Is Democracy Associated with Reduction of Poverty, Child Mortality and Child Deprivation in Low-income Countries?

Is democracy related to lower poverty rates and better living conditions for children in developing countries? Multiple sources have confirmed that living conditions in low- and middle-income countries have improved significantly during the past decade. This development coincides with a period of economic growth and, until recently, a trend towards increasing democratization of many of the world’s political systems. In the present paper, we use data from 51 low- and lower-middle-income countries covering the period 1995–2019 to analyse: poverty ($1.90/day), child mortality as well as the degree to which children are malnourished, deprived of immunization, and lack education. The central aim is to test whether democracy contributes to the decrease in poverty and improvement of children’s living conditions. We also test whether the impact of democratization is conditional on political ideology, GDP, and corruption, i.e., whether democratization only is beneficial if combined with policies influenced by socialistic ideology, economic growth, or low corruption. Using data on living conditions from the World Bank, Demographic and Health Surveys (DHS), V-Dem project on democratization, and Global Leader Ideology database, we draw the following conclusions: Democratization does contribute to the decrease in poverty, child mortality, malnutrition and lack of immunization among children. However, the impact of democracy is conditioned on previous experience of leftist governments; democracy only improves living conditions in countries with a history of leftist governments. Least beneficial are leftist autocracies. We also conclude that democracy counterbalances the detrimental effects of corruption on children’s school attendance.


Introduction
Is democracy associated with lower poverty rates and improved living conditions for the poorest children? The World Bank (2020) estimated a decline in the global number of income poor at the $1.90-a-day poverty line from 1.9 billon in 1990 to fewer than 700 million in 2017, which equals a decline from around 37 per cent to about 10 per cent of the global population. Using the Multidimensional Poverty Index (MPI), based on ten indicators covering living conditions within the three domains of education, health, and living standard, Alkire et al. (2017) confirmed the trend towards declining poverty rates and improved living conditions. The same overall positive development has been confirmed in studies based on the Human Development Index (HDI) and its sub-components (Permanyer & Smits, 2020). This positive development largely coincided with a period during which many countries experienced processes of democratization (Luhrmann et al., 2019). The question is: To what, if any, degree are these observed improvements associated with the benefits of democratic rule?
We will use panel data covering the period 1995-2019, estimating to what degree democratization correlates with income poverty, child mortality and severe child deprivation. Severe deprivation includes children's lack of access to food, education, and immunization. We contribute to the existing literature in mainly three ways. First, we focus on children's exposure to deprivation and mortality risk. The basic argument for this approach is that children are more vulnerable to and dependent on resources that the national state can enable or provide. Hence, if democracy plays an important role in people's living conditions, this should be visible when using children's circumstances as outcomes. Second, we use a broad spectrum of outcomes reflecting important aspects of living conditions, thus enabling conclusions regarding the consistency of the findings. Third, we systematically investigate whether the estimated connection with democracy is conditional on leftist ideology, a country's GDP, and the occurrence of political corruption.
Before continuing, we wish to add a disclaimer: We have used the latest available data, covering a period of improved living conditions. There is an obvious risk that the positive developments seen over the past decades will not continue. Since the beginning of the 2010s, democracy has been on the defence, challenged by the growth of autocratic regimes (Maerz et al., 2020;Nazifa Alizada et al., 2021). As it happens, the increase in autocratic regimes coincides with a slowing down of the decrease in global poverty (World Bank, 2020). We also wish to emphasize that we are currently facing multiple threats that put recent gains in global living conditions at risk, the three most important being: the Covid-19 pandemic and its long-term effects (Angrist et al., 2021;Brewer et al., 2021;Garcia-Prats et al., 2021;McCoy et al., 2021;UNESCO, 2020;World Bank, 2020), armed conflicts, not only Russia's war against Ukraine that puts pressure on the global food supply, but also armed conflicts in countries with a hitherto positive development, for example, Ethiopia (Elgar et al., 2021;World Bank, 2017), and, last but not least, the consequences of climate change (Hallegatte, 2016;Jafino et al., 2021;World Bank, 2017).

Background
Improvement in children's living conditions and the general fight against poverty are highly dependent on what the domestic state is willing and able to do (Page & Pande, 2018). Democracy, through competition for votes, is assumed to induce politicians to implement policies of direct redistribution or provide public services that leads to economic redistribution, both of which favour the poor (Bellinger, 2019;Gerring et al., 2011;Ramos et al., 2020;Sen, 1981Sen, , 1999. A functioning democracy also means broader participation in the political process and that a government's actions are scrutinized by the opposition, both within the political system, e.g., parliamentarian debates and procedures, and in the public debate (Noble, 2019). The close relationship between democracy and freedom of speech and the press also means that a democratic government, compared to non-democratic governments, has better access to information about people's living conditions and other important economic as well as non-economic conditions (Gao & Zang, 2021;Knutsen, 2021;Ramos et al., 2020). Hence, even though a non-democratic government is ideologically committed to taking action against poverty, it might be less able to do so because of an information deficit.
As can be seen above, previous studies have pointed to different aspects of democracy as being potentially beneficial for children's living conditions. These aspects, in turn, tap into Dahl's concept of polyarchy. To bridge the gap between the ideal of democracy as the rule of the people and a theoretical coherent and operationalizable indicator of democratization, Dahl (1971Dahl ( , 1998 defined six crucial institutional elements needed for achieving the ideal of democracy: -Officials with control of government decisions are elected by citizens.
-General suffrage and free, fair, and frequent elections.
-Freedom of expression without danger of punishment. -Citizens have access to alternative sources of information, i.e., information not controlled by the government. -Citizens have the right to form independent associations to exercise their rights. -Inclusive citizenship, adults who permanently reside in a country should not be denied the rights available to others.
These six elements are observable and enble us to measure the degree of democratization in a given country during a given year. However, empirical analyses concerning the impact of democracy on poverty reduction and improved living conditions for the poor are far from conclusive.

