ArticleBMC health services research2019
Good governance, public health expenditures, urbanization and child undernutrition Nexus in Ethiopia: an ecological analysis.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Stunting in childhood: an overview of global burden, trends, determinants, and drivers of decline.The American journal of clinical nutrition · 2020Pooled it
- Drivers of stunting reduction in Ethiopia: a country case study.The American journal of clinical nutrition · 2020Pooled it
- Urban-rural disparities in child linear growth: a decomposition analysis of digital, physical, and socioeconomic environments in seven least-developed countries.Journal of global health · 2026Article
- Explaining rural-urban disparities in child stunting in African least developed countries: a multi-country cross-sectional analysis.International journal for equity in health · 2026Article
- Threshold effect of governance quality in the relationship between public health expenditure and life expectancy at birth in the West African Economic and Monetary Union.BMC health services research · 2025Article
- The Interplay of Dietary Habits, Economic Factors, and Globalization: Assessing the Role of Institutional Quality.Nutrients · 2024Article
- Unraveling the South Asian enigma: concurrent manifestations of child anthropometric failures and their determinants in selected South Asian countries.BMC nutrition · 2023Article
- Bioethical Implications of Vulnerability and Politics for Healthcare in Ethiopia and The Ways Forward.Journal of bioethical inquiry · 2022Article
- The Effect of Urbanization on Health Care Expenditure: Evidence From China.Frontiers in public health · 2022Article
- Air pollution effects on adult mortality rate in developing countries.Environmental science and pollution research international · 2021Article
- The Effect of Urbanization on Population Health: Evidence From China.Frontiers in public health · 2021Article
- Prevalence of rheumatic heart disease in a major referral cardiology clinic in Ethiopia: A retrospective cross-sectional study.PloS one · 2021Article
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Authors and funding
9 authors.
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Abstract
backgroundChild undernutrition remains the major public health problem in low and middle-income countries including Ethiopia. The effects of good governance, urbanization and public health expenditure on childhood undernutrition are not well studied in developing countries. The objective of the study is to examine the relationship between quality of governance, public health expenditures, urbanization and child undernutrition in Ethiopia.
methodsThis is pooled data analysis with ecological design. We obtained data on childhood undernutrition from the Ethiopian Demographic and Health Surveys (EDHS) that were conducted in 2000, 2005, 2011 and 2016. Additionally, data on quality of governance for Ethiopia were extracted from the World Governance Indicators (WGI) and public health spending and urbanization were obtained from the World Development Indicators and United Nations' World Population Prospects (WPP) respectively. Univariate and multivariate analysis were done to assess the relationship between governance, public health expenditure and urbanization with childhood undernutrition.
resultGovernment effectiveness (adjusted odd ratio (AOR) = 20.7; p = 0.046), regulatory quality (AOR = 0.0077; p = 0.026) and control of corruption (AOR = 0.0019; p = 0.000) were associated with stunting. Similarly, government effectiveness (AOR = 72.2; p = 0.007), regulatory quality (AOR = 0.0015; p = 0.004) and control of corruption (AOR = 0.0005; p = 0.000) were associated with underweight. None of the governance indicators were associated with wasting. On the other hand, there is no statistically significant association observed between public health spending and urbanization with childhood undernutrition. However, other socio-demographic variables play a significant effect on reducing of child undernutrition.
conclusionThis study indicates that good governance in the country plays a significant role for reducing childhood undernutrition along with other socio-demographic factors. Concerned bodies should focus on improving governance and producing a quality policy and at the same time monitor its implementation and adherence.
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