Political Economy, Capability Development, and Fundamental Cause: Integrating Perspectives on Child Health in Developing Countries

Authors

  • Rebekah Burroway Stony Brook University

DOI:

https://doi.org/10.5195/jwsr.2017.639

Keywords:

multi-level analysis, health inequalities, child malnutrition, child diarrhea, economic development, trade, sanitation, clean water, health care, education, household socioeconomic status

Abstract

Several dominant theoretical perspectives attempt to account for health disparities in developing countries, including political economy, the capability approach, and fundamental cause. This study combines the perspectives in a multi-level analysis of child malnutrition and diarrhea in order to gain a more comprehensive understanding of who faces increased health risks and who is shielded from them. Using the Demographic and Health Surveys and World Bank data, I estimate a series of models that predict the likelihood of child malnutrition and diarrhea, based on a set of country- and individual-level explanatory variables. Results suggest that at the individual-level, household wealth and maternal education are the most robust predictors of child health. These social factors are even more important than more proximate factors like clean water or sanitation. At the country-level, gross domestic product (GDP) per capita reduces malnutrition, but does not significantly affect incidence of diarrhea. Contrary to the predominant economic development paradigm, health care and education are more important in accounting for the prevalence of diarrhea than GDP. Finally, trade in and of itself is not harmful to well-being in developing countries. It is when countries become too dependent on one or a few commodities that trade starts to have detrimental costs. Thus, a synthesis of theoretical frameworks best illustrates the complex web of social structural factors that manifest as unequal life chances for children.

Author Biography

Rebekah Burroway, Stony Brook University

Assistant Professor, Sociology Department

References

Babones, Salvatore J. and Robin M. Farabee-Siers. 2012. “Indices of Trade Partner Concentration for 183 Countries, 1980-2008.” Journal of World-Systems Research 18(2): 266-277.

Beer, Linda and Terry Boswell. 2002. "The Resilience of Dependency Effects in Explaining Income Inequality in the Global Economy: A Cross-National Analysis, 1975-1995." Journal of World-Systems Research 8: 30-59.

Blumberg, Rae Lesser. 1995. Engendering Wealth and Well-Being. Boulder, CO: Westview.

Boermans, Martijn and Mark A. C. Kattenbert. 2011. “Estimating Reliability Coefficients with Heterogeneous Item Weightings Using Stata: A Factor Based Approach.” Tjalling C. Koopmans Institute Discussion Paper Series 11: 1-11.

Bollen, Kenneth A., Jennifer L. Glanville, and Guy Stecklov. 2001. "Socioeconomic Status and Class in Studies of Fertility and Health in Developing Countries." Annual Review of Sociology 27:153-185.

Brady, David, Yunus Kaya, and Jason Beckfield. 2007. "Reassessing the Effect of Economic Growth on Well-being in Less-developed Countries, 1980–2003." Studies in Comparative International Development 42:1-35.

Burns, Thomas J., Jeffrey D. Kentor, and Andrew Jorgenson. 2003. “Trade Dependence, Pollution and Infant Mortality in Less Developed Countries: A Study of World-System Influences on National Incomes.” In Emerging Issues in the 21st Century World-System: Crises and Resistance in the 21st Century World-System, ed. Wilma A. Dunaway, pp. 14-28. Westport, CT: Praeger Publishers.

Burroway, Rebekah. 2010. “Schools Against AIDS: Secondary School Enrollment and Cross-National Disparities in AIDS Death Rates.” Social Problems 57: 398-420.

Caldwell, J. C. 1979. "Education as a Factor in Mortality Decline An Examination of Nigerian Data." Population Studies 33:395-413.

Clark, Paul F., James B. Stewart, and Darlene A. Clark. 2006. “The Globalization of the Labour Market for Health-Care Professionals.” International Labour Review 145: 37–64.

Collier, Paul. 2007. The Bottom Billion: Why the Poorest Countries are Failing and What Can Be Done About It. Oxford: Oxford University Press.

de Casanova, Erynn Masi and Barbara Sutton. 2013. “Transnational Body Projects: Media Representations of Cosmetic Surgery Tourism in Argentina and the United States.” Journal of World-Systems Research 19(1): 57-81.

Dickinson, Katherine L., Heather F. Randell, Randall A. Kramer, and Elizabeth H. Shayo. 2012. “Socio-economic Status and Malaria-Related Outcomes in Mvomero District, Tanzania.” Global Public Health 7(4): 384-399.

Eloundou-Enyegue, Parfait and Anila Rehman. 2009. “Growing Up Global and Equal? Inequality Trends among World Children, 1980-2005.” Journal of Children and Poverty 15: 95-118.

Enders, Craig K. and Davood Tofighi. 2007. “Centering Predictor Variables in Cross-Sectional Multi-Level Models: A New Look at an Old Issue.” Psychological Methods 12: 121-138.

Evans, Peter B. 1997. “The Eclipse of the State? Reflections on Stateness in an Era of Globalization.” World Politics 50(1): 62-87.

Farmer, Brian R. 1999. The Question of Dependency and Economic Development: A Quantitative Analysis. New York: Lexington Books.