Poverty
Recent studies (Gao & Zang, 2021;Ha & Cain, 2017) have shown a positive correlation between democracy and poverty reduction. Gao and Zang (2021, p. 18) additionally concluded that democracy reduces poverty by entitling residents with more political rights and freedom of speech, cultivating a larger middle class, and sustaining more stable politics. Partly in the same vein, Saha (2011), analysing multidimen-sional poverty in Sub-Saharan Africa (SSA), found that competitive parliamentarism is an important factor for pro-poverty growth, i.e., economic growth that also benefits the poor. Analysing the poverty gap 1 in 104 low-and middle-income countries during the period 1981-2005, Ha and Cain (2017) used data on democracy in combination with data on government's ideological position on a left-right scale derived from World Bank's Database on Political Institutions (DPI) and further developed by the authors. They found that democracy itself did not have any relation to the poverty gap, while the combination of democracy and left-leaning governments was significantly linked to a decreased poverty gap. The result also showed that undemocratic regimes that ideologically adhered to the political left were associated with an increase in the poverty gap. Fambeu (2021), in contrast, found that democracy was linked to an increase in poverty, defined as income below the $1.90/day threshold, in non-oil producing SSA countries during the period 2005-2016, while there was no correlation in oil-producing countries.
But it is not only the case that different studies come to different conclusions regarding the relationship between democracy and poverty, the direction of causality has also been questioned. Wietzke (2019) found support for the hypothesis that poverty reduction leads to democratization; as people are lifted out of poverty, they demand democracy. That, in turn, leads to the question of whether democratization leads to enhanced economic growth or whether it is the other way around, that is, that economic growth creates the preconditions for democratization. The issue has been widely researched, and the results are again inconclusive. However, some more recent results point to the former relationship, i.e., that, in a longer perspective, democracy is good for economic growth (Knutsen, 2021;Papaioannou & Siourounis, 2008). The concern of the present paper is not to try to settle the democracy-growth causality issue. It is, however, important to establish whether there is an interaction between economic growth and democratization that, in turn, modifies the association with poverty and children's living conditions.

Child Mortality
The vast country differences in child mortality reflect the fact that child mortality is most often caused by illnesses that are easy to prevent once the necessary resources, basic health care, immunization, clean water and sanitation are available and efficiently allocated. The fact that child mortality is preventable also means that political measures should be an effective tool for reducing child mortality, and, for the reasons outlined above, we expect democracies to be more motivated and able to take the necessary decisions (Paulson et al., 2021;Ramos et al., 2020;Wigley & Akkoyunlu-Wigley, 2017).
Several relatively recent studies have shown that, in the longer term, democracies outperform autocracies in reducing child mortality, while findings on the short-term effects of democracy are less conclusive (Barnish et al., 2018;Bellinger, 2019;Ger-ring et al., 2012;McGuire, 2013;Mejia, 2022;Noble, 2019;Ramos et al., 2020;Welander et al., 2015;Wigley & Akkoyunlu-Wigley, 2017), reflecting the fact that transitions from autocracy to democracy are often associated with social and economic turmoil (Knutsen, 2021). However, the long-term effects also vary across countries, and although in many cases democratization seems to decrease child mortality, there are a substantial number of countries for which the impact is close to zero and a few where the transition to democracy is associated with a long-term increase in child mortality (Ramos et al., 2020). Regional differences and corruption (Ramos et al., 2020), intra-state ethnic and linguistic fractionalization (Powell-Jackson et al., 2011), and the conceptualization and measurement of democracy ) have been pointed out as possible explanations for country differences and as causes of reverse associations, i.e., that, in some cases, democratization coincides with an increase in child mortality. There are indications that political ideology is a factor of importance and that a country having a history of left-of-centre political governments is associated with low child mortality (Barnish et al., 2018(Barnish et al., , 2021Moon & Dixon, 1985). Regarding child mortality, Ha and Cain (2017) could also confirm an interaction between ideology and democracy, i.e., that democracies with a leftist government performed best.

