School Attainment Research Articles

Cohort at risk: long-term consequences of conflict for child school achievement

We investigate the long-term effects of households’ exposure to violent conflict on children’s educational attainment in primary school, studying cognitive and non-cognitive skills as possible causal channels. Our identification strategy exploits the locality-level variation in the intensity of the Israeli-Palestinian conflict in the West Bank during the Second Intifada (2000–2005). We show that an increase in family experience of conflict has large negative long-term effects on the educational attainment of children as measured by grade point averages. We find that non-cognitive rather than cognitive skills are the channels through which exposure affects children’s educational achievement.

Girls’ schooling and women’s literacy: schooling targets alone won’t reach learning goals

Using the Demographic and Health Survey (DHS) data on the ability of women at various levels of schooling attainment to read a simple sentence, we show that reaching universal completion of grade six among girls would not bring the world anywhere close to the goal of universal female literacy. These calculations are based on the empirical relationship between grades completed and ability to read, a descriptive ‘learning profile.’ The large literature on schooling and life outcomes suggests simple correlations are a reasonable guide to causal effects, and the typical concern is over-estimation of the true return to schooling – implying our calculations using a descriptive and not causal learning profile are a best-case scenario. This best case is often not at all good: the learning profile is so weak in Nigeria that even if all women had completed grade six, adult female illiteracy would only have fallen from 58 percent to 53 percent. In contrast, children in many other countries do learn to read in much higher numbers and enrolling out-of-school girls would dramatically reduce illiteracy. For instance, in Ethiopia the same calculations yield a reduction in illiteracy from 82 to 25 percent. But across nearly fifty developing countries with available data our calculations suggest 40 percent of women would be illiterate even if all women completed at least grade six. Achieving new Sustainable Development Goal targets of universal literacy and numeracy will require both achievement of universal schooling and dramatic improvements in the learning profile in most developing countries.

Mamelodi Pre-University Academy

The University of Pretoria adopted an anchor institution strategy and designated the Mamelodi Campus as a Faculty with a focus on community engagement with the primary goal of broadening educational pathways to post-secondary school attainment. This paper provides an overview of how two strategic goals of the University namely, widening access and success and strengthening social responsiveness have manifested over a decade through designating STEM access programmes to a campus located in the impoverished township, Mamelodi. The anchor mission entails improvement of the access programmes through incorporating the student voice, as well the improvement of After-School Programmes (ASPs) by formalizing a Pre-University Academy (PUA). The PUA is a signature academic programme geared towards fostering articulation between the high school initiatives, access programmes and the mainstream programmes to ensure a seamless transition from secondary school to graduation. The paper provides lessons drawn from the provision of the programmes which resulted in “forward and backward” articulation to close the school-university gap while addressing systemic educational problems left by the legacy of apartheid. The paper further elaborates on the process followed to cement the anchor mission through the PUA as well as make recommendations to strengthen anchor institution strategy efforts in similar contexts.

Impacts on school entry of exposure since birth to a conditional cash transfer programme in El Salvador

ABSTRACT Conditional Cash Transfer (CCT) programmes are important anti-poverty programmes. There is relatively little evidence, however, of ongoing effectiveness several years after they have begun. Such evidence is particularly relevant for policymakers because programme effects may become larger or smaller over time. We analyse whether children exposed since birth to a CCT in El Salvador have better schooling outcomes at initial school ages. The results demonstrate that exposure significantly increased school enrolment and attainment for five-year-olds in preschool. The pattern of impacts suggests continued programme exposure might be improving primary school readiness or shifting norms around child investment.

Creation of the gender-equitable school index for secondary schools using principal components analysis

BackgroundHigher schooling attainment for girls is associated with improved maternal and child health outcomes. In low- and middle-income countries, girls drop out of school at higher rates than boys beginning in early adolescence due to factors such as son preference and lack of access to menstrual supplies.MethodsUsing principal components analysis, we created a gender-equitable school (GES) index with data from 159 secondary schools in Nepal to measure school-level factors that may influence girls' secondary school pass rates.ResultsA component describing girls’ safety and hygiene was positively associated with school-wide pass rates for girls, and to a lesser degree for boys.ConclusionsThe GES index has diagnostic and programmatic utility in programs aimed at supporting girls’ education and health.

