Abstract

The objective of this study is to investigate the impact of economic and social factors on child mortality in South Asian countries. Economic factors consist of economic growth, private and public health expenditures while social factors are comprised of access to improved water sources, access to improved sanitation facilities, and environmental quality. This study collected the data from World Development Indicators (WDI) over the period of 1967-2016. This study utilized Johnson co-integration test to investigate the long run co-integration. The study found that long-run co-integration exits among the modeled variables. The results of long-run co-integration recommend that Auto Regressive Distributive Lag (ARDL) is appropriate to examine the short-run relationship among the modeled variables. The study found that access to improve water and sanitation facilities, environmental quality, total health expenditure, and economic growth significantly and negatively affect child survival. Moreover, the study has also investigated private and public health expenditure on child mortality separately and found that the size of the impact of public health expenditure is greater than private health expenditure. This study guides the policy makers and international agencies that in order to meet the required rate of child mortality they should invest more in the health sector and should provide clean water, sanitation facilities to its residents. Moreover, the study recommends that the government should revise environmental policies to lower the child mortality rate.

Highlights

  • Seven million children under the age of five years are dying every year in the world and more than 30% burden of these child deaths are concentrated in South Asia

  • This study used Leven Lin & Chu (LLC) (Levin, Lin et al 2002) and Im Pesaran and Shin (IPS) panel unit root test to check the order of integration in modeled variables

  • Socio-economic variables are proximate factors that affect the health of a community overall and have a high influence on morbidity and child mortality level

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Summary

Introduction

Seven million children under the age of five years are dying every year in the world and more than 30% burden of these child deaths are concentrated in South Asia. The nine countries of South Asian are trying to reduce child mortality rate since 1990, still they are too far from the targeted level. It has been noted that 10 million children under five year age are still dying every year (Black et al, 2010) and the burden of these child deaths is increasingly concentrated in poor resourced nations and explicitly in South Asian countries (Boyle, Barnes, Buchman, & Bennett, 2009). The global target is to reduce newborn mortality to 12 per 1000 live birth in South Asian countries by 2030

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