Child Deprivation
A systematic set of indictors of severe child deprivation based on survey data was first developed for the first global estimates of child poverty (Gordon et al., 2003) and are increasingly used in analysis of children's living conditions (cf. Daoud and Nandy, 2019;Deeming and Gubhaju, 2015;Ekbrand and Halleröd, 2018;Halleröd et al., 2013;Musiwa, 2019Musiwa, , 2021Qi and Wu, 2014). However, systematic cross-country analyses focusing on countries' institutional differences in relation to child deprivation are much less common than analyses of poverty and child mortality (Barnish et al., 2018). In a comparative cross-sectional multilevel analysis of seven indicators of severe child deprivation in 68 low-and middle-income countries, Halleröd et al. (2013) concluded that, after controlling for quality of government, democracy did not correlate with any of the indicators. They also could not detect any interactions between democracy and quality of government. These results were confirmed by Burroway (2016), who analysed the occurrence of child diarrhoea and child malnutrition as outcomes using DHS data. The strength of these studies is that they combine individual-level survey data from large programmes, such as DHS and MICS, with country-level data. The weakness is that they are based on cross-sectional data, comparing data between countries, and do not analyse within-country developments.

Why Democracies Might Fail in Improving Children's Living Conditions
In any given democracy, the median voter typically has an income that is clearly below that of the rich, but that does not automatically mean that the majority of voters are poor. In countries where a fairly well-off middle class has developed, the median voter tends to have an income well above a very strict poverty line such as the $1.90/ day measure. Democracy is, in these cases, transferring power to the middle class, and the middle class is not necessarily interested in tax-financed programmes that target the poor (Ross, 2006). This is well known from comparative welfare studies on the richest countries (Esping-Andersen, 1991;Korpi & Palme, 1998). Thus, the voice of the people does not inevitably make democracies better than autocracies at improving living conditions for the poor (Ross, 2006;Wigley & Akkoyunlu-Wigley, 2017). A government's willingness to improve conditions for the poor could also be affected by ideological standpoints (Barnish et al., 2018(Barnish et al., , 2021Fambeu, 2021;Ha & Cain, 2017;Moon & Dixon, 1985). As discussed above, shifts from autocracy to democracy often are accompanied by political, social, and economic turmoil. We can therefore expect that the impact of democracy will be long-term. In addition, we can expect that the functioning of a democratic government will depend on the country's democratic history, i.e., the accumulated institutional memory of democracy (Edgell et al., 2020;Gerring et al., 2005;Persson & Tabellini, 2009).
But even if a democratic state takes decisions aimed at improving living conditions, it is far from given that the state has the capacity to implement the chosen policies (Banerjee & Duflo, 2011;Dellepiane-Avellaneda, 2010;Rothstein, 2011). Aspects such as rule of law, property rights, political stability, and lack of corruption are considered to be prerequisites of robust economic growth and hence pivotal in generating the resources necessary to improve living conditions (Dellepiane-Avellaneda, 2010; Leftwich & Sen, 2011;Voigt, 2012). Several studies have shown that quality of government variables are positively correlated with both economic growth and standard measures of human well-being (Dellepiane-Avellaneda, 2010; Halleröd et al., 2013;Przeworski et al., 2000;Rothstein, 2011;Sen, 2011). The conclusion to be drawn here is that even though democracy can be seen as a good thing in its own right, poverty will not be eradicated and children's living conditions will not be improved if the wider system of governance is incapable of implementing policies in a trustworthy, predictable and impartial manner (Rothstein, 2011).

Hypotheses, Data, and Analytic Strategy
Given the discussion above, we have formulated several hypotheses to guide our empirical analyses: 1. Democratization is associated with decreasing poverty, child mortality, and child deprivation rates. 2. The negative associations between democracy and poverty, child mortality, and child deprivation are conditional on the government's ideological beliefs.
a. Democratization is more beneficial if the current government adheres to a leftist ideology. b. Democratization is more beneficial if a country has an extensive history of governments that adhered to a leftist ideology.
3. The negative associations between democracy and poverty, child mortality and child deprivation are conditional on the degree of political corruption; widespread corruption makes democratization less beneficial. 4. The negative associations between democratization and poverty, child mortality and child deprivation are conditional on GDP/per capita.
a. The associations between democratization and poverty, child mortality, and child deprivation become increasingly negative as GDP/per capita increases, i.e., democracy is mainly beneficial for poor people living in relatively rich countries. b. The associations between democratization and poverty, child mortality, and child deprivation become less negative as GDP/per capita increases, i.e., democracy mainly beneficial for poor people living in the poorest countries.
Hypothesis 4a builds on the assumption that democracy generally improves conditions for the poor as more resources are available, while 4b aligns with the idea that a growing middle class takes the focus away from the poor.

