著者
MENG Xin YAMAUCHI Chikako
出版者
GRIPS Policy Research Center
雑誌
GRIPS Discussion Papers
巻号頁・発行日
vol.15-07, 2015-06

In the past 15 years, around 160 million Chinese rural workers migrated to cities for work. Because of restrictions on migrant access to local health and education system, many migrant children are left-behind in rural villages and growing up without parental care. This paper examines how parental migration affects children's health and education outcomes in the long run. Using the Rural-Urban Migration Survey in China (RUMiC) data, we measure the share of children's lifetime during which parents were away from home. We instrument this measure of parental absence with weather changes in their home villages when parents were aged 16-25, or when they were most likely to initiate migration. Results show a sizable adverse impact of exposure to parental migration on the health and education outcomes of children, in particular boys. We also find that what the literature has always done (using contemporaneous measure for parental migration) is likely to underestimate the effect of exposure to parental migration on children's outcomes.
著者
MASUDA Kazuya YAMAUCHI Chikako
出版者
GRIPS Policy Research Center
雑誌
GRIPS Discussion Papers
巻号頁・発行日
vol.17-01, 2017-04

Early pregnancy poses serious medical risk and economic burden to mother and neonatal children. While Economics literature generally explains negative relationship between female schooling and early fertility, it remains unclear whether this reflects a causal relationship. To fill in such a gap in literature, this paper examines the impact of female education on adolescent fertility, health investment behavior and the health status of their children in Uganda, focusing on the fully treated cohorts whose fees were abolished by Universal Primary Education policy (UPE) just before they entered schools. Education is instrumented by the interaction between across-cohorts differences in exposure to UPE and the differences in its effective benefits across districts with varying pre-program rates of completing primary education. We show that attending an additional year of schooling reduces the probability of marriage and that of giving birth before age 18 by 7.0-7.2 percentage points. Among those who become mothers, educated women use maternal care and infant immunization more often, and had lower probability that their child dies before 12 months after the birth. These results indicate that promoting the access to primary education among girls is an effective program to reduce adolescent pregnancy. It also shows the important role of maternal education in breaking the cycle of intergenerational transmission of the poor health in least eveloping countries by reducing child mortality. This in turn underscores the importance of considering the widespread benefits of female education in shaping the policy and nstitution influencing educational attainment.
著者
MANANG Fredrick YAMAUCHI Chikako
出版者
GRIPS Policy Research Center
雑誌
GRIPS Discussion Papers
巻号頁・発行日
vol.15-19, 2015-12

Maternal and child mortality remains high in developing countries. While timely antenatal care and delivery at formal facility are recommended, many mothers do not use them. This paper investigates whether newly established health facilities affect maternal health care utilization as well as the health of mothers and children. In order to deal with possibly endogenous facility placement, we apply the community-level and mother-level fixed effects models to the new, decade-long panel data from rural Uganda. Results demonstrate differential roles played by large facilities and small clinics. Openings of large facilities increase the probability of delivery at formal facility, attended by trained personnel. This is accompanied by an increased use of inexpensive transportation modes such as walking and own bicycle to delivery places. Weak evidence is also found for reduced degree of selective infant survival. New community-level clinics, on the other hand, increase regular antenatal care usage and reduce complications during delivery. These results suggest that accessible clinics help pregnant mothers to avoid preventable problems through early diagnosis of risky cases and/or treatment of existing diseases. Overall, these findings underscore the importance of providing good access to health facilities, in particular to community-level clinics, in order to promote the utilization of maternal care and improve maternal and infant health.