Is Trade Good for Your Health?*

We use a panel of 219 countries to examine the relationship between a country’s openness to international trade and several health outcomes and find that, in general, increased openness is associated with lower rates of infant mortality and higher life expectancies, especially in developing countries. We find evidence suggesting that some of the positive correlation between trade and health can be attributed to knowledge spillovers. In addition, openness is associated with sound economic policies which themselves are related to better health outcomes.     

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.     

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

This analysis involves empirically testing a theoretical model among 22 Central American and Caribbean countries during the 1990s that explains differences in infant and child mortality. Explanatory measures capture demographic, economic, health care, and educational characteristics. The model is expected to allow for an assessment of the potential impact of structural adjustment and external debt. It is pointed out that birth rates and child mortality rates followed similar patterns over time and between countries. In this study's regression analyses all variables in the three models that explain infant mortality are exogenous: low birth weight, immunization, gross domestic product per capita, years of schooling for women, population/nurse, and debt as a proportion of gross national product. As nations became richer, infant mortality declined. Infant mortality was lower in countries with high external debt. In models for explaining the birth rate and the child mortality rate, the best fit included variables for debt, real public expenditure on health care, water supply, and malnutrition. Analysis in a simultaneous model for 10 countries revealed that the birth rate and the child mortality rate were more responsive to shocks in exogenous variables in Barbados than in the Dominican Republic, and more responsive in the Dominican Republic than in Guatemala. The impact of each exogenous variable varied by country. In Barbados education was four times more effective in explaining the birth rate than water. In Guatemala, the most effective exogenous variable was malnutrition. Child mortality rates were affected more by multiplier effects. In richer countries, the most important impact on child survival was improved access to safe water, and the most important impact on the birth rate was increased real public expenditure on education per capita. For the poorest countries, findings suggest first improvement in malnutrition and then improvement in safe water supplies. Structural adjustment variables were found to have small impacts on the birth rate or limited impacts on child survival in poorer countries.     

GOVERNANCE IN RELATION TO INFANT MORTALITY RATE: EVIDENCE FROM AROUND THE WORLD

ABSTRACT ** :  Governance is estimated to have a significant negative effect on the infant mortality rate based on a sample of 112 countries. The sample contains both developed and developing nations. The estimated magnitude of the effect is not significantly different between female and male infant mortality rate. Furthermore, we investigate whether governance is the preferred predictor of infant mortality rate compared to relative income. Though the statistical results are not conclusive, there is more evidence in favour of the governance indicator .     

Macroeconomic changes and mortality in Mexico

While previous studies examine how the business cycle affects mortality in developed countries, less is known about this relationship in developing countries. In this paper, we investigate whether the procyclical nature of mortality in developed countries found by Ruhm (Q J Econ 115(2):617–650, 2000) and others is also present in Mexico. We assemble a unique panel data set that contains state-level data on mortality rates by age and cause of death, GDP per capita, and socioeconomic status. We find that for Mexico total mortality rates are procyclical, with the largest impact on those aged 20–49. While these findings are similar to those in Ruhm (Q J Econ 115(2):617–650, 2000), the effects of business cycles on mortality rates differ for several specific causes of death. These results suggest that whereas total mortality may be procyclical in both developed and developing countries, significant differences may exist for some causes of death.     

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.     

Where do people live longer?

Can historical exposures of non-European countries to European migrants explain part of their current health outcomes? We find that higher European share of the colonial population robustly raised life expectancy and reduced both fertility and infant mortality rates of present-day population in these former colonies. Specifically, after controlling for other plausible determinants, our baseline results imply that, on average, countries at the 95th percentile of the European share of the colonial population, compared to those at the 5th percentile, live 17 years longer, have 1 less child, and experience 54 fewer infant deaths per 1000 live births. A causal interpretation is given to these results by considering various identification strategies. Overall, our results indicate that health fortunes around the world, on average, improved because of European colonial settlers and that differences in the current levels of health performance can be traced back to differential levels of European colonial settlements, where countries that experienced higher influx of colonial Europeans have better health prosperity nowadays than countries with lower inflow of colonial Europeans. A puzzlement arises, however, as countries with no colonial European settlements have outperformed countries with low colonial European settlements. Thus, explaining this phenomenon and exploring how historical migration holds such an enduring influence on the health of nations today opens up an important avenue for future research.     