Dependent Variables
We have chosen five different outcome variables used in numerous of studies. In theory, these variables ought to be highly correlated with each other. The first measure is the World Bank's estimation of poverty, that is, the per cent of the population that falls under the 1.90/day poverty line. The data cover all countries in our sample but are not compiled for every year. We used the available data to estimate countryspecific poverty time trends for the period 1995-2019. Imputation of missing data for $1.9 per year was accomplished using logistic random effects regression modelling. 2 Predictions based on the resulting model were used instead of the original data points.
2 The model fitted the existing data to a model with a fixed parameter for year and two random slope terms, one for the effect of year per country, and the other one for year per region, where region was defined as in the UN M49 standard division of countries into regions. Detailed description of the imputation procedure: β 0 is the fixed intercept; S 0s is the random intercept for country s; β1 is the fixed slope; S1s is the random slope for country s; esi is the error term for country s, at measurement number i. S0s and S1s are drawn from a bivariate normal distribution with mean 0, where τ 00 2 is the variance for S 0s and τ 11 2 is the variance for S1s and their covariance is (ρτ 00 τ 11 ) 2 . The error term is assumed to have a normal distribution around zero with the variance σ 2 .
The differences between predictions and observed values were small. We believe that the predicted values are at least as useful as the observed values because the observed values have measurement errors, while the predicted values are based on both several measurements from both the country and countries in the same region (both at other points in time, and at the same point in time).
Our four remaining indicators -child mortality, and child malnutrition, lack of immunization, and lack of education -relate directly to children, whereas poverty relates to the household. We do expect strong consistency between these indicators and income poverty. If that is the case, we can conclude that our indicators are measuring substantially similar phenomena, which in turn are affected by similar policy actions. Lack of consistency would cast serious doubt on the notion that income poverty is a valid and meaningful measure of children's living conditions.

Child Mortality
We use annual data from the World Bank for the under-five mortality rate are calculated as the probability per 1,000 that a new-born baby will die before reaching the age of five. Child mortality is commonly used and described as a high-quality indicator of living conditions in low-income countries (e.g., Ramos et al., 2020;Ross, 2006). However, compiling data with global coverage is far from simple. Most countries, predominately poorer countries, lack fully functional vital registration systems, and survey data are often used to estimate child mortality. Moreover, because surveys are not conducted annually, estimations are used to fill in data for missing years (UNICEF, 2022).
Our child deprivation measures are derived from the Demographic and Health Surveys (DHS) (which is also one of the sources used to estimate child mortality). We use all available waves collected between 1995 and 2019. Typically, data are collected every fifth year, but both the number of data collections and, hence, the interval between data collections vary across countries. As is the case for our poverty measure, we estimated country-specific time trends and used the derived estimates to impute annual data. See footnote 2 above for a description.

Child Malnutrition
Children five years or younger whose heights and weights for their age were more than 3 standard deviations below the median of the international reference, that is, children suffering from severe anthropometric failure.

Deprived of Education
Children 7-17 years old who had never been to school and were not currently attending school, i.e., no professional education of any kind. As can be seen in Table 1, the distribution of this measure is highly skewed (1.79); we will therefore use the natural logarithm of the original scale (skewness 0.39).

Deprived of Immunization
Children five years or younger who had not been immunized against diseases. Also in this case the distribution is highly skewed (2.69), and we will again use the natural logarithm of the original scale (skewness 0.07).
The three deprivation measures we use are included in the so-called Bristol approach, which means that we use measures that have been adopted by UNICEF and used in its Global Study on Child Poverty and Disparities in over 50 countries since 2008 (Gordon & Nandy, 2012;Gordon et al., 2010) and are included in the UN Expert Group on Poverty Statistics' Compendium of Best Practice in Poverty Measurement (Rio Group, 2006). The Bristol approach includes seven measures of child deprivation; we have included the measures that are based on individual observation. The remaining four are household measures: if the child's household lacks sanitation and access to safe water, if the child lives in a crowded home, and if the household lacks sources of information.

Democracy
We use the Varieties of Democracy (V-Dem) measure v2x_polyarchy as an indicator of democratization. V2x_polyarchy aims to measure to what extent the ideal of electoral democracy is achieved, capturing Dahl's (1971Dahl's ( , 1998) six institutions of polyarchy discussed above . Thus, a high value indicates that the democratic core value of making rulers responsive to citizens is achieved through electoral competition for the electorate's approval under circumstances when suffrage is extensive as well as that there is freedom of expression and an independent media capable of presenting alternative views on matters of political relevance.

Leftist Government
We use data from a recently established dataset, The Global Leader Ideology (https:// www.bastianherre.com/data), to distinguish between heads of government with a leftist, centrist, rightist, or no economic ideology (Herre, 2022). Leftist ideology implies the belief that the state should intervene in the economy to increase social equality, rightist economic ideology emphasizes non-intervention and individual freedom, while centrist ideology falls in between these positions. Compared to other available databases on political ideology, e.g., the World Bank's DPI, The Global Leader Ideology data derive from a broader set of information using not only party affiliation and the party's ideology, but also the leaders' own statements concerning their views and political agendas. The database also covers 182 countries during the period 1945-2020 and total of 10,708 country-year observations. In only 7 per cent of these observations was it not possible to identify an ideological position (Herre, 2022). Relating to previous research, we focus on whether or not heads of government, and presumably government policies, are classified as leftist. For the sake of simplicity, we will refer to "left or leftist government" in the text. Because of policy path dependency, we assume that the leftist impact on poverty and children's living conditions is not only dependent on the current government's economic ideology, but also on past experiences. We therefore complement the original measure with a construct that is based on the number of years with a leftist head of government. We call this measure left stock. For each observation year, we count the weighted number of years with a leftist head of government during the past 25 years t − 2 . Taking 2019 as an example, we add up the number of years a country had a leftist government during the period 1993-2017. A leftist government in 1993 is given the weight 0.04 and the weight is thereafter increased by 0.04 each year, which means that a leftist government in 2017 is weighted as 1. Since our other independent variables are lagged by one year, leftist government captures the ideology of the government at t − 1 , while left stock captures leftist track record during t − 2 -t − 27 .

