Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/90550 
Year of Publication: 
2010
Series/Report no.: 
Discussion Papers No. 32
Publisher: 
Georg-August-Universität Göttingen, Courant Research Centre - Poverty, Equity and Growth (CRC-PEG), Göttingen
Abstract: 
Comparing DHS data from 235 regions in 29 Sub-Saharan Africa countries, we find that the combination of low levels of malnutrition together with dramatically high rates of mortality, encountered in Kenya's Lake Victoria territory, is unique for Sub-Saharan Africa. This paper explores the causes of this phenomenon in the Kenyan context. Our identification strategy consists of two parts. First of all, we apply multilevel regression models to control simultaneously for family and community clustering of the observed malnutrition and mortality outcomes. Secondly, to address unobserved but correlated factors, we exploit information from GIS and malaria databases to construct variables that capture additional components of children's geographic, political and cultural environment. Our analysis reveals that beneficial agricultural conditions and feeding practices lead to the observed sound anthropometric outcomes around Lake Victoria. In contrast, high mortality rates rest upon an adverse disease environment (malaria prevalence, water pollution, HIV rates) and a policy neglect (underprovision of health care services). Even after controlling for these factors, a significant effect of the local ethnic group, the Luo, on mortality remains.
Subjects: 
child mortality
undernutrition
multilevel modeling
Kenya
JEL: 
I10
I30
O12
R12
Document Type: 
Working Paper

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