Civil war, crop failure, and the health status of young children

Economic shocks at birth have lasting impacts on children's health several years after the shock. We calculate height for age z-scores for children under age five using data from a Rwandan nationally representative household survey conducted in 1992. We exploit district and time variation in crop failure and civil conflict to measure the impact of exogenous shocks that children experience at birth on their height several years later. We find that girls born after a shock in a region experiencing these events exhibit 0.72 standard deviations lower height for age z-scores and the impact is worse for poor households. There is no impact of these shocks on boys' health status. Results are robust to using household level production and rainfall shocks as alternative measures of crop failure. The analysis also contributes to the debate on the economic conditions prevailing on the eve of the Rwandan genocid

Civil war, crop failure, and child stunting in Rwanda

Economic shocks at birth have lasting effects on children's health several years after the shock. The authors calculate height for age z-scores for children under age five using data from a Rwandan nationally representative household survey conducted in 1992. They exploit district and time variation in crop failure and civil conflict to measure the impact of exogenous shocks that children experience at birth on their height several years later. They find that boys and girls born after the shock in regions experiencing civil conflict are both negatively affected with height for age z-scores 0.30 and 0.72 standard deviations lower, respectively. Conversely, only girls are negatively affected by crop failure, with these girls exhibiting 0.41 standard deviation lower height for age z-scores and the impact is worse for girls in poor households. Results are robust to using sibling difference estimators, household level production, and rainfall shocks as alternative measures of crop failure.Youth and Governance,Population Policies,Rural Poverty Reduction,Children and Youth,Adolescent Health

The Impact of Violent Conflict on Child Health: What Are the Channels?

Child health during and after violent conflicts has been a priority for both policymakers and academics, as ill-health in early life can be impossible to make up for in later life, and has important effects on education and adult wages. In order for policy interventions to mitigate health impacts, it is essential to understand the channels through which conflict impacts on child health. This briefing uses empirical results of research in Burundi and Rwanda to identify these channels. It outlines the policy implications of these findings, arguing that policymakers should prioritise interventions to rebuild agricultural capacity and improve sanitation conditions and nutrition in displacement camps.violent conflict; child health; Burundi; Rwanda; policy

Health and civil war in rural Burundi

This paper combines household survey data with event data on the timing and location of armed conflicts to examine the impact of Burundi's civil war on children's health status. The identification strategy exploits exogenous variation in the war's timing across provinces and the exposure of children's birth cohorts to the fighting. After controlling for province of residence, birth cohort, individual and household characteristics, and province-specific time trends, the authors find that children exposed to the war have on average 0.515 standard deviations lower height-for-age z-scores than non-exposed children. This negative effect is robust to specifications exploiting alternative sources of exogenous variation.Youth and Governance,Rural Poverty Reduction,Population Policies,Post Conflict Reconstruction,Health Monitoring&Evaluation

Health and civil war in rural Burundi

We combine household survey data with event data on the timing and location of armed conflicts to examine the impact of Burundi's civil war on children's health status. The identification strategy exploits exogenous variation in the war's timing across provinces and the exposure of children's birth cohorts to the fighting. After controlling for province of residence, birth cohort, individual and household characteristics, and province-specific time trends, we find that children exposed to the war have on average 0.515 standard deviations lower height-for-age z-scores than non-exposed children. This negative effect is robust to specifications exploiting alternative sources of exogenous variation

Violence, Selection and Infant Mortality in Congo

This paper documents the effects of the recent civil war in the Democratic Republic of Congo on mortality both in utero and during the first year of life. It instruments for conflict intensity using a mineral price index, which exploits the exogenous variation in the potential value of mineral resources generated by changes in world mineral prices to predict the geographic distribution of the conflict. Using estimates of civil war exposure on mortality across male and female newborn to assess their relative health, it provides evidence of culling effect (in utero selection) as a consequence of in utero shocks

Civil War, Crop Failure, and the Health Status of Young Children

Economic shocks at birth have lasting impacts on children’s health several years after the shock. We calculate height for age z-scores for children under age five using data from a Rwandan nationally representative household survey conducted in 1992. We exploit district and time variation in crop failure and civil conflict to measure the impact of exogenous shocks that children experience at birth on their height several years later. We find that girls born after a shock in a region experiencing these events exhibit 0.72 standard deviations lower height for age z-scores and the impact is worse for poor households. There is no impact of these shocks on boys’ health status. Results are robust to using household level production and rainfall shocks as alternative measures of crop failure. The analysis also contributes to the debate on the economic conditions prevailing on the eve of the Rwandan genocide.Child health, economic shocks, civil war, rainfall shocks, Africa