited very low elasticities. The results indicated that the ceiling on the average lending rate, when it existed, depressed loan rates by less than 1 percent on average. This is largely attributable to the Central Bank's policy of adjusting the ceiling in line with market trends.     

Jointly determined saving and fertility behaviour: theory,and estimates for Germany,Italy, UK and USA

This study uses new theories of capital accumulation and fertility in a comparative framework to test predictions with time-series data for Germany, Italy, the UK, and the US. The exogenous-fertility model is based on models of Barro and Becker. The endogenous-fertility models are based on models of Veall and Nishimura and Zhang. It is assumed that life cycle periods are youth, middle age, and old age. Several theoretical frameworks are tested with endogenous and exogenous fertility and altruism and nonaltruism. Data are obtained during 1950-90. Dependent variables are the total lifetime fertility rate and real per capita household savings. Explanatory variables include social security, the real social security deficit per capita, the real rate of interest, the real per capita disposable income, the average male real wage rate, the average female real wage rate, and the real child benefit rate. The explanatory variables are individually graphed to show differences by country over time. Findings suggest that fertility is endogenous in a nonaltruistic model. The only model not rejected by the data was the model in which fertility and intergenerational transfers were explained by nonaltruistic concerns. Fertility was positively affected by the male wage rate in all countries. Fertility was negatively affected by the female wage rate in all countries. Disposable income was insignificant in the UK and Germany and positive and significant in Italy and the US. The interest rate was significant in only 1 model. Child benefits had a positive and significant effect on fertility in the UK. In savings models, disposable income was significant and positive, and child benefits and wage rates were insignificant. Social security coverage had a negative effect on fertility and a positive effect on savings, except in Germany. Findings indicate that saving and fertility are jointly determined.     

Money demand in the Dominican Republic

This paper investigates a demand for money relationship for the Dominican Republic. The financial system of the Dominican Republic is underdeveloped, and there are no suitable domestic data on the opportunity cost of holding money. Economic links with the USA suggest a possible role for a foreign interest rate effect and a currency substitution effect in the demand for domestic money. A long-run demand for money relationship is developed from the perspective of alternative estimation methodologies, and it is shown that a 'literature standard' specification augmented by foreign monetary variables is robust. The ensuing short-run dynamic model is adequate, stable and suggests an important role for expected inflation, and a real bilateral exchange rate with the USA. A number of policy implications for the Dominican Republic are drawn from the results.     

Knowledge externalities,innovation and growth in European countries: the role of institutions

This paper provides an empirical analysis of the linkages between institutions and economic growth in the European context and highlights innovation as the intermediate variable that drives this interplay. Building on the literature in the evolutionary approach to the economics of innovation and in the economic growth theory with a political economic perspective, we assume that knowledge externalities can fully take place where institutions guarantee a level playing field in the access to knowledge. We estimate the effects of a set of relevant institutional variables on the growth rate of technological knowledge and per capita GDP for a sample of European countries. The empirical analysis confirms that institutions that tend to equalise opportunities to innovate significantly amplify the impact of an exogenous increase in the knowledge base on the growth rate of per capita GDP.     

Prices,infrastructure, household characteristics and child height

A Brazilian household survey, ENDEF, in 1974-75 and the 1974 Informacoes Basicas Municipais (IBM) provided data for the analysis of the impact of community services and infrastructure and household characteristics on the logarithm of child height, standardized for age and gender. The sample was comprised of 36,974 children stratified by residential location, the child's age, and the educational level of the mother. Variance and covariance matrices were estimated with the jackknife developed by Efron (1982). Household characteristics included the logarithm of per capita expenditure as a measure of household resource availability, income, and parental education. Community characteristics were local market price indices for 6 food groups (dairy products, beans, cereals, meat, fish, and sugar), level of urbanization, buildings with sewage, water, and electricity connections per capita, per capita number of buildings, and population density. Health services were measured as per capita number of hospitals and clinics and doctors and nurses, and the number of beds are hospital. Educational services include a measure of student teacher ratios, elementary school class size, and per capita number of teachers living in the community. the results show that expenditure had a positive, significant effect on the height of children 2 years and older. Expenditure was a significant determinant for literate and illiterate mothers, and not well educated mothers. The impact of maternal education was largest on the length of babies and declined with the age of the child. Father's education had not impact of length of babies. The effect of parents' education was complementary. The effect of father's education was largest when mothers had some education. Better educated parents had healthier children. Maternal rather than paternal height had an impact of the length of a baby. In the community models, prices had a significant effect on child height, in both urban and rural areas, in all age groups, and for all levels of maternal education. Higher prices were associated with shorter children. Joint price and expenditure interactions were significant. Children at the top of the expenditure distribution were more affected by some prices than by others. Capital building improvements alone and with expenditures were all positively associated with child height. Only nurses per capita impacted on child height.     

Geography,health, and the pace of demo-economic development

This paper investigates the impact of subsistence consumption and extrinsic and intrinsic causes of child mortality on fertility and child expenditure. It offers a theory for why mankind multiplies at higher rates at geographically unfavorable, tropical locations. Placed into a macroeconomic framework this behavior creates an indirect channel through which geography shapes economic performance. It is explained why it are countries of low absolute latitude where we observe exceedingly slow (if not stalled) economic development and demographic transition.     

Capital income taxation in a growing world economy

This paper deals with dynamic adjustment in large economies to changes in the rate of capital income taxation or in the rate of investment tax credit in one country. The framework applied in the paper is a continuous-time, overlapping generations model with two countries. It features population growth and debt non-neutrality. We address impact and steady state effects of capital income tax and investment subsidy changes in the home country on consumption per capita, the capital intensity, and the per capita net foreign asset position in both countries. We also briefly consider individual welfare consequences of these policies.