Abstract
The study empirically examines the effects of socio-economic (human capital), macroeconomic (per capita GDP), demographic (fertility rate, urbanization), and environmental variables (carbon emissions) on child mortality in South Asia. For empirical analysis, panel cointegration technique is used by using data for five South Asian countries for the period 1973 to 2015. First, it is found that the variables have unit roots at levels but are stationary at first differences, which indicates the possibility of cointegration. Cointegration test results show that long-run cointegrating relationship holds among variables. Fully Modified OLS (FMOLS) and Dynamic OLS (DOLS) methods are applied to find the parameter estimates. The results of long-run estimates show that human capital, per capita income, and urbanization reduce child mortality while high fertility rate and environmental degradation increase child mortality in the region. It is also found that trade openness, immunization, food security, and high life expectancy also decrease child mortality and that population density increases child mortality.
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Notes
After India, under-five death rate is high in Nigeria (0.7 million deaths) and Congo (0.3 million deaths). These three countries, that is, India, Nigeria, and Congo, account for 34% of world’s under-five deaths.
References
Afzal M, Raja TA, Mohammad A, Siyal HB (1988) Some differentials in infant and child mortality risks in Pakistan 1962-1986. Pak Dev Rev 27(4/2):635–642
Agha S (2000) The determinants of infant mortality in Pakistan. Soc Sci Med 51(2):199–208
Ahmed Z, Kamal A, Kamal A (2016) Statistical analysis of factors affecting child mortality in Pakistan. J Coll Physicians Surg Pak 26(6):543–544
Ali SM (2001) Poverty and child mortality in Pakistan. Mimap Technical Paper Series No.6, Pakistan Institute of Development Economics
Amonker RG, Brinker GD (1997) Determinants of infant and child mortality in India. Int Rev Mod Sociol 27(2):1–22
Aslam M, Kingdon GG (2012) Parental education and child health—understanding the pathways of impact in Pakistan. World Dev 40(10):2014–2032
Baltagi BH, Feng Q, Kao C (2012) A Lagrange multiplier test for cross-sectional dependence in a fixed effects panel data model. J Econ 170(1):164–177
Becker G (1981) A treatise on the family, National Bureau of Economic Research, Inc
Bennett J (1999) Correlates of child mortality in Pakistan: a hazards model analysis. Pak Dev Rev 38(1):85–118
Bongaarts J (1987) Does family planning reduce infant mortality rates? Popul Dev Rev 13(2):323–334
Brainerd E, Menon N (2014) Seasonal effects of water quality: the hidden costs of the green revolution to infant and child health in India. J Dev Econ 107:49–64
Breusch TS, Pagan AR (1980) The Lagrange multiplier test and its application to model specification in econometrics. Rev Econ Stud 47(1):239–253
Brock G, Jin Y, Zeng T (2015) Fiscal decentralization and China’s regional infant mortality. J Policy Model 37(2):175–188
Chay KY, Greenstone M (2003) The impact of air pollution on infant mortality: evidence from geographic variation in pollution shocks induced by a recession. Q J Econ 118(3):1121–1167
Chowdhury AH (2013) Determinants of under-five mortality in Bangladesh. Open J Stat 3(3):213–219
Claeson M, Bos ER, Mawji T, Pathmanathan I (2000) Reducing child mortality in India in the new millennium. Bull World Health Organ 78(10):1192–1199
Currie J (2009) Healthy, wealthy, and wise: socioeconomic status, poor health in childhood, and human capital development. J Econ Lit 47(1):87–122
Cutler D, Deaton A, Lleras-Muney A (2006) The determinants of mortality. J Econ Perspect 20(3):97–120
Das JK, Rizvi A, Bhatti Z, Paul V, Bahl R, Shahidullah M, Manandhar D, Stanekzai H, Amarasena S, Bhutta ZA (2015) State of neonatal health care in eight countries of the SAARC region, South Asia: how can we make a difference? Paediatr Int Child Health 35(3):174–186
Erdogan E, Ener M, Arıca F (2013) The strategic role of infant mortality in the process of economic growth: an application for high income OECD countries. Procedia Soc Behav Sci 99(6):19–25
