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Title: Socioeconomic and segregational effects on child health outcomes in Nigeria
Author: Ozemela MacPepple, Ekelechi
ISNI:       0000 0004 5365 2213
Awarding Body: University of Aberdeen
Current Institution: University of Aberdeen
Date of Award: 2014
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This thesis employs advanced econometric methods to understand the determinants of child health outcomes and the inequalities in child health that exist in Nigeria. It then investigates whether the effects on deprivation and poverty can be used as a policy guide to reduce existing health inequalities in child health. It makes use of data from the Nigerian Demographic and Health Survey (NDHS) of 2008. The main methodological contributions of this thesis include: 1) the adjustment of birthweight models for sample selection bias using two robust instruments which is a problem ignored in most studies carried out in developing countries; 2) the computation of a proxy for mother's health, vaccination schedule and multiple deprivation in the African context; 3) the decomposition of segregational differences in birthweight and infant mortality (this is surprisingly highly understudied in Africa); 4) the application of a complex integrated framework in the study of child malnutrition, an approach that has not been carried out in a developing countries context; 5) the analysis of a heterogeneity-adjusted approach to multidimensional child deprivation in Nigeria. This is a novel approach to the study of child poverty. Results show that there exists a significant urban bias in infant mortality mainly due to differences in endowments. The weight of the child at birth impacts not only the current health of the child but has future implications on the child's health. Selection bias appears to overestimate birthweight and the endowment effect. A complex methodological approach uncovers various effects of malnutrition determinants and provides greater policy relevance. The findings support policies to enhance both maternal and child health in order to reduce existing segregational inequalities and dimensions of deprivation.
Supervisor: Not available Sponsor: Seventh Framework Programme (European Commission)
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: Children