Corruption
There are several available measures of corruption and in a broader sense quality of government. For example, The World Bank provides governance indicators covering six areas of governance including corruption. However, it seems that all six measures only capture a single latent construct/dimension, i.e., the six measures are empirically inseparable (Langbein & Knack, 2010). In our analysis, we use the V-Dem's indicator of pervasiveness of political corruption, v2x_corr. Our choice is motivated by the fact that this variable summarizes six distinct types of specifically governance-related corruption: executive bribery, executive embezzlement, public sector bribery, public sector embezzlement, legislative corruption, and judicial corruption (Coppedge et al., 2021, pp. 296-297). It should be noted that the V-dem measure correlates highly with all of the World Bank's indicators, especially its indicator of corruption (0.89).

GDP/pc
For Gross Domestic Product per capita, we use the natural logarithm of data provided by the Madison project (Bolt & Van Zanden, 2020). For all independent variables, except left stock, data will be lagged by one year, meaning that the independent variables cover the period 1994-2018 while the dependent variables cover 1995-2019. V-Dem's democracy and corruption measures are originally measured on a 0-1 scale. We have inflated the original scale by a factor of 10 to ensure that all independent variables have scales that fall within the same broader realm. To facilitate interpretations of interaction effects, all independent variables, except the dummy for leftist government, are centred to their means, i.e., the means are set to zero.
It has been argued that a measure of a country's historical experience of democracy is a better indicator than current democratic status when analysing outcomes like child mortality and other indicators of living conditions (Bellinger, 2019;Gerring et al., 2012. The argument behind this is that reforms initiated by democratic regimes have long-standing effects, plus the fact that well-established democracies, compared with newly established ones, function in a less disruptive manner, both concerning decision-making and transfer of power. Within the V-Dem project, a measure of democratic stock has been developed (Edgell et al., 2020). However, among the countries included here (see below), the correlation between our democracy measure and the measure of democratic stock is very high (Pearson's 0.80). Hence, both measures are to a high degree measuring the same phenomenon, and therefore we abstain from including democratic stock in the analyses.

Countries
We restrict our data to the 51 countries, listed in Table 2, that are covered by the DHS surveys and for which we have data on all independent as well as dependent variables. Hence, the selection of countries will be identical in all analyses. Comparing our sample with The World Bank's classification of countries into low-, lower-middle, upper-middle, and high-income countries, we can conclude that all our countries, except Gabon, in the late 1980s -early 1990s were classified as low-income or lower-middle-income countries. Gabon was classified as an upper-middle-income country. The majority, 32 of 51 countries, are located in SSA, 7 are found in South America or the Caribbean, 4 in Asia around the Indian sub-continent, 3 in the MENA region, and 3 are previous Soviet republics. In addition, Albania and Turkey are also included in the sample. The basic country mean statistics for the period 1995-2019 are presented in Table 2. Figure 1 shows the overall development for the period 1995-2019 of our dependent (left graph) and independent (right graph) variables in our 51 countries. We clearly see the long-term trend towards decreasing poverty, child mortality 3 and child deprivation. We also see, turning to the right graph, that this trend initially coincides with a democratization process that started in the 1990s and continued for almost 15 years, levelling off, until approximately 2015 when the trend started to reverse. It also coincides with a long period of economic growth that started in the mid-1990s and continued throughout the observed period. The development of corruption seems less correlated with time, starting with an increase, a plateau and ending with a decrease. The overall trend for leftist governments hovers around 50 per cent, while the measure for left stock is u-shaped.

