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Effects of health on child schooling and cognitive development: The Indirect Effects of Investment in Human Capital



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References: Human Capital and Economic Development - By African Development Bank

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Ill-health and poor nutrition may have indirect effects on labour productivity by adversely affecting
schooling. Illness often leads to absence from school and nutritional deficiencies can reduce the ability
to learn. Some experimental studies imply substantial benefits from particular interventions. One African
example found positive effects of deworming medication on school attendance and achievement in
Kenya (Jamison and Leslie, 1990). Cross-sectional evidence is more difficult to interpret but still
suggestive. In Ghana, one econometric study attributed delayed primary school enrolment to low heightfor-
age (Glewwe and Jacoby, 1995). A study of Kenya found no effect of height-for-age on children’s
school performance (Sigman, Newman, Jansen and Bwibo, 1989). However, calorie intake did affect
school performance by affecting time off task for girls. Ill-health inhibits school attendance; this may be
true of the ill-health of other household members as well as morbidity of the pupil herself. Adult mortality
- such as that from AIDS - is likely to pose grave threats to the schooling of bereaved children (Ainsworth
and Koda, 1993). In Box 3 the general issues raised by poverty and human resources are discussed.

Human Capital and Economic Development
Simon Appleton and Francis Teal


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The African Development Bank is the premier financial development institution of Africa, dedicated to combating poverty and improving the lives of people of the continent and engaged in the task of mobilizing resources towards the economic and social progress of its Regional Member Countries.The Bank’s s mission is to promote economic and social development through loans, equity investments, and technical assistance. The ADB is a multilateral development bank whose shareholders include 53 African countries and 24 non-African countries from the Americas, Asia, and Europe. It was established in 1964, with its headquarters in Abidjan, Côte d’Ivoire, and officially began operations in 1967.
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