Abstract B010: Association of cancer survivors' sociodemographic characteristics with survivorship care patterns

Abstract Cancer survivors may have unique medical care needs due to chronic/late-occurring effects of cancer or cancer treatment. “Shared care,” which involves delivery of components of survivorship care by both oncologists and primary care providers (PCPs), may lead to increased coordination of care and may better address survivors' needs. However, little is known regarding potential disparities in receipt of shared care among cancer survivors. We examined associations between cancer survivors' sociodemographic characteristics and their receipt of shared care. SEER-CAHPS data, linking NCI's Surveillance, Epidemiology, and End Results (SEER) registry data, Medicare claims, and Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey responses, were used. Individuals age >65 years at diagnosis in 2000-2011 SEER-CAHPS with breast, cervical, colorectal, lung, renal, or prostate cancers or hematologic malignancies who responded to a Medicare CAHPS survey >18 months after diagnosis were included. Individuals were classified in four mutually exclusive survivorship care patterns: Shared Care, Oncologist-led, PCP-led, or Other survivorship care, based on the proportions of their oncologist, PCP, and other physician encounters in Medicare claims data. Differences in survivorship care pattern by sex, age, education, race/ethnicity, and dual Medicare-Medicaid status were examined. Among the 10,132 survivors included in the study, 15.1%, 10.0%, 32.7%, and 42.2% received Shared Care, Oncologist-led, PCP-led, and Other care patterns, respectively. Compared with survivors in Shared Care, significantly greater proportions of those in the PCP-led pattern were over age 85 (24% PCP-led vs. 16% Shared Care), female (55% PCP-led vs. 44% Shared Care), and had high school or less educational attainment (52% PCP-led vs. 46% Shared Care). A significantly smaller proportion of survivors in the Oncologist-led pattern were older than age 85 (12% Oncologist-led vs. 16% Shared Care). Significantly more of those in the Other survivorship care pattern compared with Shared Care were older than age 85 (21% Other vs. 16% Shared Care) and non-Hispanic White (87% Other vs. 81% Shared Care), and fewer survivors in the Other care pattern had high school or less educational attainment (42% Other vs. 46% Shared Care). Overall, we found few significant and consistent associations between sociodemographic characteristics and receipt of Shared Care among cancer survivors in the SEER-CAHPS data set. However, these characteristics may influence type of survivorship care pattern received. Further research is needed to examine the role of patient characteristics in receiving different survivorship care patterns. Citation Format: Michael T. Halpern, Julia Cohen, Lisa M. Lines, Michelle A. Mollica, Erin E. Kent. Association of cancer survivors' sociodemographic characteristics with survivorship care patterns [abstract]. In: Proceedings of the Eleventh AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2018 Nov 2-5; New Orleans, LA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl):Abstract nr B010.

2282-PUB: Impact of Demographic and Socioeconomic Factors on Glycemic Control

Objective: Evaluate the impact of demographic and socio-economic factors on diabetic control (Hba1c) among patients in an outpatient setting. Methods: A prospective study from January 2015 to May 2017 involving 211 patients with diabetes mellitus managed at an outpatient endocrinology clinic. Serial measurements of HbA1c were collected at baseline, 3 and 6 months. HbA1c was treated as a continuous variable and presented as mean ± standard deviation. Baseline HbA1c level was compared among dichotomized socio-economic variables (married vs. not married; employed vs. unemployed; health literacy (using the REALM survey) and educational level using t-test. A multivariable linear regression model was used to examine the association between Hb1Ac control and patient demographic and socio-economic characteristics. Results: Among study participants, 96% were African American, 63.5% female, with mean age of 53 ± 14.7) and baseline mean Hb1Ac of 8.80 ± 2.30. In univariate analysis, higher baseline Hb1Ac was observed in patients with REALM score below 7 vs. above 7, (9.30%±2.36 vs. 8.49% ± 2.27, p-value = 0.01), unemployed vs. unemployed (9.17%± 2.46 vs. 8.56%± 2.23, p-value = 0.08), and high school or lower vs. college and above (9.08% ± 2.36 vs. 8.7%± 2.28, p-value = 0.10). Single and divorced patients had higher baseline HbA1C (8.94 ± 2.4 and 8.90 ± 2.4 respectively) compared to their married counterpart (8.65%±2.4)Adjusting for baseline Hb1Ac level, gender, race marital status, employment status and educational level, multivariable regression analysis showed that higher educational level was significantly associated with change in HbA1c values. Patients with college education and above showed significant reduction in HbA1C (regression coefficient -0.75, 95% CI -1.27 to -0.230, p=0.005) compared to those with high school attainment and lower. Conclusion: In this prospective study involving predominantly African Americans, higher educational attainment was independently associated with better glycemic control. Disclosure K.M. Folawewo: None. M.U. Hodge: None. G. Nunlee-Bland: None. N. Osman: None. A. Zenebe: None. W. Odonkor: None. V. Ganta: None. R. Ogunti: None.