Method and Analytical Point of Departure
We use STATA 17 and the xtreg function complemented with OLS regression 4 to obtain within-country OLS estimates. To determine the preferred model for analysing the data, we conducted Hausman tests for each one of the dependent variables based on a model that included all independent variables. In all tests, the null hypotheses were rejected, and therefore we will, in all regression analyses, use a fixed-effect model controlling for unobserved between-country heterogeneity to avoid inconsistent estimates. Hence, our estimates will show whether changes in poverty and children's living conditions within our observed countries is related to within-country changes over time in our dependent variables. The estimates will not reflect differences between countries, as these differences are captured by the fixed effect.
It is possible that the time trends shown in Fig. 1, left graph, are driven to a certain degree by an exogenous and general development, i.e., not by country-specific development but by changes such as development of technologies, demographic patterns, health care practices, and in a broader sense knowledge. If time trend is left out of the equation, there is a risk of inflated estimates. To check the impact of time trend, we ran a series of regression analyses that compared bivariate fixed-effect estimates for all dependent and independent variables with estimates that also included the time trend (year as dummies). For democracy and, even more so, GDP/pc, the estimates decrease substantially when time is added to the equation. For left government, left stock, and corruption, the impact of time trend is, as expected, less clear. Based on these results, we have decided to include year dummies in the equations. Hence, our initial model is a fixed-effect model accounting for unobserved differences between countries and year dummies to control for the general time trend. All in all, this means that the estimates we obtain will be conservative. Including the time trend also has important implications for interpretation of the regression estimates. If, for example, we obtain a positive estimate for GDP/pc on child mortality, which in fact will be the case, it does not mean that economic growth is associated with worsening conditions for children. What it shows is that, given the general time trend, countries with high GDP/pc are estimated to lower their child mortality rate less than we would expect.
Our dependent variables all capture extreme human conditions: extremely low income, children not surviving and what is described as severe child deprivation. Given that, the linear assumption can be questioned. For GDP/pc, we already made a non-linear assumption when using the logarithm of the actual GDP/pc value. We 2. All independent variables, expect legft gov, are centered to their means, i.e., the means equals zero.
3. L -Low income countries, LM -Lower-middle income countries, UM -Upper middle income countries. Table 2 (continued) therefore tested the logarithmic function for the other variables and in addition to that a quadratic function for all independent variables. Comparing BIC value for the different models, t-test and confidence interval for each variable, we concluded that the linear function was preferable for all independent variables except GDP/pc, for which a quadratic function, in addition to the logarithmic function, was selected.
In Table 3, Model 1 and 2, BIC, and within R 2 are compared between models with and without the quadratic function of GDP/pc. Given the clearly better fit of Model 2 compared to Model 1 and 3 our basic model includes the quadratic function of GDP/ pc and is specified in the following manner: Where i is the country, t time measured as years 1995-2019, β the estimated vectors, i.
Year dummies for year 1995-2019, FE the fixed country effects, and u it the error term. In our hypothesis, we expect that there are interactions between democracy and the other independent variables. We therefore ran separate models for all pairwise interactions that included democracy and selected a preferred model for each of the outcome variables. We compared BIC, the within-country R 2 value, and t-test looking for the simplest and least complicated model that best represented the data. We sat up strict criteria for inclusion of interactions, promoting robust models and estimates with narrow confidence intervals. Interactions are included only if the t-test was below 0.0001, BIC lower than the basic model and if R 2 values were improved. Model 3 in Tabel shows results for a model without the quadratic function of GDP/ pc, but with an interaction between democracy and GDP/pc. Although these models perform worse compared with the base model (row 2), in three out of five regression models the interaction is significant. However, once we include the quadratic function of GDP/pc, Model 4, none of these interactions fulfil our criteria for inclusion, and we conclude that the initial interaction between democracy and GDP/pc was spurious and caused by a misspecification of GDP/pc. What we do see, Model 6, is that for poverty, child mortality, malnutrition and lack of immunization, the impact of democracy is conditional on the country's accumulated stock of left government. Given this, the models in our analyses include an interaction between democracy and left stock and are, hence, specified as follows: For education, the interaction for democracy and left stock did not meet our criteria, while the interaction for democracy and corruption did, Model 7, which gives the following model: Table 4 summarizes the results for the main models. If we put lack of education aside for the moment, we see that democracy has a negative association with poverty, child mortality and immunization, while the estimate for malnutrition is zero. However, because there is an interaction between democracy and left stock, the interpretation of the estimates is not straightforward. The estimates for democracy represent the marginal effect of democracy when left stock is set to zero, i.e., at the mean value for left stock. Leftist government is estimated to have a negative relationship with the first four outcomes, although not significant for poverty. The estimate for left stock is close to zero for poverty, but positive and significant for the other three, the more experience of left policies, the more child mortality, malnutrition, and lack of immunization. However, because of the interaction effect with democracy, these estimates refer to a situation in which the democracy score equals to its mean, which is zero.

