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This three-paper dissertation examines the social determinants of early childhood and in-utero health. The first chapter examines the impact of early childhood stunting on educational outcome in Tanzania. Using the extent of third-trimester overlap with the Tanzania hunger season to create an exogenous variation in stunting, I find that a one standard deviation stunting decreases educational achievement by .88 school years compared to a child's siblings. A placebo group not affected by the hunger season is used to confirm that in-utero nutrition deprivation is the cause of the education differences. The second paper utilizes the food price shocks and price increases to examine the impact of nutritional sufficiency on child development in four sub-Saharan countries. I find adverse effects of third-trimester and early-childhood exposure to food price increases, but get inconsistent results on infancy that requires additional research. The final paper uses an instrumental variable method to determine the impact of public health spending on infant mortality in India. The results imply that a one percent of state-level GDP increase in public health prevents seven children deaths for every 1,000 live births. Together the three papers highlight the possible role investments in early childhood health could have in increasing human capabilities and well-being.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
First published in 1998, this volume examines how women in general and how the socio-economic and cultural factors affect the health and nutritional status of the mother, reproductive status, utilisation of health services, awareness of health services, health care behaviour, cultural practices associated with childbirth, lactation and more.
Social justice is a matter of life and death. It affects the way people live, their consequent chance of illness, and their risk of premature death. We watch in wonder as life expectancy and good health continue to increase in parts of the world and in alarm as they fail to improve in others.
This is a book about the dai, or traditional birth practitioner, and her place in the emerging therapeutic domain in colonial and contemporary India. The book employs a caste-informed feminist reading of the colonial archive against the grain and explores papers by Englishwomen physicians, texts of indigenous medicine and practitioner accounts, administrative documents, public commentaries, and legislative assembly debates from the 19th and early 20th centuries. It also examines contemporary healthcare policy discourse. Using these methodologies, the author traces the production of the dai as an unsanitary, unskilled indigenous figure in colonial and nationalist accounts. The book goes on to examine the workings of gender and caste in the setting up of this figure, at first for containment and then for removal from institutionalized healthcare – an exercise that is more or less completed in the present. The author argues that this exercise is part of the refashioning of the indigenous, and of indigenous medicine, throughout this period, into a highly codified domain that centres caste privilege and is supported by global capital networks. In such a refashioning, the dai figure is rendered remote not only from the centre of the healthcare apparatus but also from the centre of the contemporary nation. This genealogical tracing of indigenous medicine in Indian contexts, rather than separate histories, is also useful to understand better what is termed the healthcare assemblage today, and this book provides a ground on which this can be done.
Explores the place of labor in children's lives and child development. By incorporating recent theoretical advances in childhood studies and in child development, the authors argue for the need to re-think assumptions that underlie current policies on child labor. Proposes a new approach to promote the well-being, development, and human rights of working children. From publisher description.