Nutrition, Adult Cognitive Skills, and Productivity: Results and Influence of the INCAP Longitudinal Study.

This article summarizes research based on the INCAP Longitudinal Study that demonstrates the positive effects of the atole intervention on prime-age adult cognitive skills and productivities. The findings are interpreted in the context of a life-cycle stages model in which various factors and investments at each stage of life influence outcomes not only in that stage but in subsequent ones. The results point to the likely importance of improvements in adult cognitive skills due to better early-life nutrition on adult male labor market outcomes as well as on women's "home productivity" in terms of anthropometrics for the next generation. Possible mechanisms are also explored, including the impacts of early-life exposure to atole on children's height when starting school, on grades of schooling attainment, and on the extent of experience with higher-skilled jobs, as well as the impacts of improved cognitive skills on wages. Not only are investments in early-life nutrition important for immediate welfare but also they have significant productivity payoffs in adulthood.

Home-to- School Connection: Literacy Practices of a Teenager Living in Tourist Area

The view of literacy as a social practice has changed the view of researchers to study not only the activities in formal setting but also beyond the school walls (Hull and Schultz, 2002; Street, 2003). This paper aims to shed light how foreign literacy practices in out-of-school context, particularly in tourist areas, may potentially contribute to the students’ literacy ability in the formal context. This ethnographic research was conducted over a two-week period which situated in tourist destination areas, namely Gapang, in the municipality of Sabang, Indonesia. The input data comes mainly from participant observation, audio recordings, interviews and field notes to examine the linkages between outside literacy and school attainment. The findings suggest that there was a linkage between the literacy practices outside and inside school for participant. Eventually, this study will be a beneficial input for teachers, parents and researchers, in the future study, to take into account the learning experiences available in both settings and integrate them into fruitful literacy learning at school.

Sleep problems in adolescents with CFS: A case-control study nested within a prospective clinical cohort.

Sleep problems have a negative impact on a range of outcomes and are very common in adolescents with chronic fatigue syndrome (CFS). We aimed to (a) establish whether adolescents with CFS have more self-reported sleep problems than illness controls as well as healthy controls, (b) investigate changes in sleep problems and (c) explore the extent to which sleep problems at baseline predict fatigue and functioning at follow-up in adolescents with CFS. The Insomnia Scale was completed by 121 adolescents with CFS, 78 healthy adolescents and 27 adolescents with asthma. Eighty (66%) treatment-naïve adolescents with CFS completed questionnaires approximately 3 months later. Adolescents with CFS reported increased sleep problems compared to healthy controls and adolescents with asthma. In CFS, there was no significant change in sleep problems without treatment over a 3-month follow-up. Sleep problems at baseline predicted a significant proportion of the variance in sleep problems at follow-up. Sleep problems should be targeted in treatment. Regulating the ‘body clock’ via the regulation of sleep could influence outcomes not assessed in this study such as school attainment.

Definitions of unfavorable surgical outcomes and their risk factors based on disability score after spine surgery for lumbar spinal stenosis

