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dc.contributor.authorDaoud, A
dc.contributor.authorNosrati, E
dc.contributor.authorReinsberg, B
dc.contributor.authorKentikelenis, AE
dc.contributor.authorStubbs, TH
dc.contributor.authorKing, LP
dc.date.accessioned2017-08-15T15:10:40Z
dc.date.available2017-08-15T15:10:40Z
dc.date.issued2017-06-20
dc.identifier.issn0027-8424
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/266428
dc.description.abstractParental education is located at the center of global efforts to improve child health. In a developing-country context, the International Monetary Fund (IMF) plays a crucial role in determining how governments allocate scarce resources to education and public health interventions. Under reforms mandated by IMF structural adjustment programs, it may become harder for parents to reap the benefits of their education due to wage contraction, welfare retrenchment, and generalized social insecurity. This study assesses how the protective effect of education changes under IMF programs, and thus how parents' ability to guard their children's health is affected by structural adjustment. We combine cross-sectional stratified data (countries, 67; children, 1,941,734) from the Demographic and Health Surveys and the Multiple Indicator Cluster Surveys. The sample represents ∼2.8 billion (about 50%) of the world's population in year 2000. Based on multilevel models, our findings reveal that programs reduce the protective effect of parental education on child health, especially in rural areas. For instance, in the absence of IMF programs, living in an household with educated parents reduces the odds of child malnourishment by 38% [odds ratio (OR), 0.62; 95% CI, 0.66-0.58]; in the presence of programs, this drops to 21% (OR, 0.79; 95% CI, 0.86-0.74). In other words, the presence of IMF conditionality decreases the protective effect of parents' education on child malnourishment by no less than 17%. We observe similar adverse effects in sanitation, shelter, and health care access (including immunization), but a beneficial effect in countering water deprivation.
dc.languageeng
dc.language.isoen
dc.publisherNational Academy of Sciences
dc.subjectInternational Monetary Fund
dc.subjectchild health
dc.subjectdevelopment
dc.subjecteducation
dc.subjectstructural adjustment
dc.titleImpact of International Monetary Fund programs on child health
dc.typeArticle
prism.endingPage6497
prism.issueIdentifier25
prism.publicationDate2017
prism.publicationNameProceedings of the National Academy of Sciences of the United States of America
prism.startingPage6492
prism.volume114
dc.identifier.doi10.17863/CAM.12625
dcterms.dateAccepted2017-04-14
rioxxterms.versionofrecord10.1073/pnas.1617353114
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2017-06-20
dc.identifier.eissn1091-6490
rioxxterms.typeJournal Article/Review
cam.issuedOnline2017-05-15
rioxxterms.freetoread.startdate2017-11-15


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