Does Debt Relief Improve Child Health? : Evidence from Cross-Country Micro Data

This paper analyzes the effects of a multilateral debt relief program on child health. The International Monetary Fund and the World Bank launched the Heavily Indebted Poor Countries Initiative in the late 1990s to reduce the debt burdens of poor c...

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Main Author: Welander, Anna
Format: Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2016
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2016/10/26884745/debt-relief-improve-child-health-evidence-cross-country-micro-data
http://hdl.handle.net/10986/25316
id okr-10986-25316
recordtype oai_dc
spelling okr-10986-253162021-04-23T14:04:29Z Does Debt Relief Improve Child Health? : Evidence from Cross-Country Micro Data Welander, Anna debt relief Heavily-Indebted Poor Countries HIPC Initiative child health health surveys demographic surveys infant mortality This paper analyzes the effects of a multilateral debt relief program on child health. The International Monetary Fund and the World Bank launched the Heavily Indebted Poor Countries Initiative in the late 1990s to reduce the debt burdens of poor countries, and explicitly linked the initiative to the aim of poverty reduction and social targets. As a result, debt-servicing costs have gone down by an average 1.8 percentage points of gross domestic product in Heavily Indebted Poor Countries. However, the social effects of debt relief are not well known. The paper employs micro data on infant mortality from 56 country-specific Demographic and Health Surveys to investigate the effects of the Heavily Indebted Poor Countries Initiative on child health. The retrospective fertility structure of the data allows for analysis using the within-mother variation in the probability of survival of babies before and after different stages of the initiative. The results suggest that after a debt-ridden country enters the program, which is conditional on reform and pro-development policies, and receives interim debt relief, the probability of infant mortality goes down by about 0.5 percentage point. This translates into about 3,000 fewer infant deaths in an average Heavily Indebted Poor Country. The findings are particularly strong for infants born to poor mothers and mothers living in rural areas, and are driven by access to vaccines early in life and during pregnancy. There are no child health effects from graduating from the program and receiving full debt relief. 2016-11-01T19:35:05Z 2016-11-01T19:35:05Z 2016-10 Working Paper http://documents.worldbank.org/curated/en/2016/10/26884745/debt-relief-improve-child-health-evidence-cross-country-micro-data http://hdl.handle.net/10986/25316 English en_US Policy Research Working Paper;No. 7872 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Policy Research Working Paper
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic debt relief
Heavily-Indebted Poor Countries
HIPC Initiative
child health
health surveys
demographic surveys
infant mortality
spellingShingle debt relief
Heavily-Indebted Poor Countries
HIPC Initiative
child health
health surveys
demographic surveys
infant mortality
Welander, Anna
Does Debt Relief Improve Child Health? : Evidence from Cross-Country Micro Data
relation Policy Research Working Paper;No. 7872
description This paper analyzes the effects of a multilateral debt relief program on child health. The International Monetary Fund and the World Bank launched the Heavily Indebted Poor Countries Initiative in the late 1990s to reduce the debt burdens of poor countries, and explicitly linked the initiative to the aim of poverty reduction and social targets. As a result, debt-servicing costs have gone down by an average 1.8 percentage points of gross domestic product in Heavily Indebted Poor Countries. However, the social effects of debt relief are not well known. The paper employs micro data on infant mortality from 56 country-specific Demographic and Health Surveys to investigate the effects of the Heavily Indebted Poor Countries Initiative on child health. The retrospective fertility structure of the data allows for analysis using the within-mother variation in the probability of survival of babies before and after different stages of the initiative. The results suggest that after a debt-ridden country enters the program, which is conditional on reform and pro-development policies, and receives interim debt relief, the probability of infant mortality goes down by about 0.5 percentage point. This translates into about 3,000 fewer infant deaths in an average Heavily Indebted Poor Country. The findings are particularly strong for infants born to poor mothers and mothers living in rural areas, and are driven by access to vaccines early in life and during pregnancy. There are no child health effects from graduating from the program and receiving full debt relief.
format Working Paper
author Welander, Anna
author_facet Welander, Anna
author_sort Welander, Anna
title Does Debt Relief Improve Child Health? : Evidence from Cross-Country Micro Data
title_short Does Debt Relief Improve Child Health? : Evidence from Cross-Country Micro Data
title_full Does Debt Relief Improve Child Health? : Evidence from Cross-Country Micro Data
title_fullStr Does Debt Relief Improve Child Health? : Evidence from Cross-Country Micro Data
title_full_unstemmed Does Debt Relief Improve Child Health? : Evidence from Cross-Country Micro Data
title_sort does debt relief improve child health? : evidence from cross-country micro data
publisher World Bank, Washington, DC
publishDate 2016
url http://documents.worldbank.org/curated/en/2016/10/26884745/debt-relief-improve-child-health-evidence-cross-country-micro-data
http://hdl.handle.net/10986/25316
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