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Nutrition, Malnutrition and
Economic Growth *
Harold Alderman, Jere R. Behrman and John
Hoddinott
Area of Strategic Health Development
Health Systems and Policies Unit
Health Economics Group
* This paper was revised by the authors on August 2003
8. Nutrition, Malnutrition and Economic Growth
By
Harold Alderman, Jere R. Behrman and John Hoddinott*
Forthcoming in Health and Economic Growth: Findings and Policy Implications, Edited by
Guillem López-Casasnovas, Berta Rivera and Luis Currais, Cambridge, MA: MIT Press, 2004.
2 August 2003
Abstract: Malnutrition is widespread in the developing world. 12 or more million low-birth-
weight births occur per year and 180 million children are characterized as malnourished. This
chapter first assesses estimates of the extent of malnutrition in developing countries. It then
surveys micro evidence about the productivity impact of improved nutrition in developing
countries – from conception through infancy and childhood and into adolescence and adulthood.
These gains may operate through many channels – increasing cognitive development, increasing
physical stature and strength, inducing earlier school enrollment and more regular school
attendance, inducing greater schooling and learning, and increasing adult productivity – as well
as saving resources that otherwise would go towards dealing with diseases and other problems
related to malnutrition. Finally the possible gains from different nutritional policy strategies
and the policy bases for adopting such strategies are examined.
*Harold Alderman is Lead Human Development Economist in the Africa Region of the World
Bank, 1818 H Street, NW, Washington DC, 20433, USA; telephone 1 202 473 0372; e-mail
halderman@
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