Infant mortality,relative income and public policy

Do health outcomes depend on relative income as well as on an individual's absolute level of income? We use infant mortality as a health status indicator and find a significant and positive link between infant mortality and income inequality using cross-national data for 93 countries. Holding constant the income of each of the three poorest quintiles of a country's population, we find that an increase in the income of the upper 20% of the income distribution is associated with higher, not the lower infant mortality. Our results are robust and not just caused by the concave relationship between income and health. The estimates imply a decrease in infant mortality by 1.5% for a one percentage point decrease in the income share of the richest quintile. The overall results are sensitive to public policy: public health care expenditure, educational outcomes, and access to basic sanitation and safe water can explain the inequality–health relationship. Thus, our findings support the hypothesis of public disinvestment in human capital in countries with high income inequality. However, we are not able to determine whether public policy is a confounder or mediator of the relationship between income distribution and health. Relative deprivation caused by the income distance between an individual and the individual's reference group is another possible explanation for a direct effect from income inequality to health.     

The effectiveness of government spending on education and health care in developing and transition economies

Recent studies show that corruption is associated with higher military spending [Eur. J. Polit. Econ. 17 (2001) 794] and lower government spending on education and health care [J. Publ. Econ. 69 (1998) 263]. This suggests that policies aimed at reducing corruption may lead to changes in the composition of government outlays toward more productive spending. However, little empirical evidence has been presented to support the claim that public spending improves education and health indicators in developing and transition countries. This paper uses cross-sectional data for 50 such countries to show that increased public expenditure on education and health care is associated with improvements in both access to and attainment in schools, and reduces mortality rates for infants and children. The education regressions are robust to different specifications, but the relationship between health care spending and mortality rates is weaker.     

Family planning in developing nations: a global concern,our concern

Rapid population growth is a serious problem in many developing countries and family planning policies developed in response to the problem raise many ethical issues; home economists can help the citizens in their respective countries increase their knowledge of population dynamics and help them assess the ethical implications of population and family planning policies. Most developing countries have high population growth rates. The annual population growth rates for 1975-79 were 2.8% for Africa, 2.6% for Latin America, and 2.1% for Asia. Population grows exponentially: a population growing at an annual rate of 3% increases. 1900% in a century. If current population trends continue the world's population will stablize toward the end of the 21st century at about 10 billion persons, compared to the world's present population of 4.3 billion. Rapid population growth not only threatens the future welfare of society as a whole, but currently impedes the economic development of the world's poorest nations. Consequently, the governments in many developing countries have adopted vigorous family planning programs. It is difficult to reduce population growth in developing countries because these countries have a high proportion of young people in their populations, i.e., a high number of persons of reproductive age. Barriers to family planning acceptance include 1) high illiteracy rates 2) high infant mortality rates 3) the high economic and socialvalue placed on children in developing countries and 4)religious beliefs. Methods used by governments to alter population growth include 1) manipulating access to contraceptives, 2)developing programs to alter social determinants of fertility, 3) using propaganda to encourage or discourage birth control and repressing information contrary to the government's policies, 4) offering incentives to those who further government policies and imposing disincentives on those who do not comply with government policies, and 5) exerting political pressure to force individual to comply with the govermnent's policies. The use of some of these methods raises ethical issues. When does pressure become coercion? Is coecion justified by the need to ensure the future welfare of the world? In India, sterilization was promoted by making payments to sterilization acceptors and promoters and to physicians who performed sterilizations. In Taiwan, savings deposits were made for children of couples with 1 or 2 children, and the deposits were decreased in additional childred were born. In China incentives, disincentives, and polititcal and peer pressure are used to promote the governt's family planning policies. Do these strong measures lead to infaticide and to the abuse of children whose births result in economic loss for other family members? Do they violate human rights? These issues should be discussed in home economics classes, and additional efforts must be made to ensure that male students are also provided with population information. Home economists can promote the critical assessment of the population problem and its solutions.     