BackgroundRisk factors for unfavorable surgical outcomes are dependent on the definitions of the unfavorable surgical outcomes. The aims of this study were to compare risk factors for each unfavorable surgical outcome according to two different definitions of “unfavorable” surgical outcomes after surgery for lumbar spinal stenosis (LSS) as well as compare the clinical course from the preoperative period to 3 years postoperatively between cases with favorable and unfavorable outcomes according to the two different definitions.MethodsOverall, 295 patients who underwent spine surgery for LSS and a follow-up evaluation at 3 years postoperatively were enrolled and divided into favorable and unfavorable groups, based on two different definitions for unfavorable surgical outcomes, as evaluated at 12 months postoperatively: the patient-reported outcome (PRO) and minimal clinically important difference (MCID) methods. In the PRO method, patients with a postoperative Oswestry Disability Index (ODI) score > 22 were considered as having an “unfavorable” outcome, whereas in the MCID method, those with a postoperative ODI score that changed < 12.8 points from the preoperative value were classified as having an “unfavorable” outcome. As a primary outcome, risk factors for unfavorable surgical outcomes according to each definition were investigated at 12 months postoperatively.ResultsIn the PRO method, female sex (P = 0.011; odds ratio (OR): 2.340), elementary school attainment (vs. university attainment; P = 0.035; OR: 2.875), and higher preoperative ODI score (P = 0.028; OR: 2.340) were associated with higher odds for an unfavorable surgical outcome. In the MCID method, a higher preoperative ODI score was associated with higher odds (P < 0.001; OR: 0.920) of a favorable surgical outcome. In the PRO method, the favorable outcome group demonstrated significantly lower visual analog scale for back and leg pain and lower ODI scores than the unfavorable outcome group at 3 years postoperatively, whereas in the MCID method, clinical outcomes were not different between the two groups at 3 years postoperatively.ConclusionA higher preoperative ODI score may be a risk factor for postoperative ODI > 22 after surgery for LSS. It may also be associated with higher odds for improvements in the ODI score of > 12.8.

The Long-Term Effects of Universal Primary Education: Evidence from Ethiopia, Malawi, and Uganda

This article investigates the rollout of universal primary education (UPE) policies in Ethiopia, Malawi, and Uganda to assess their long-term causal effects on schooling attainment. Consequently, we employ a fuzzy regression discontinuity design (RDD) to assess the effect that increased schooling helps lower adolescent sexual activity, marriage, and births, as well as adult labor force activity among women. Our findings show that the UPE policies were effective in increasing educational attainment across all three countries between 0.6 and 1.5 years of completed schooling. Additionally, we show that increased schooling induced by UPE had lowered sexual activity, child birth, and marriage rates during adolescence. We find that the effects of schooling do not significantly improve labor force participation and employment.

El efecto de las actividades de tiempo libre y del engagement escolar sobre el rendimiento académico de las personas jóvenes

El presente artículo trata de averiguar las relaciones que se establecen entre el origen social, las actividades de tiempo libre, el rendimiento académico y el engagement escolar del alumnado. El principal objetivo de esta investigación es analizar si las actividades de tiempo libre y el engagement escolar pueden compensar el efecto del origen social sobre el rendimiento académico. La investigación utiliza una muestra de 2.056 jóvenes de 27 centros diferentes de la ciudad de Barcelona y analiza los datos a través de un modelo de ecuaciones estructurales. Los resultados muestran que las actividades de relación y de pantalla están asociadas a un incremento del logro escolar, y las actividades deportivas y culturales a un aumento del engagement emocional y cognitivo. Las actividades culturales también se asocian a un mejor engagement conductual, un tipo de engagement que tiene un efecto positivo sobre el logro escolar y que puede mediar el efecto de sexo y de origen inmigrante sobre el rendimiento académico.

Does a dance-based physical education (DBPE) intervention improve year 4 pupils’ reading comprehension attainment? Results from a pilot study in England

ABSTRACT There is consensus on the need for new interventions which enhance reading attainment in English schools. In this study, we examine the effects of a Dance-Based Physical Education (DBPE) intervention on reading comprehension (RC). The study employed a mixed-methodology: combining a pre-post test quasi-experimental research design (intervention, n = 24; control n = 18) with process evaluation (follow-up) focus groups. Participants were two Year 4 primary school classes in the Midlands in England. The intervention group participated in eight DBPE lessons, while the control group participated in regular PE. RC was assessed with reading assessment tests. Linear mixed model results indicated that RC increased in the DBPE group (when compared with control). The moderate-sized effect was deemed both substantial and robust. Findings from the process evaluation indicate that most pupils enjoyed participating in the DBPE intervention; and many could identify both dance and reading-related learning outcomes. Overall, the findings suggest that the tailored integration of dance and reading within PE can bring about meaningful gains in RC. Further, larger-scale research is needed to examine the scaled-up potential of such an initiative.

Determinants of School Attainment of Boys and Girls In Turkey

This study investigates the determinants of school attainments of boys and girls in Turkey. Although high levels of enrollment have been achieved at the primary school level for both boys and girls in much of Turkey, substantial regional differences remain. In particular, in the Southeastern region, girls begin to drop out of school around the third grade. Only half of the primary school graduates register at the middle level. Thus, the purpose of this study is to examine the determinants of educational attainments at the primary, middle and high school levels. Attainments of boys and girls are examined separately so as to shed light on the cause for the significantly lower level of attainment for girls. Understanding the constraints causing the large gender gap in Turkish education and the covariates related to lower overall educational levels would be useful to policy makers and planners.

