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The intergenerational effect of tuition-free lower-secondary education on children's nutritional outcomes in Africa
Alfredo Martin1, Aleta Sprague1, Amy Raub1
1WORLD Policy Analysis Center, University of California, Los Angeles, CA, USA.
Insights
Providing free secondary education significantly reduces child wasting, an effect not seen with free primary education alone. This policy offers long-term intergenerational benefits for child nutrition.
Area of Science:
- Public Health
- Development Economics
- Education Policy
Background:
- Severe wasting causes 20% of under-5 deaths, leading to lifelong cognitive and health issues.
- Global initiatives aim to combat child undernutrition, aligning with the Millennium Development Goals.
- Intergenerational impacts of educational policies on child health are critical for sustainable development.
Purpose of the Study:
- To investigate the intergenerational effect of free secondary education on child nutrition.
- To quantify the additional impact of free secondary education compared to free primary education.
- To assess the long-term benefits of educational policies on reducing child malnutrition.
Main Methods:
- Utilized a novel longitudinal dataset (1990-2019) covering educational policies in 40 African countries.
- Integrated data with Demographic and Health Surveys (DHS) for comprehensive analysis.
- Employed a difference-in-difference approach to estimate the causal impact of free secondary education.
Main Results:
- Free secondary education significantly reduced child wasting by 18% in exposed cohorts.
- Cohorts exposed only to free primary education showed a smaller, non-significant reduction in wasting.
- The findings demonstrate a clear, statistically significant intergenerational benefit of secondary schooling.
Conclusions:
- Expanding access to free secondary education is an effective strategy for improving child nutrition.
- Educational policies have profound, long-term intergenerational impacts on health outcomes.
- Investing in secondary education yields substantial public health returns by reducing malnutrition.
Abstract:
One 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.
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