Changes in Height-for-Age of Children 1995 to 2014 - Economic Research Forum (ERF)

Changes in Height-for-Age of Children 1995 to 2014

Reem Hashad

October, 2019


Economic Research Forum

I1. Health
D. Microeconomics
J1. Demographic Economics
O1. Economic Development

Malnutrition is currently one of the largest threats to public health, with three million children dying worldwide per year as a result. This paper examines the determinants of children’s nutritional status in Egypt over time using an anthropometric index, height for age z score (HAZ), to assess children’s nutritional status. Over the last two decades, the HAZ distribution and the stunting rates in Egypt have changed markedly. However, what factors led to changes in the HAZ distribution in Egypt over time remains unknown. Using data from Egypt’s Demographic and Health Survey (EDHS) for the years 1995, 2003 and 2014, I identify factors that are correlated with the change in the height of children aged 2-4. I use a semi-parametric approach proposed by Dinardo, Fortin and Lemieux (DFL,1996) that decomposes the changes in the HAZ distribution and stunting rates between 1995 and 2003, 2003 and 2014, and 1995 and 2014 into differences that could potentially be explained by differences in covariates and/or return to covariates. The covariates include child characteristics, maternal characteristics, household socioeconomic status and access to health care. The results indicate that the variation in HAZ distribution and stunting rates in Egypt over time are driven mainly by a change in the return to covariates. There is suggestive evidence that the change in the return to mother’s height and weight over time had a positive impact on the change of the child’s height.  Additionally, health inequality exists across households with different income. Better policies targeted at increasing household income, mother’s employment and education can help reduce stunting rates by reducing illness and malnutrition.


Reem Hashad

University of Illinois



There are no Events PAST

Related Publications

Working Papers

Trends and Patterns of Women’s Enterpreneurship in Egypt

Reham Rizk and Ali Rashed

This paper conducts a detailed analysis of the trends and patterns of women’s role in ... read more

Working Papers

Inequality and Income Mobility in Egypt

Mona Said, Rami Galal and Mina Sami

This paper explores trends in wage and income levels and inequality and mobility in Egypt, especially ... read more

Working Papers

Household Vulnerability and Resilience to Shocks in Egypt

Imane Helmy and Rania Roushdy

A growing body of literature points to the role of exposure to shocks ... read more