The intergenerational effect of tuition-free lower-secondary education on children's nutritional outcomes in Africa

ABSTRACTOne in five child deaths under age 5 are a result of severe wasting. Malnutrition at early ages is linked to lifelong consequences, such as reduced cognitive skills, reduced earnings in adulthood and chronic health conditions. Countries worldwide have committed to addressing child undernutri...

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Main Authors: Alfredo Martin (Author), Aleta Sprague (Author), Amy Raub (Author), Bijetri Bose (Author), Pragya Bhuwania (Author), Rachel Kidman (Author), Arijit Nandi (Author), Jere Behrman (Author), Jody Heymann (Author)
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Published: Taylor & Francis Group, 2024-12-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Alfredo Martin  |e author 
700 1 0 |a Aleta Sprague  |e author 
700 1 0 |a Amy Raub  |e author 
700 1 0 |a Bijetri Bose  |e author 
700 1 0 |a Pragya Bhuwania  |e author 
700 1 0 |a Rachel Kidman  |e author 
700 1 0 |a Arijit Nandi  |e author 
700 1 0 |a Jere Behrman  |e author 
700 1 0 |a Jody Heymann  |e author 
245 0 0 |a The intergenerational effect of tuition-free lower-secondary education on children's nutritional outcomes in Africa 
260 |b Taylor & Francis Group,   |c 2024-12-01T00:00:00Z. 
500 |a 10.1080/17441692.2023.2291703 
500 |a 1744-1706 
500 |a 1744-1692 
520 |a ABSTRACTOne in five child deaths under age 5 are a result of severe wasting. Malnutrition at early ages is linked to lifelong consequences, such as reduced cognitive skills, reduced earnings in adulthood and chronic health conditions. Countries worldwide have committed to addressing child undernutrition, and ending hunger is foundational to the Millennium Development Goals. In this paper, we study the intergenerational effect of providing free tuition in secondary school on future children's nutrition. We combined a novel longitudinal dataset that captures educational policies for 40 African countries from 1990 to 2019 with the Demographic and Health Survey (DHS). We identified three countries that introduced free secondary education several years after implementing free primary education. Exploiting this variation in timing we estimate the additional impact of providing free secondary education over free primary education. Using a difference-in-difference approach, we find that introducing free secondary education significantly reduced wasting. Cohorts exposed to free secondary had an 18% relative decrease in wasting. The impact on cohorts exposed only to free primary was smaller and not statistically significant. Expanding free secondary education has long-term, intergenerational benefits and is an effective path to reducing malnutrition. Results are robust to different specifications. 
546 |a EN 
690 |a Secondary education 
690 |a free tuition 
690 |a children's nutrition 
690 |a Africa 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Global Public Health, Vol 19, Iss 1 (2024) 
787 0 |n https://www.tandfonline.com/doi/10.1080/17441692.2023.2291703 
787 0 |n https://doaj.org/toc/1744-1692 
787 0 |n https://doaj.org/toc/1744-1706 
856 4 1 |u https://doaj.org/article/8d80767a249542dda1737e0cac33e55d  |z Connect to this object online.