Firebaugh, Glenn and Frank D. Beck. 1994. "Does Economic Growth Benefit the Masses? Growth, Dependence, and Welfare in the Third World." American Sociological Review 59: 631-653.

Garrett, Laurie and Scott Rosenstein. 2005. “Missed Opportunities: Governance of Global Infectious Diseases.” Harvard International Review 27: 64-69.

Gilpin, Robert. 2001. Global Political Economy: Understanding the International Economic Order. Princeton: Princeton University Press.

Grimm, Michael, Kenneth Harttgen, Stephan Klasen, and Mark Misselhorn. 2008. “A Human Development Index by Income Groups.” World Development 36: 2527-2546.

Hagey, Jill. 2012. “Combating Malnutrition Mith More Than Income Growth.” Population Reference Bureau. Available at http://www.prb.org/Publications/Articles/2012/malnutrition-income.aspx.

Hagopian, Amy, Matthew J. Thompson, Meredith Fordyce, Karin E. Johnson, and L. Gary Hart. 2004. “The Migration of Physicians from Sub-Saharan Africa to the United States of America: Measures of the African Brain Drain.” Human Resources for Health 2. doi: 10.1186/1478-4491-2-17.

Hall, Stuart. 2011. “The Neoliberal Revolution.” Cultural Studies 25(6): 705-728.

Haque, M. Shamsul. 1999. “The Fate of Sustainable Development Under Neo-Liberal Regimes in Developing Countries.” International Political Science Review 20(2): 197-218.

Heaton, Tim B., Renata Forste, John P. Hoffmann, and Dallan Flake. 2005. "Cross-National Variation in Family Influences on Child Health." Social Science & Medicine 60:97-108.

Hertzman, Clyde and Arjumand Siddiqi. 2000. “Health and Rapid Economic Change in the Late Twentieth Century.” Social Science & Medicine 51:809–19.

Hirschman, Albert O. 1945. National Power and the Structure of Foreign Trade. Berkeley: University of California Press.

Jenkins, J. Craig and Stephen J. Scanlan. 2001. “Food Security in Less Developed Countries, 1970 to 1990.” American Sociological Review 66: 718-744.

Johnson, James A. and Carleen Stoskopf. 2010. “Comparative Global Challenges and Opportunities.” Pp. 403-414 in Comparative Health Systems: Global Perspectives, edited by James A. Johnson and Carleen Stoskopf. Sudbury, MA: Jones and Bartlette Publishers.

Kentor, Jeffrey and Terry Boswell. 2003. “Foreign Capital Dependence and Development: A New Direction.” American Sociological Review 68: April (301-313).

Link, Bruce G. and Jo C. Phelan. 1995. “Social Conditions as Fundamental Causes of Disease.” Journal of Health and Social Behavior Extra Issue: 80-94.

---. 2002. “McKeown and the Idea that Social Conditions are Fundamental Causes of Disease.” American Journal of Public Health 95: 730-732.

Macro. 2009. "Demographic and Health Surveys." ICF Macro. Available at http://www.measuredhs.com/.

McTavish, Sarah, Spencer Moore, Sam Harper, and John Lynch. 2010. “National Female Literacy, Individual Socio-Economic Status, and Maternal Health Care Use in Sub-Saharan Africa.” Social Science & Medicine 71: 1958-1963.

Montgomery, Mark, Michele Gragnolati, Kathleen Burke, and Edmundo Paredes. 2000. “Measuring Living Standards With Proxy Variables.” Demography 37(2):155–74

Nussbaum, Martha C. 2000. Women and Human Development: The Capabilities Approach. Cambridge: Cambridge University Press.

---. 2004. “Beyond the Social Contract: Capabilities and Global Justice.” Oxford Development Studies 32: 3-18.

Parashar, Umesh D., Christopher J. Gibson, Joseph S. Bresee, and Roger I. Glass. 2006. “Rotavirus and Severe Childhood Diarrhea.” Emerging Infectious Diseases 12: 304-306.

Parpart, Jane L., M. Patricia Connelly, and V. Eudine Barriteau, eds. 2000. Theoretical Perspectives on Gender and Development. Ottawa, ON: International Development Research Centre.

Phelan, Jo C., Bruce G. Link, Ana Diez-Roux, Ichiro Kawachi and Bruce Levin. 2004. “’Fundamental Causes’ of Social Inequalities in Mortality: A Test of the Theory.” Journal of Health and Social Behavior 45: 265-285.

Phelan, Jo C., Bruce G. Link, and Parisa Tehranifar. 2010. “Social Conditions as Fundamental Causes of Health Inequalities: Theory, Evidence, and Policy Implications.” Journal of Health and Social Behavior 51: S28-S40.

Preston, Samuel H. 1996. "Population Studies of Mortality." Population Studies 50:525-536.

Pritchett, Lant and Lawrence H. Summers. 1996. “Wealthier is Healthier.” The Journal of Human Resources 31: 841-868.

Ragin, Charles C. and York W. Bradshaw. 1992. “International Economic Dependence and Human Misery, 1938-1980: A Global Perspective.” Sociological Perspectives 35(2): 217-247.

