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HomePublicationsBrowse ListingChild Malnutrition as a Poverty Indicator: An Evaluation in the Context of Different Development Interventions in IndonesiaMalnutrition and Poverty

Malnutrition and Poverty

In search for an alternative poverty indicator, this section of the paper reviews the relevancy of using child malnutrition as poverty indicator. Child malnutrition as poverty indicator is conceptually appealing. Increasing health is seen as a dimension of poverty in its own right and child health is known to have important long-term effects on productivity during adulthood. As children are the future of every country, their situation is always of concern to policy makers, their parents and the general public. Ensuring children's health is a universally supported goal of development.

Malnutrition has long been recognized as a consequence of poverty. It is widely accepted that higher rates of malnutrition will be found in areas with chronic widespread poverty (ADB, 2001). Malnutrition is the result of marginal dietary intake compounded by infection. In turn, marginal dietary intake is caused by household food insecurity, lack of clean water, lack of knowledge on good sanitation, and lack of alternative sources of income. It is also compounded by, inadequate care, gender inequality, poor health services, and poor environment. While income is not the sum of total of people's lives, health status as reflects by level of malnutrition is.

Because having good health condition is important precondition for escaping poverty and because improved health and sanitation contribute to growth, investment in people's health and nutrition status is fundamental to improving a country’s general welfare, promoting economic growth, and reducing poverty (World Bank, 1993). Meeting primary health care needs and the nutritional requirements of children are fundamental to the achievement of sustainable development. In the United Kingdom and a number of Western European countries about half their economic growth achieved between 1790 and 1980 has been attributed to better nutrition and improved health and sanitation conditions (Fugel, 1994)

Malnutriton in childhood is known to have important long-term effects on the work capacity and intellectual performance of adults. Health consequences of inadequate nutrition are enormous. It was estimated that nearly 30% of infants, children, adolescents, adults and elderly in the developing world are suffering from one or more of the multiple forms of malnutrition, 49% of the 10 million deaths among children less than 5 years old each year in the developing world are associated with malnutrition, another 51% of them associated with infections and other causes (WHO, 1999). Recent studies have also pointed out that women who were malnourished as children are more likely to give birth to low birth-weight children and thus there is an intergenerational effect of child malnutrition.

A practical advantage of using child malnutrition as a poverty indicator over income level is that this measure does not have to be adjusted for inflation and would not be constrained by any inadequacy of price data. Measures of child nutritional status can help capture aspects of welfare, such as distribution within the household which are not adequately reflected in other indicators. Child malnutrition standards are applicable across cultures and ethnicities.

Studies show that the relationship between child nutritional status and poverty is strong at the lower end of the income range. Increasing GNP per capita from $300 to $600 is associated with a decline in the prevalence of underweight children from about 34% to 17% or a reduction of about 50% (U.N. ACC/SCN, 1992). The data assessment of GNP per capita and the prevalence of underweight preschool children from the World Development Report as presented in Figure 1 [ PDF 126.5KB | 1 page ] shows that the countries with the lowest ranking of GNP per capita are more likely to have higher prevalence of underweight children2.

An IFPRI Study in 2000 drawn from the experience of 63 developing countries over this 25- year period on determinants of child malnutrition across different regions found four strong determinants to child malnutrition. The four, ranked by their strength of impact, are women's education, national food availability, women’s status relative to men's, and health environment quality (Smith and Haddad, 2000). The findings of this study support the fact that child malnutrition as a poverty indicator is a comprehensive indicator which is reflective and indicative of other desirable outcomes of development i.e. improvement in gender empowerment, intra-household distribution and equality, and health environment quality.

With all of the above consideration, child malnutrition appears as a highly conceptually relevant candidate for a poverty indicator. The following sections further evaluate other qualifications of child malnutrition as a poverty indicator.

Download this Discussion Paper [ PDF 243.5KB| 22 pages ].




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  1. Choco
    (posted 01 May 2010 / 02:19:03 AM)

    is poverty line:
    -less that $1.25/day per adult, or
    -less than $1.25/day per person in the household (including children), or
    -less than $1.25/day per household?

    What a loophole in the definition! Clarity required please!
  2. naveen
    (posted 17 December 2008 / 08:35:28 PM)

    This information explain clearly about the malnutrition and poverty,
    Most poor people who battle hunger deal with chronic undernourishment and vitamin or mineral deficiencies, which result in stunted growth, weakness and heightened susceptibility to illness.

    Poor children are the most prone to this and are often the victims to malnutrition, deficiencies, diseases and ultimately deaths caused by hunger.

    Today our world is home to 6.6 billion people. The United States is a part of the high-income group of nations which has a population of around 30 crores
  3. ms.gilor araneta -tino
    (posted 02 April 2008 / 05:39:12 AM)

    Conditions tagged as underweight or underheight has been a problem for a longtime. If we dig further poverty is one cause. I am glad that the schools here in the Province of Albay are recipients of the Food for the School program. In its simple way, this is a BIG solution, RICE ON THE TABLE of every family. I'mm sure that this will help increase the nutritional status of our schoolchildren.

The views expressed in this paper are the views of the authors and do not necessarily reflect the views or policies of the Asian Development Bank Institute (ADBI), the Asian Development Bank (ADB), its Board of Directors, or the governments they represent. ADBI does not guarantee the accuracy of the data included in this paper and accepts no responsibility for any consequences of their use. Terminology used may not necessarily be consistent with ADB official terms.

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