Gender-Based Violence and Femicide in Ecuador: A Cross-Sectional Study of Population Mortality Estimates from 2001-2017

Background: Gender-based violence is a major public health concern arising from the structural discrimination of women and girls. In 2014, Ecuador criminalized acts of femicide in response to a growing crisis across the region. As no epidemiological studies on the state of femicides have been published, we estimated trends occurring between 2001 and 2017. Methods: Using data from the National Institute of Census and Statistics we estimated the annual mortality rates, cumulative incidence and relative risks for female homicides, from 2001 – 2017. The impact of aggressions, assaults and violence on years of life lost due to premature mortality was estimated using the Human Capital method. Findings: Over the period, at least 3,236 cases of female homicides were reported. The highest murder rate occurred in the province of Sucumbios (6·5 per 100,000) and in the Putumayo canton (12·5 per 100,000). The most common way to murder their victims was using firearms (38%). The highest relative risk was estimated for women aged between 25-29, at 4·5 (3·9 – 5·1), of primary school attainment at 17·2 (14·6 - 20·3) and of Afro-Ecuadoran descent 18·1 (10·5- 30·9). Femicide-related costs reached, on average, $35 million per year and more than $500 million lost from 2001 to 2017. Interpretation: The high rates, distribution and cost indicate that investments are urgently needed to address the structural causes and reduce the impact of femicides in Ecuador; thereby protecting the livelihood and well-being of their women and girls. Funding Statement: This work was funded by the Universidad de Las Americas Declaration of Interests: The authors declare no competing interests. Ethics Approval Statement: The current epidemiological study included ecological data from all reported cases of femicide, homicides and crime related deaths in Ecuador. This analysis did not contain access to any source of identifiable information. The entire dataset is anonymized and is publicly available in the following website https://www.ecuadorencifras.gob.ec/nacimientos_y_defunciones/. According to the international good clinical and research practice and in accordance with Ecuadorian legislation on clinical investigation involving humans, ethical approval by a local or international institutional review board (IRB) is not required.

The Association Between Education and Smoking Prevalence, Independent of Occupation: A Nationally Representative Survey in Japan.

BackgroundHigher smoking prevalence in less educated persons and manual workers is well known. This study examines the independent relationship of education and occupation with tobacco use.MethodsWe used anonymized data from a nationwide population survey (30,617 men and 33,934 women). Education was divided into junior high school, high school, or university attainment. Occupation was grouped into upper non-manual, lower non-manual, and manual. Poisson regression models stratified by age and gender were used to estimate adjusted prevalence ratio (PR) and 95% confidence interval (CI) for current smoking.ResultsAfter adjustment for covariates, education, and occupation, education was significantly related to current smoking in both genders; compared to university graduates, PRs of junior high school graduates aged 20–39, 40–64, and ≥65 were 1.74 (95% CI, 1.53–1.98), 1.50 (95% CI, 1.36–1.65), and 1.28 (95% CI, 1.08–1.50) among men, and 3.54 (95% CI, 2.92–4.30), 2.72 (95% CI, 2.29–3.23), and 1.74 (95% CI, 1.14–2.66) among women, respectively. However, significantly higher smoking prevalence in manual than in upper non-manual was found only in men aged 20–64; compared to upper non-manual, the PRs of manual workers aged 20–39, 40–64, and ≥65 were 1.11 (95% CI, 1.02–1.22), 1.18 (95% CI, 1.10–1.27), and 1.10 (95% CI, 0.89–1.37) among men, and 0.95 (95% CI, 0.75–1.20), 0.92 (95% CI, 0.75–1.12), and 0.46 (95% CI, 0.22–0.95) among women, respectively.ConclusionsIndependent of occupation, educational disparities in smoking existed, regardless of age and gender. Occupation-smoking relationship varied with age and gender. Our study suggests that we should pay attention to social inequality in smoking as well as national smoking prevalence.

Childhood vaccinations and adult schooling attainment: Long-term evidence from India's Universal Immunization Programme.