Ramamurti, Ravi. 1992. “Why are Developing Countries Privatizing?” Journal of International Business Studies 23(2): 225-249.

Raudenbush, Stephen W. and Anthony S. Bryk. 2002. Hierarchical Linear Models: Applications and Data Analysis Methods, 2nd edition. Thousand Oaks, CA: Sage Publications.

Raudenbush, Stephen W., Anthony S. Bryk, Yuk Fai Cheong, and Richard Congdon. 2004. HLM 6: Hierarchical Linear and Nonlinear Modeling. Lincolnwood, IL: Scientific Software International.

Robeyns, Ingrid. 2000. “An Unworkable Idea or a Promising Alternative? Sen’s Capability Approach Re-Examined.” Center for Economic Studies Discussions Paper Series 00.30. Leuven: Belgium: Katholieke Universiteit Leuven.

---. 2005. “The Capability Approach: A Theoretical Survey.” Journal of Human Development and Capabilities 6: 93-117.

Roemer, John. 1996. Theories of Distributive Justice. Cambridge MA: Harvard University Press.

Sachs, Jeffrey D. 2005. The End of Poverty: Economic Possibilities for Our Time. New York: Penguin Press.

Saith, Ruhi. 2001. “Capabilities: The Concept and its Operationalisation.” Queen Elizabeth House Working Paper 66. Oxford: Oxford University.

Sen, Amartya. 1985. Commodities and Capabilities. Amsterdam: Elsevier.

---. 1999. Development as Freedom. New York: Anchor Books.

Shen, Ce and John B. Williamson. 2001. “Accounting for Cross-National Differences in Infant Mortality Decline (1965-1991) Among Less Developed Countries: Effects of Women’s Status, Economic Dependency, and State Strength.” Social Indicators Research 53: 257-288.

Slottje, Daniel J. 1991. “Measuring the Quality of Life across Countries.” Review of Economics and Statistics 73: 684-693.

Smith, Lisa C. and Lawrence Haddad. 2000. Explaining Child Malnutrition in Developing Countries: A Cross-Country Analysis. Washington, DC: International Food Policy Research Institute.

Sommerfelt, A. Elisabeth and M. Katherine Stewart. 1994. Children’s Nutritional Status: DHS Comparative Studies No. 12. Calverton, MD: Macro International.

Stratton, Leeanne, Marie S. O’Neill, Margaret E. Kruk, and Michelle L. Bell. 2008. “The Persistent Problem of Malaria: Addressing the Fundamental Causes of a Killer.” Social Science & Medicine 67: 854-862.

Sugden, Robert. 1993. “Welfare, Resources, and Capabilities: A Review of Inequality Reexamined by Amartya Sen.” Journal of Economic Literature XXXI: 1947-1962.

UNCTAD. 2016. UNCTADstat. Available at http://unctadstat.unctad.org/EN.

UNDP. 1990. Human Development Report 1990: Concept and Measurement of Human Development. Oxford: Oxford University Press.

UNICEF. 2014. State of the World's Children 2015: Reimagine the Future: Innovation for Every Child. New York: United Nations Children's Fund.

---. 2015. Levels and Trends in Child Malnutrition: UNICEF – WHO – The World Bank Joint Malnutrition Estimates. New York: United Nations Children’s Fund, World Health Organization, and World Bank Group.

Wallerstein, Immanuel. 2004. World-Systems Analysis: An Introduction. Durham: Duke University Press.

Whitehead, Margaret, Goran Dahlgren, and Timothy Evans. 2001. “Equity and Health Sector Reforms: Can Low-Income Countries Escape the Medical Poverty Trap?” The Lancet 358(9284): 833-836.

WHO and UNICEF. 2004. Meeting the MDG Drinking Water and Sanitation Target: A Mid-Term Assessment of Progress. Geneva, Switzerland: WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation.

WHO. 2006. WHO Child Growth Standards: Length/height-for-age, Weight-for-age, Weight-for-length, Weight-for-height and Body Mass Index-for-age: Methods and Development. Geneva, Switzerland: WHO Multicentre Growth Reference Study Group.

Wimberley, Dale W. 1990. “Investment Dependence and Alternative Explanations of Third World Mortality: A Cross-National Study.” American Sociological Review 55: 75-91.

Wimberly, Dale W. and Rosario Bello. 1992. “Effects of Foreign Investment, Exports, and Economic Growth on Third World Food Consumption.” Social Forces 70: 895-921.

World Bank. 2003. “Water, Sanitation & Hygiene.” Available at http://siteresources.worldbank.org/INTPHAAG/Resources/AAGWatSan11-03.pdf.

---. 2010. World Development Indicators. Available at http://databank.worldbank.org/data.

---. 2014. Nigeria Economic Report. Washington, DC: World Bank Group.

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Published

2017-02-28

How to Cite

Burroway, R. (2017). Political Economy, Capability Development, and Fundamental Cause: Integrating Perspectives on Child Health in Developing Countries. Journal of World-Systems Research, 23(1), 62–92. https://doi.org/10.5195/jwsr.2017.639

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Research Articles