Evidence on Child Health and Long-run Outcomes in Kenya

肯尼亚儿童健康和长期结果的证据

• 批准号: 7179305
• 负责人: EDWARD ANDREW MIGUEL
• 金额: $ 32.66万
• 依托单位: UNIVERSITY OF CALIFORNIA BERKELEY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-03-05 至 2010-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7179305
• 关键词: AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Adolescent; Adult; Affect; Africa; Africa South of the Sahara; African; Age; Anemia; Area; Cessation of life; Characteristics; Child; Child health care; Childhood; Cities; Cognitive; Communities; Complement; Data; Data Set; Databases; Developing Countries; Early treatment; Economic Development; Employment; Enrollment; Etiology; Fertility; First Births; Generations; Growth; Happiness; Health; Health Care Seeking Behavior; Health Sciences; Health Status; Height; Helminths; Household; Individual; Infant Mortality; Infection; Intestines; Investments; Kenya; Lead; Life; Link; Marketing; Marriage; Marriage Ages; Medical; Numbers; Nutritional; Nutritional status; Orphan; Outcome; Outcome Measure; Parents; Patient Self-Report; Pattern; Performance; Personal Satisfaction; Phase; Policies; Policy Developments; Poverty; Primary Schools; Protein-Energy Malnutrition; Pupil; Randomized; Range; Relative (related person); Research; Research Personnel; Research Project Grants; Running; Rural; Sample Size; Sampling; Schools; Score; Social Sciences; Social Welfare; Spouses; Support Groups; Surveys; Testing; Time; Translating; Wages; Weight; Well in self; base; beneficiary; boys; cost; day; design; development policy; falls; farmer; girls; human capital; improved; interdisciplinary approach; migration; nutrition; programs; prospective; reproductive; research study; school health; socioeconomics

DESCRIPTION (provided by applicant): We plan to build on an existing database of educational, health, and nutritional outcomes for school children in western Kenya (collected from 1998-2002), and extend it for an additional six years, in order to estimate the impact of improved child health and nutrition on long-run life outcomes. The proposed study will examine the long-run impact of a recent school-based health project - free medical treatment for intestinal helminths (worms), a serious health problem for Kenyan children - that took place in 75 rural primary schools. Medical treatment was randomly "phased in" to a subset of schools between 1998 and 2001. Schools phased into the assistance project in earlier years have served as "treatment schools", and those phased in later as "comparison schools". The proposed study will track pupils in these schools for six more years. The resulting dataset - the Kenyan Life Panel Survey (KLPS) - will contain unique longitudinal educational, labor market, health, nutritional, demographic, and cognitive information for 6,800 children over ten years (1998-2008). Our recent research indicates that deworming led to significant health, nutritional, and educational gains among pupils in the early treatment schools relative to comparison school pupils, in the first five years of the program. Deworming led to dramatic gains in school attendance and enrollment - the total number of school days missed in 1998-1999 fell by one-quarter in treatment schools - and by 2003, educational attainment was significantly higher among treatment school children. The proposed study will allow us to examine whether these educational gains persist through time, and if they translate into labor market or fertility impacts as the children enter adulthood. If there are strong links between child health gains (from deworming) and adult human capital formation and poverty, the results of the proposed study may justify increased investment in child health and nutrition programs. Large-scale, interdisciplinary, multi-use longitudinal (panel) household datasets running over ten years are very rare in less developed countries, and particularly in Africa, and there are many possible research uses for the dataset that do not rely on the deworming experiment. For instance, the KLPS panel dataset will be well-suited to examine the effect of a parent death on the life outcomes of surviving orphan children. The issue of orphan welfare is especially relevant in Kenya - and many parts of Sub-Saharan Africa - where HIV/AIDS deaths have led to a sharp increase in orphans. We plan to make the complete KLPS dataset publicly available at no cost to other investigators by the end of the project.

描述（由申请人提供）：我们计划建立肯尼亚西部学童的教育、健康和营养结果的现有数据库（从 1998 年至 2002 年收集），并将其再延长六年，以便估计改善儿童健康和营养对长期生活结果的影响。 拟议的研究将考察最近在 75 所农村小学开展的一项以学校为基础的健康项目的长期影响，该项目为肠道蠕虫（蠕虫）提供免费医疗，肠道蠕虫是肯尼亚儿童的一个严重健康问题。 1998 年至 2001 年间，医疗治疗被随机“分阶段”到一部分学校。早些年分阶段参与援助项目的学校被称为“治疗学校”，而后来分阶段参与的学校则被称为“对照学校”。拟议的研究将在六年内对这些学校的学生进行追踪。由此产生的数据集——肯尼亚生活追踪调查 (KLPS)——将包含 10 年间（1998-2008 年）6,800 名儿童的独特纵向教育、劳动力市场、健康、营养、人口和认知信息。 我们最近的研究表明，在该计划的前五年，相对于对照学校的学生，驱虫使早期治疗学校的学生在健康、营养和教育方面取得了显着的进步。 驱虫使就学率和入学率显着提高——1998-1999年接受治疗的学校缺课天数减少了四分之一——到2003年，接受治疗的学校儿童的受教育程度显着提高。拟议的研究将使我们能够检验这些教育成果是否会随着时间的推移而持续存在，以及随着孩子进入成年期，它们是否会转化为劳动力市场或生育率影响。如果儿童健康收益（来自驱虫）与成人人力资本形成和贫困之间存在密切联系，那么拟议研究的结果可能会证明增加对儿童健康和营养计划的投资是合理的。 在欠发达国家，特别是在非洲，运行十年以上的大规模、跨学科、多用途纵向（面板）家庭数据集非常罕见，并且该数据集有许多不依赖于驱虫实验的可能研究用途。例如，KLPS 面板数据集非常适合检查父母死亡对幸存孤儿生活结果的影响。孤儿福利问题在肯尼亚以及撒哈拉以南非洲的许多地区尤为重要，那里的艾滋病毒/艾滋病死亡导致孤儿数量急剧增加。我们计划在项目结束时向其他研究人员免费公开完整的 KLPS 数据集。