Fitrianto A, Hanafi I, Chui TL (2016) Modeling Asia’s child mortality rate: a thinking of human development in Asia. Procedia Econ Finance 35:249–255
Franz JS, FitzRoy F (2006) Child mortality and environment in developing countries. Popul Environ 27(3):263–284
Frey RS, Field C (2000) The determinants of infant mortality in the less developed countries: a cross-national test of five theories. Soc Indic Res 52(3):215–234
Ghimire PR, Agho KE, Akombi BJ, Wali N, Dibley M, Raynes-Greenow C, Renzaho AMN (2018) Perinatal mortality in South Asia: systematic review of observational studies. Int J Environ Res Public Health 15(7):1428
Grigorio C, Guillamont P, Yang W (2005) Child mortality under Chinese reforms. China Econ Rev 16(4):441–464
Gubhaju B, Streatfield K, Majumder AK (1991) Socioeconomic, demographic and environmental determinants of infant mortality in Nepal. J Biosoc Sci 23(4):425–435
Hanmer L, Lensink R, White H (2003) Infant and child mortality in developing countries: analysing the data for robust determinants. J Dev Stud 40(1):101–118
Herzer D (2017) The long-run relationship between trade and population health: evidence from five decades. World Econ 40(2):462–487
Hobcraft JN, McDonald JW, Rutstein SO (1984) Socio-economic factors in infant and child mortality: a cross-national comparison. Popul Stud 38(2):193–223
James T, Hammerslough CE (1983) A hazards model analysis of the covariates of infant and child mortality in Sri Lanka. Demography 20(1):1–26
Karmaker SC, Lahiry S, Roy DC, Singha B (2014) Determinants of infant and child mortality in Bangladesh: time trends and comparisons across South Asia. Bangladesh J Med Sci 13(4):431–437
Khadka KB, Lieberman LS, Giedraitis V, Bhatta L, Pandey G (2015) The socio-economic determinants of infant mortality in Nepal: analysis of Nepal Demographic Health Survey, 2011. BMC Pediatr 15:152
Lamichhane R, Zhao Y, Paudel S, Adewuyi EO (2017) Factors associated with infant mortality in Nepal: a comparative analysis of Nepal Demographic and Health Surveys (NDHS) 2006 and 2011. BMC Public Health 17:53
LeGrand TK, Phillips JF (1996) The effect of fertility reductions on infant and child mortality: evidence from Matlab in rural Bangladesh. Popul Stud 50(1):51–68
Liu L, Oza S, Hogan D, Perin J, Rudan I, Lawn JE, Cousens S, Mathers C, Black RE (2015) Global, regional, and national causes of child mortality in 2000–13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet 385(9966):430–440
Mahmood N, Kiani MFK (1994) Health care determinants of child survival in Pakistan. Pak Dev Rev 33(4):759–771
Matteson DW, Burr JA, Marshall JR (1998) Infant mortality: a multi-level analysis of individual and community risk factors. Soc Sci Med 47(11):1841–1854
McCord GC, Conley D, Sachs JD (2017) Malaria ecology, child mortality & fertility. Econ Hum Biol 24:1–17
Mohammad KA, Tabassum T (2016) The impact of socio-economic and demographic factors on under-five child mortality in Bangladesh. Imp J Interdiscip Res 2(8):626–631
Mondal MN, Hossain MK, Ali MK (2009) Factors influencing infant and child mortality: a case study of Rajshahi District, Bangladesh. J Hum Ecol 26(1):31–39
Neupane S, Doku DT (2014) Neonatal mortality in Nepal: a multilevel analysis of a nationally representative. J Epidemiol Glob Health 4(3):213–222
O’Hare B, Makuta I, Chiwaula L, Bar-Zeev N (2013) Income and child mortality in developing countries: a systematic review and meta-analysis. J R Soc Med 106(10):408–414
Oloo JA (2005) Child mortality in developing countries: challenges and policy options. East Afr Soc Sci Res Rev 21(2):1–17
Pedroni P (1999) Critical values for cointegration tests in heterogeneous panels with multiple regressors. Oxf Bull Econ Stat 61:653–670
Pedroni P (2004) Panel cointegration; asymptotic and finite sample properties of pooled time series tests, with an application to the PPP hypothesis. Econometric Theory 20:575–625
Pelletier DL, Frongillo EA (2003) Changes in child survival are strongly associated with changes in malnutrition in developing countries. J Nutr 133(1):107–119
Pelletier DL, Frongillo EA, Schroeder DG, Habicht JP (1995) The effects of malnutrition on child mortality in developing countries. Bull World Health Organ 73(4):443–448