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.     

What happens to social spending in IMF-supported programmes?

This article finds that education and health spending has risen during International Monetary Fund (IMF)-supported programmes at a faster pace than in developing countries as a whole. The analysis is based on the most comprehensive dataset assembled thus far for this purpose, with data covering 1985 to 2009 for 140 countries. Controlling for other determinants of education and health spending, including macroeconomic conditions, the results confirm that IMF-supported programmes have a positive and significant effect on social spending in low-income countries. Over a 5-year period with IMF-supported programmes, spending for education increases by about ¾ percentage point of Gross Domestic Product (GDP); and for health, by about 1 percentage point of GDP. IMF-supported programmes are also associated with increases in the share of government spending allocated to education and health.     

Explaining variation in child labor statistics

Child labor statistics are critical for assessing the extent and nature of child labor activities in developing countries. In practice, widespread variation exists in how child labor is measured. Questionnaire modules vary across countries and within countries over time along several dimensions, including respondent type and the structure of the questionnaire. Little is known about the effect of these differences on child labor statistics. This paper presents the results from a randomized survey experiment in Tanzania focusing on two survey design choices: different questionnaire design to classify children work and proxy response versus self-reporting. Use of a short module compared with a more detailed questionnaire has a statistically significant effect, especially on child labor force participation rates, and, to a lesser extent, on working hours. Proxy reports do not differ significantly from a child's self-report. Further analysis demonstrates that survey design choices affect the coefficient estimates of some determinants of child labor in a child labor supply equation. The results suggest that low-cost changes to questionnaire design will potentially clarify the concept of work for respondents.     

Public financing of health expenditures,insurance, and health outcomes

The effects of public financing of health expenditures, insurance coverage and other factors on health outcomes are examined within health production models estimated using 1960–1992 data across 20 OECD countries. Mortality rates are found to depend on the mix of health care expenditures and the type of health insurance coverage. Increases in the publicly financed share of health expenditures are associated with increases in mortality rates. Increases in inpatient and ambulatory insurance coverage are associated with reduced mortality. The effects of GDP, health expenditures and age structure on mortality are similar to those in previous studies. Tobacco use, alcohol use, fat consumption, female labour force participation, and education levels are also significantly related to overall mortality rates. Increases in income inequality are associated with lower mortality rates, suggesting that the negative relationship between inequality and health outcomes suggested by some previous studies does not remain when a more complete model is estimated. The result that increases in public financing increase mortality rates is robust to a number of changes in specifications and samples. Thus, as countries increase the level of their health expenditures, they may want to avoid increasing the proportion of their expenditures that are publicly financed.     

Privatizations around the world: economic or political determinants?

The article examines economic, political, and institutional determinants of privatization using a panel of 50 countries over the period of 1988–2006. Our sample includes developed, developing, and transition economies. Privatization activity is measured by the number of privatization deals as well as the revenue raised and analyzed using the negative binomial regression and Tobit regression respectively. Although more privatization activity is usually taking place in countries displaying satisfactory economic performance in some respect, the role of economic factors turns out to be limited. The results identify a number of political and institutional determinants but some effects are specific to a particular type of economy. For example, in developing countries, right‐wing governments are associated with privatizations while new, not necessarily right‐wing governments, are behind privatization in Eastern Europe. The role of financial development is also varied, with sound financial institutions related to successful privatization in developed and developing countries but not in transition economies.     

Determinants and dynamics of migration to OECD countries in a three-dimensional panel framework

This paper investigates the determinants of bilateral immigrant flows to 19 OECD countries between 1998 and 2007 from both advanced and developing origin countries. We pay particular attention to dynamics by including both the lagged migrant flow and the migrant stock to capture partial adjustment and network effects. To correct for the dynamic panel data bias of the fixed effects estimator we use a bootstrap algorithm. Our results indicate that immigrants are primarily attracted by better income opportunities and higher growth rates abroad. Also short-run increases in the host country’s employment rate positively affect migration from both advanced and developing countries. High public services, on the other hand, discourage migration from advanced countries but exert a pull on migration from developing sources, in line with the welfare state hypothesis. Finally, we find evidence for both partial adjustment and the presence of strong network effects. This confirms that both should be considered as crucial elements of the migration model and that a correction for their joint inclusion is required.     