Routine childhood vaccines are among the most cost-effective life-saving interventions. In addition, vaccines have been linked with reduced stunting and improved health and other outcomes in later life. However, evidence on such long-term benefits remain inadequate. In this study, we examined the associations between the initiation and implementation of the Universal Immunization Programme (UIP) in India and schooling attainment among adults. We obtained district-level data on the rollout of the UIP in 1985–1990 and matched those with data from the National Family Health Survey of India, 2015–2016. Adults who were born in the five years before and after the rollout period (1980–1995) and always lived in the same location were included in the analysis (n=109,908). We employed household, village or city ward, district, and state fixed-effects linear regression models, which incorporated a wide range of socioeconomic and demographic indicators and community-level infrastructure, amenities, and access to healthcare. We compared schooling attainment in years among individuals who were born during or after the UIP was implemented in their districts (intervention group) with those who were born before UIP implementation (control group). In household fixed-effects analysis, intervention group adults attained 0.18 (95% confidence interval [CI]: 0.02, 0.33; p<0.05) more schooling grades as compared with control group adults from the same household. In village or city ward, district, and state fixed-effects analysis, intervention group adults attained 0.23 (95% CI: 0.13, 0.32; p<0.001), 0.29 (95% CI: 0.19, 0.38; p<0.001), and 0.25 (95% CI: 0.1, 0.39; p<0.01) additional schooling grades, respectively, compared to the control group. In subgroup analyses, positive associations between UIP implementation and schooling grades were observed among women and among rural, urban, and richer households. Our results support the association of vaccines with improved school attainment.

Women’s Bargaining Power and Children’s Schooling Outcomes: Evidence From Ghana

ABSTRACT This study uses data from the Ghana Living Standards Survey to examine the link between women’s bargaining power and children’s schooling outcomes. It employs a principal component analysis to generate an index measuring women’s bargaining power based on a couples’ education gap and age gap when their child reaches age 6. It then uses women’s age at first marriage as an instrument to identify women’s bargaining power. The results show that women’s bargaining power holds no significant association with late school enrollment. However, it has a negative and significant association with the probability and intensity of grade repetition (the number of times the same grade is repeated), especially for firstborn children. Girls tend to benefit more from the mother’s bargaining power compared to boys. The study further shows that women’s bargaining power is linked with school enrollment and attainment, which confirms previous findings in the literature. Highlights • Slow school progression caused by late enrollment and grade repetition is a problem worldwide, especially in developing countries. • This study examines the impact of women's intrahousehold bargaining power on children's schooling outcomes in Ghana. • Increased women's bargaining power has no effect on the timing of school enrollment but reduces the chances of grade repetition and how many times the same grade is repeated. • Girls benefit more from their mothers' bargaining power compared to boys. • Women's bargaining power has a larger impact on the education of firstborn children than on subsequent children. • Policies aimed at empowering women will improve children's schooling outcomes.

Mapping child growth failure across low- and middle-income countries

Childhood malnutrition is associated with high morbidity and mortality globally1. Undernourished children are more likely to experience cognitive, physical, and metabolic developmental impairments that can lead to later cardiovascular disease, reduced intellectual ability and school attainment, and reduced economic productivity in adulthood2. Child growth failure (CGF), expressed as stunting, wasting, and underweight in children under five years of age (0–59 months), is a specific subset of undernutrition characterized by insufficient height or weight against age-specific growth reference standards3–5. The prevalence of stunting, wasting, or underweight in children under five is the proportion of children with a height-for-age, weight-for-height, or weight-for-age z-score, respectively, that is more than two standard deviations below the World Health Organization’s median growth reference standards for a healthy population6. Subnational estimates of CGF report substantial heterogeneity within countries, but are available primarily at the first administrative level (for example, states or provinces)7; the uneven geographical distribution of CGF has motivated further calls for assessments that can match the local scale of many public health programmes8. Building from our previous work mapping CGF in Africa9, here we provide the first, to our knowledge, mapped high-spatial-resolution estimates of CGF indicators from 2000 to 2017 across 105 low- and middle-income countries (LMICs), where 99% of affected children live1, aggregated to policy-relevant first and second (for example, districts or counties) administrative-level units and national levels. Despite remarkable declines over the study period, many LMICs remain far from the ambitious World Health Organization Global Nutrition Targets to reduce stunting by 40% and wasting to less than 5% by 2025. Large disparities in prevalence and progress exist across and within countries; our maps identify high-prevalence areas even within nations otherwise succeeding in reducing overall CGF prevalence. By highlighting where the highest-need populations reside, these geospatial estimates can support policy-makers in planning interventions that are adapted locally and in efficiently directing resources towards reducing CGF and its health implications.