TARGETING URBAN MALNUTRITION: A MULTICITY ANALYSIS OF THE SPATIAL DISTRIBUTION OF CHILDHOOD NUTRITIONAL STATUS Report as inadecuate




TARGETING URBAN MALNUTRITION: A MULTICITY ANALYSIS OF THE SPATIAL DISTRIBUTION OF CHILDHOOD NUTRITIONAL STATUS - Download this document for free, or read online. Document in PDF available to download.

This paper assesses the degree to which childhood malnutrition and itscontributing factors are clustered by neighborhood in seven different cities in Africa,Asia, and Latin America. The analysis is based on data from eight different nationalhousehold surveys that used a two-stage sampling design (households within clusters).Spatial clustering was assessed using the intracluster correlation coefficient (r), whichmay be interpreted as the proportion of the total variance in a variable that is associatedwith the cluster to which it belongs. In general, per capita expenditures and the share ofthe household budget spent on food showed a high level of spatial clustering across theseven cities, but the magnitude of this clustering varied markedly from city to city.Spatial clustering in the provision of basic services also varied greatly. There wasconsistently little evidence of spatial clustering of infectious disease, childhood mortality,or the weight-based nutrition indicators. Age-standardized height, on the other hand,showed slightly more spatial clustering, with a median intracluster correlation ofr = 0.12. Some cities showed relatively higher levels of spatial clustering on severalmeasures of deprivation simultaneously, while other cities showed consistently lowerlevels of clustering. Many nutrition interventions are intrinsically geographicallytargeted. While geographical targeting tends to be administratively simpler thanindividual targeting and can be politically convenient, the current analysis suggests thatwhere nutrition interventions are focused on stunting (low height-for-age), targeting by neighborhood may often lead to unacceptably high rates of undercoverage and leakage ofbenefits to the nonneedy.

Subject(s): Food Consumption/Nutrition/Food Safety

Issue Date: 2000

Publication Type: Working or Discussion Paper

PURL Identifier: http://purl.umn.edu/16399

Total Pages: 44

Series Statement: FCND Discussion Paper 94

Record appears in: CGIAR > International Food Policy Research Institute (IFPRI) > FCND Discussion Papers





Author: Morris, Saul Sutkover

Source: http://ageconsearch.umn.edu/record/16399?ln=en



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