Perez-Moreno S, Blanco-Arana MC, Barcena-Martin E (2016) Economic cycles and child mortality: a cross-national study of the least developed countries. Econ Hum Biol 22:14–23
Pesaran, M. H. (2004). General diagnostic tests for cross section dependence in panels
Pesaran MH (2007) A simple panel unit root test in the presence of cross-section dependence. J Appl Econ 22(2):265–312
Quamrul HC, Islam R, Hossain K (2010) Effects of demographic characteristics on neonatal, post neonatal, infant and child mortality. Curr Res J Biol Sci 2(2):132–138
Rabbani S and Qayyun A (2015) Comparative analysis of factor affecting child mortality in Pakistan. MPRA Paper No. 66533
Ren XS (1995) Sex differences in infant and child mortality in three provinces in China. Soc Sci Med 40(9):1259–1269
Richards J, Vining AR (2016) Under-five mortality: comparing national levels and changes over the last decade across low-income countries. J Comp Policy Anal Res Pract 18(4):419–438
Root G (1997) Population density and spatial differentials in child mortality in Zimbabwe. Soc Sci Med 44(3):413–421
Sachs J, Malaney P (2002) The economic and social burden of malaria. Nature 415(6872):680–685
Sathar ZA (1985) Infant and child mortality in Pakistan—some trend and differentials. J Biosoc Sci 17(3):351–359
Sathar ZA (1987) Seeking explanations for high levels of infant mortality in Pakistan. Pak Dev Rev 26(1):55–70
Shandra JM, Nobles J, London B, Williamson JB (2004) Dependency, democracy, and infant mortality: a quantitative, cross-national analysis of less developed countries. Soc Sci Med 59(2):321–333
Shehzad S (2004) How can Pakistan reduce infant and child mortality rates: a decomposition analysis. Sustainable Development Policy Institute
Singh A, Pathak PK, Chauhan RK, Pan W (2011) Infant and child mortality in India in the last two decades: a geospatial analysis. PLoS One 6(11):e26856. https://doi.org/10.1371/journal.pone.0026856
Singh A, Kumar A, Kumar A (2013) Determinants of neonatal mortality in rural India, 2007–2008. PeerJ 1:e75. https://doi.org/10.7717/peerj.75
Sreeramareddy CT, Kumar HNH, Sathian B (2013) Time trends and inequalities of under-five mortality in Nepal: a secondary data analysis of four demographic and health surveys between 1996 and 2011. PLoS One 8(11):e79818. https://doi.org/10.1371/journal.pone.0079818
Subramanian SV, Nandy S, Irving M, Gordon D, Lambert H, Smith GD (2006) The mortality divide in India: the differential contributions of gender, caste, and standard of living across the life course. Am J Public Health 96(5):818–825
Suwal JV (2001) The main determinants of infant mortality in Nepal. Soc Sci Med 53(12):1667–1681
Tabassum T, Bari W (2014) Competing risks analysis of under-five child mortality in Bangladesh. Bangladesh J Sci Res 27(1):27–38
Tanaka S (2015) Environmental regulations on air pollution in China and their impact on infant mortality. J Health Econ 42:90–103
Thakur B, Sreenivas V, Dwivedi SN, Pandey A (2015) Epidemiological appraisal of neonatal mortality in India: conventional vs. hierarchical models. Stat Appl 13(1&2):95–114
UNIGME (2017). Levels & trends in child mortality, UN Inter-agency Group for Child Mortality Estimation, UNICEF
Verhulst A (2016) Child mortality estimation: an assessment of summary birth history methods using microsimulation. Demogr Res 34(39):1075–1128
WHO (2015) Health in 2015: from MDGs, Millennium Development Goals to SDGs, Sustainable Development Goals. World Health Organization
WHO (2018) Global Health Observatory (GHO) Data, World Health Organization
Zakaria M, Fida BA, Janjua SY, Shahzad SJH (2017) Fertility and financial development in South Asia. Soc Indic Res 133(2):645–668
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Zakaria, M., Tariq, S. & ul Husnain, M.I. Socio-economic, macroeconomic, demographic, and environmental variables as determinants of child mortality in South Asia. Environ Sci Pollut Res 27, 954–964 (2020). https://doi.org/10.1007/s11356-019-06988-w
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DOI: https://doi.org/10.1007/s11356-019-06988-w