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.

Global Public Health
|December 20, 2023
PubMed

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.

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