Rainfall and child weight in Uganda

https://doi.org/10.1016/j.ehb.2020.100877Get rights and content
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Highlights

  • We study weight-for-height z scores (WHZ) among 3492 rural children below age 5 in Uganda.

  • Rainfall is studied as a nutrition driver along agriculture and disease pathways.

  • Findings of a positive and significant association between crop yield and WHZ.

  • Diarrheal disease has a negative and significant association with WHZ.

Abstract

We combine data from the 2006 and 2011 Uganda Demographic and Health Surveys (UDHS) with rainfall data and two waves of the Ugandan National Household Survey (UNHS) to study patterns in child weight, as measured by weight-for-height z scores (WHZ), among 3492 rural children below age 5 in Uganda. We focus on rainfall as a nutrition driver along agriculture and disease pathways. We find a positive and significant association between crop yield and WHZ, but the magnitude of this association diminishes as we control for covariates, especially the use of productivity-enhancing agricultural inputs. We find diarrheal disease to have a negative and significant association with WHZ, and modifying effects of social and environmental factors along the disease pathway. Contemporaneous rainfall is associated with a lower likelihood of diarrheal disease in areas with excess rainfall and a higher likelihood of diarrheal disease in rainfall deficit areas. Our findings reinforce calls for targeted and situation-sensitive policies to promote child nutrition.

Keywords

Agriculture
Disease
Nutrition
Rainfall
Uganda

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Support for this research was provided by the Purdue Policy Research Institute, the Purdue Climate Change Research Center, and the Feed the Future Innovation Lab for Nutrition, which is funded by the United States Agency for International Development. The opinions expressed herein are those of the authors and do not necessarily reflect the views of the sponsors.