Small business and entrepreneurship in the knowledge economy: A comparison of Australia and Sweden

Dominant explanations within the existing development literature for the differences in poverty levels around the world have tended to ignore the influence of international inequality on poverty, instead focusing solely on domestic factors. In this paper, I conduct a regression analysis of the effect of inequality between countries on world poverty between 1980 and 2007, employing a new structural measure of international inequality which is created using social network analysis to calculate countries' positions in international trade networks. Countries' infant mortality rates are used to measure poverty. The results of the empirical analysis provide cross-country evidence to demonstrate that structural inequalities in the international system have a significant impact on poverty around the world. As such, the analysis demonstrates the need to move beyond focusing exclusively on domestic attributes of developing countries towards considering the broader international political economy in analysing contemporary poverty.     

Adoption and use of mobile banking by low‐income individuals in Senegal

The wide use of mobile phones increases low‐income individuals’ access to a large range of services. One of these services is mobile banking (m‐banking). Today, m‐banking represents a key vector of financial inclusion in many countries in sub‐Saharan Africa, especially Senegal. Based on technology adoption theories applied to households in developing countries, this paper studies the determinants of the adoption and use of m‐banking. We distinguish between possession or adoption and actual use of m‐banking and examine the interdependence between these two decisions by using the Heckman sample selection model, through a sample of 1,052 individuals in the suburbs of Dakar. Our main results are that the two decisions (adoption and use) are not independent of each other. Individual characteristics, such as education, possession of a bank account, and family network effects, are determinants of the adoption, and age, gender, and being a member of a tontine are determinants of the use. A major result of this study concerns women’s low propensity to adopt m‐banking because of their low levels of education. However, compared with men, when women adopt m‐banking, they have a stronger propensity to use it.     

Budget support to the health sector—The right choice for strong institutions? Evidence from panel data

This article examines the relationship of sector budget support to the health sector and the infant mortality rate for developing countries. Project-type interventions have been widely used in developing countries in the past decades. These smaller-scale interventions often did not bring the results that the donors would have wanted, at least on a macro level. At the beginning of the millennium, forums on aid effectiveness proposed new principles to increase the effectiveness of aid. Many scholars agreed that one of the answers would be budget support. This article tries to answer whether budget support is the efficient aid modality in countries with strong institutions. In the baseline scenario, a panel data analysis is applied, which includes 113 countries between 2010 and 2018. This dynamic linear panel model is estimated by using ordinary least squares (OLS) and system generalized method of moments (GMM). Health sector aid, in general, has a significant and negative effect on the infant mortality rate in the average country. Sector budget support is insignificant in the baseline estimation and when interacted with a governance variable. In contrast, project-type interventions exhibit significant and negative effects on the outcome variable. The results indicate that sector budget support might not be the superior choice among the aid modalities in the health sector, even in countries with good governance.     

The continuous treatment effect of an antipoverty program on children's educational attainment: Colombia's Familias en Accion

Educational attainment is an important element in the formation of human capital. Although many developing countries have made strong efforts to expand the coverage of education services, children in poor households still struggle to attend school on a regular basis. Human development conditional cash transfers (known as CCT s) have emerged in response to this situation in developing countries. While the effects of the CCT s are well known and widely documented, their effects in relation to educational attainment and school participation are still unclear. This paper looks empirically into the continuous treatment effects of participation length in Familias en Accion , a CCT program in Colombia. The paper focuses on the continuous treatment effects on school registration and educational attainment of participants in the program. Although initial results show a fuzzy relationship between the program outcomes and the participation length, the empirical results confirm the fact that a longer exposure to the antipoverty program led to higher school registration rates, accumulation of years of education, and lower child labor participation levels.