Results
The interactions between democracy and left stock are negative, hence, the combination of democratic rule and experience of leftist governments lowers poverty and improves children's living conditions. The marginal effects of democracy conditional on left stock are shown in Fig. 2. For poverty and immunization, the marginal effects are insignificant at low levels of left stock but become negative as left stock increases. For child mortality and malnutrition, the marginal effect of democracy is positive at low levels of left stock, thereafter gradually becoming negative as left Fig. 1 Development over time for: dependent variables (poverty, child mortality, food-, education, and immunization deprivation) and independent variables (democracy, GDP/pc, socialist government, and corruption) Table 3 Model selection -BIC, within R 2 , and significance test Italics indicate models included in the final analysis. stock increases. Interpreting the marginal effects, it is important to consider that time is included in the model. The positive marginal effect of democracy on malnutrition at low levels of left stock shows that malnutrition decreases slower than expected given the average time trend. Hence, democratic countries without previous experiences of left policies are not predicted to have an absolute increase in malnourished children, but they are predicted to do worse than expected in improving conditions given the general time trend. When left stock is relatively high, the opposite is true for all four outcomes; having a developed democracy in a country with recent historical experience of left governments is related to conditions that improve more than expected given the time trend. In Fig. 3, we show the predicted outcome at different democracy scores conditioned on three different levels of left stock. One way of interpreting the lines is to assume that they represent four examples of ideal type countries. Example A -time trend -begins with the highest observed left stock and with the lowest observed democracy score. The variable measuring left government is set to zero (not socialist), and values for GDP/pc and corruption are set to their means and kept constant. Because it is a fixed-effect model, all remaining between-country variance is taken into account and set to the mean for all countries. The only thing that varies in Example A is time, that is, the dummy estimate for each year from 1995 to 2019. The slope of the dotted line in the four diagrams in Fig. 3 shows the estimated mean reduction of poverty, child mortality, malnutrition and immunization in an ideal type country where democracy, the government's ideology, corruption, and GDP/pc do not change between 1995 and 2019.
In we assume an ideal country that in 1995 has the same features as Example A. The difference is that we let the democracy score, shown after the dash on the x-axis label, increase year by year from − 3.3 to 1995 to 3.4 in 2019, that is, from the lowest to the highest observed value in our data. In Example C, left stock is set to its mean (0), and for Example D, left stock is set to the lowest observed value, otherwise Example C and D are identical to B, i.e., they are assumed to develop from highly undemocratic in 1995 to relatively democratic in 2019.
The diagrams in Fig. 3 visualize, at the far left of the diagrams, that a history with a left government in combination with a low democracy score is related to the highest estimated poverty, child mortality, malnutrition, and lack of immunization. For countries with a high democracy score, at the far right of the diagrams, and a history of left government, the opposite is true for poverty and malnutrition; democratic countries with a high left stock are predicted to perform best, while there are small differences when we look at mortality and immunization, i.e., all developed democracies are predicted to do well. Figure 3 also shows that a hypothetical ideal country with a high left stock that increases its democracy score improves living conditions faster than the time trend, exemplified by the dotted line, and, in particular, faster than countries without experience of leftist government. For countries without experience of left government, democracy is not associated with improved conditions for children and lower poverty, which is shown by the narrowing distance between the dotted line and the dashed line as the democracy score increases. Table 4, estimates for GDP/pc are fairly inconsistent, while the estimates for GDP/pc 2 are consequently positive and significant. What this reflects is that the associations between GDP/pc and each of the five outcomes are curve linear. When GDP/pc is close to its overall mean, the marginal effect for GDP/pc is close to zero, slightly positive or slightly negative. As GDP/pc increases, from low, i.e., below zero, to high, poverty, child mortality and child deprivation decrease, but the impact of increasing GDP/pc declines as GDP/pc increases and eventually takes on the opposite sign. It is important to keep in mind that these results represent the effect of GDP/pc net of country-fixed effects and control for the overall time trend. Hence, what the estimates are showing is not that GDP/pc growth is unimportant for reducing poverty and improving children's living conditions, but that fast growing countries have not been able to translate economic growth into improved conditions as fast as expected given the overall time trend. In the first four analyses, discussed above, the impact of corruption seems irrelevant. However, for education, corruption does play a role -the greater the corruption, the more children are deprived of education. But because of the interaction between corruption and democracy, the estimate in Table 4 refers to a situation in which the democracy score is zero, which is the mean for our democracy measure. It also means that the estimate for democracy refers to a situation where corruption is set to its mean, which again is zero. The interaction between democracy and corruption is negative. Figure 4 shows the marginal effect of democracy on lack of education conditional on corruption. In a situation of low corruption, the estimate for democracy is positive, and if corruption is widespread, the estimate turns negative, meaning that democratization counterbalances the detrimental association with corruption. Figure 5 shows predictions for lack of education at different democracy scores at three levels of corruption. What we see is that, at low levels of democracy, the levels of educational deprivation are almost twice as high in a highly corrupt country compared a country with a low degree of corruption. The higher the democracy score, the smaller the differences, and among the most democratic countries, corruption plays, at best, a marginal role in explaining differences in educational deprivation. Fig. 2 Marginal effect of democracy on poverty, child mortality, malnutrition, and immunization conditional on left stock

Discussion
Overall, our analyses lend partial support to previous studies pointing out the positive benefits of democracy, decreasing poverty and improving children's living conditions (e.g., Barnish et al., 2018;Gao and Zang, 2021;Gerring et al., 2021;Saha, 2011;Sen, 1981Sen, , 1999Wigley and Akkoyunlu-Wigley, 2017). But we also, under specific conditions, find support for the idea that democracy has no or even detrimental effects on poverty and children's living conditions (Fambeu, 2021;Ross, 2006). What we did see was that that role of democracy is conditioned. In relation to our first hypothesis, that democracy is associated with decreases in poverty, child mortality, and child deprivation, we can conclude that it depends on countries' recent experience of left governments, that is, governments pursuing the ideological belief that the state should intervene in the economy to increase social equality. It also means that our analyses lend support to our second hypothesis, and more specifically to Hypothesis 2b.
Lack of democracy and an extensive experience of leftist government seems to be the worst combination, with high degrees of poverty, child mortality, malnourished children, and children left without immunization. Democracy in combination with extensive experience of leftist governments is found at the other end of the continuum. Hence, democratization seems most beneficial in countries with substantial experience of leftist governments. For countries with no or little experience of leftist governments, democracy is not linked to improved conditions, or, as is the case for malnutrition and education, it correlates with a worse situation for children than expected given the general time trend. In essence, our results support earlier findings presented by Ha and Cain (2017), who reported that democracy's impact on poverty and child mortality was conditional on having a politically left-leaning government. The added value of this analysis is that we show that this holds true for a larger set of outcomes related to children and that it is past experience of a leftist government that is important, not the current government. Hence, it seems that democracy needs a history of leftist policy agendas to be linked to improved living conditions, while leftist regimes without democracy are more likely to fail in improving living conditions.
Our interpretation of these findings is that a democratic leftist government needs to pursue a policy that is congruent with a redistributive ideology that improves living conditions for the poorest sections of the population (e.g., Gerring et al., 2011;Fig. 4 Marginal effect of democracy on lack of educational conditional on corruption Page and Pande, 2018;Sen, 1981Sen, , 1999. In a functioning democracy, implemented policies usually cannot be overturned easily; there is a certain inertia in implemented policies. Any non-leftist government must also relate to the opposition, which is of special importance if the opposition is perceived as a realistic option by the voters, which it reasonably should be if it has previously been voted into power. This is of course also true of any democratic leftist government that needs to consider the risk of losing elections, which may lead to a more balanced long-term policy. For these reasons, having previous experience of a left government is reasonably more important for the more long-term impact of democracy than whether or not the current government is driven by a leftist agenda. We did expect that widespread political corruption would increase poverty and be detrimental to children's living conditions (e.g., Banerjee & Duflo, 2011;Dellepiane-Avellaneda, 2010;Halleröd et al., 2013;Przeworski et al., 2000;Rothstein, 2011). For four of the five outcomes, we could not confirm that corruption had any substantial impact at all. Neither did we find interactions with democracy, which means that our third hypothesis is rejected. For the fifth outcome, education, political corruption did have the expected estimate, increasing the fraction of children deprived of education. We could also observe an interaction between corruption and democracy, but not the way we hypothesized. Instead of undermining the effect of democracy, it seems like democracy counterbalances the adverse effects of corruption. Hence, for children's school attendance, it is better to have a corrupt democracy than a corrupt autocracy.
Our fourth hypothesis states that the impact of democracy ought to be conditional on a country's GDP/pc. We also stated that this interaction could work both ways. It could be that democracy functions best at a high level of GDP/pc, that is, when there plausibly are more resources to redistribute according to democratic principles. But it could also be that democracy is most beneficial to the poor when scarce resources are to be distributed. It turned out that neither of these two propositions were true. There were no robust interactions between democracy and GDP/pc. What we consistently could see was that increasing GDP/pc decreases poverty and improves children's living conditions, but that it does so to a decreasing and eventually reversed mar- ginal effect. Hence, an increase in GDP/pc is most beneficial in the poorest countries. In our regression models, we estimate this curve linear association by adding a quadratic term of GDP/pc. If we exclude the quadratic term, we find an interaction between democracy and GDP/pc, confirming Hypothesis 4b. However, we consider this finding to be spurious, caused by model misspecification, i.e., not considering the non-linearity of GDP/pc.
One important feature of our study is that we use the same sample of countries and the same independent variables to analyse five different indicators. Even though the results differ slightly between the analyses, we wish to underline the coherence between analyses. We do not find any substantial contradictions between the analyses of different dependent variables. We therefore have confidence that our results are robust and that they also are likely to be confirmed if other indicators of poverty and living conditions are applied in analyses that cover the same sample of countries and approximately the same time span.

Weaknesses and Strengths
Our analyses build on annual country data 1995-2019, but our dependent variables rely, to different extents, on point estimates extrapolated into time series. Hence, it is possible that we missed significant deviations from the time series and, because of that, missed important within-country covariations. Extrapolated time series also have repercussions for our ability to draw empirical conclusions regarding causality, as the time for the actual observations varies across countries. Even though we rely on fixed-effects models controlling for the time trend, there is, as always, a risk that we have omitted crucial time variant independent variables. At the same time, we want to underline that inclusion of additional variables, when causality issues are not apparently clear, could lead to over-specification that, in turn, will conceal rather than reveal the impact of our key variables. We have used a consistent sample of countries and time period in all analyses, hence observed differences between different regression models are not attributable to the inclusion or exclusion of particular countries. This of course means that we do not know to what degree the results are transferable to other countries, countries that by necessity are substantially different from the ones included our sample. It could also be questioned how time dependent the results are, covering a historical period that encompasses the post-cold war period of democratization, globalization, and economic growth. These issues, country sample and time period, are not a concern only for the present study, but for the majority of country comparative analyses, which we believe need to be addressed more systematically as the field continues to evolve. Given this limitation, we see it as a strength that we use five different outcomes and that our results are reasonably consistent over these outcomes.

Conclusion
Is democracy associated with lower poverty rates and improved living conditions for the poorest children? Our answer to the question is: It depends. It depends on the country's political history. In countries with a relatively extensive experience of leftist governments, democracy is associated with lower poverty rates and better living conditions for children. In countries with no or very little experience of leftist governments, the impact of democracy is close to zero or, in some cases, even unfavourable. What seems least favourable is undemocratic leftist government, hence, leftist policies need democracy if they are to benefit the poor. We also see that, for education, children's school attendance, corruption is detrimental, but that this effect is counterbalanced by democracy. Children are more likely to go to school in a corrupt democracy than in a corrupt autocracy.