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THE EFFECT OF MOTHERSEDUCATION ON UNDER-FIVE MORTALITY FROM DEVELOPING COUNTRIES IN SOUTH EAST ASIA By Hnin Thant Phyu THESIS Submitted to KDI School of Public Policy and Management in partial fulfillment of the requirements for the degree of MASTER OF PUBLIC POLICY 2016

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Page 1: THESIS - KDI School of Public Policy and Management...THE EFFECT OF MOTHERS’ EDUCATION ON UNDER-FIVE MORTALITY FROM DEVELOPING COUNTRIES IN SOUTH EAST ASIA By Hnin Thant Phyu THESIS

THE EFFECT OF MOTHERS’ EDUCATION ON UNDER-FIVE MORTALITY

FROM DEVELOPING COUNTRIES IN SOUTH EAST ASIA

By

Hnin Thant Phyu

THESIS

Submitted to

KDI School of Public Policy and Management

in partial fulfillment of the requirements

for the degree of

MASTER OF PUBLIC POLICY

2016

Page 2: THESIS - KDI School of Public Policy and Management...THE EFFECT OF MOTHERS’ EDUCATION ON UNDER-FIVE MORTALITY FROM DEVELOPING COUNTRIES IN SOUTH EAST ASIA By Hnin Thant Phyu THESIS

THE EFFECT OF MOTHERS’ EDUCATION ON UNDER-FIVE MORTALITY

FROM DEVELOPING COUNTRIES IN SOUTH EAST ASIA

By

Hnin Thant Phyu

THESIS

Submitted to

KDI School of Public Policy and Management

in partial fulfillment of the requirements

for the degree of

MASTER OF PUBLIC POLICY

2016

Professor Seulki Choi

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THE EFFECT OF MOTHERS’ EDUCATION ON UNDER-FIVE MORTALITY

FROM DEVELOPING COUNTRIES IN SOUTH EAST ASIA

By

Hnin Thant Phyu

THESIS

Submitted to

KDI School of Public Policy and Management

in partial fulfillment of the requirements

for the degree of

MASTER OF PUBLIC POLICY

Committee in charge:

Professor Seulki CHOI, Supervisor

Professor Changyong CHOI

Professor Jaeun SHIN

Approval as of December, 2016

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ABSTRACT

This paper aims to contribute for the understanding of factors measuring

mothers' educational levels on under-five children mortality from developing countries in

South East Asia. Because extremely poverty remains a huge challenge in the South East

Asia‟s developing countries. Set of factors related to socio-economic status on children

survival. My study chose under-five mortality because it can influence infant and under-

one mortality as well as Millennium Development Goals (MDG)‟s indicator. My study of

regression confirmed a strong association between mother‟s education and under-five

child mortality and remained significant after control for other factors.

The result imply that big part of the effect of mothers' education levels ( primary,

secondary and tertiary) can be substituted by investing than other factors. Investment of

girls' schooling is still one of the essential ways to contribute for child survival

improvement in the long run because the findings of this research agree that “Mother is

school”. On the other hand, the study of these areas will sustain the vital two sectors from

policy makers. This paper was established that mothers‟ education has a negative impact

on children mortality mostly; policy makers in region will have to focus their efforts on

enhancing investment of education sector and reducing under-five child mortality by

improving the performance of female education in these regions.

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Copyright by

Hnin Thant Phyu (Full legal name)

2016 (Year of publication)

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ACKNOWLEDGEMENTS

First and foremost I would like to express my earnest gratitude to my supervisors

Prof. Seulki Choi and Prof. Changyong Choi. I really appreciate for the inspiration from

their guidelines, the encouragement and constructive comments which received during

research thesis paper writing.

I am always grateful to my beloved parents and my sister because of their

unbounded help and hind encouragement. And I appreciate to Dr. Wah Wah Maung - my

Director General from Central Statistical Organization (CSO) of Myanmar for the

permission and giving opportunity to attend this school, Mr. Kitada San - Director from

SIAP in Japan who encouraged me to do this work, Professor Dr. Hnin Hnin Oo - Head of

Mathematics Department of Kyaing Tong University and Professor Dr. Basu from ISEC

of India who raised me with their hands wherever I need them.

I also thank to my mutual friends and their supports. Without all of you, my stay at

KDI cannot be. This chance would not have been created without the financial support

from KOICA. Therefore, I am highly thankful to the founders and faculty members of

KOICA-MDI Organization.

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Table of Contents

I. INTRODUCTION .................................................................................................... 1

1.1. Background of the Study ............................................................................................ 1

1.2. Statement of the Problems/issues ............................................................................... 1

1.3. Purpose of the Study .................................................................................................. 2

1.4. The Objectives of the study........................................................................................ 3

1.5. Research questions ..................................................................................................... 3

1.6. Study Hypothesis ....................................................................................................... 3

1.7. Structure of the Paper ................................................................................................. 4

II. LITERATURE REVIEW ........................................................................................ 5

2.1. Theoretical Background ............................................................................................. 5

2.2. The Impact of Population Size and Population Growth ............................................. 5

2.3. The Effect of Maternal Education on Child Survival ................................................ 6

2.4. The Relationship between Child Survival and a Mother‟s Health Based

Socioeconomic Status as Variables ........................................................................... 6

2.5. Long Term Effect of Maternal Education on under-five child mortality ................... 7

2.6. The Relationship between Maternal Education and Child Survival based Spatial

Demographic Analysis ............................................................................................... 8

III. THEORETICAL FRAMEWORK ....................................................................... 10

3.1. Mosley-Chen‟s Conceptual Model of Mortality…………………………………………………..10

3.2. Leroy Almendarez‟s Human Capital Theory………………………………………………………..10

IV. METHODOLOGY ................................................................................................. 12

4.1. Conceptual Framework ............................................................................................ 12

4.2. Model Specification ................................................................................................. 13

4.3. Limitations of the Study and Data Sources .............................................................. 15

4.4. Data Analysis with Panel Data ................................................................................. 15

4.4.1. Modeling under-five mortality rate on the female, primary school enrollment with

Fixed Effects: Hausman Test ................................................................................... 17

4.4.2. Results of the regressions for the female, primary school enrollment – under-five

mortality rate ............................................................................................................. 18

4.4.3. Modeling under-five mortality rate on the female, secondary school enrollment with

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Fixed Effects: Hausman Test ................................................................................... 20

4.4.4. Results of the regressions for the female, secondary school enrollment – under-five

mortality rate regression .......................................................................................... 21

4.4.5. Modeling under-five mortality rate on the female, tertiary school enrollment with

Fixed Effects: Hausman Test ................................................................................... 23

4.4.6. Results of the regressions for the female, tertiary school enrollment – under-five

mortality rate regression .......................................................................................... 24

4.4.7. Findings of the overall female school enrollment regression model........................ 27

V. DISCUSSION ......................................................................................................... 29

VI. CONCLUSION ....................................................................................................... 30

VII. BIBLIOGRAPHY .................................................................................................. 31

VIII. APPENDICES ........................................................................................................ 34

Appendix : RESEARCHDATA .................................................................................................... 35

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LIST OF GRAPH & FIGURES

1. Under five mortality graph with countries by years 2

2. Figure 1: Conceptual Framework of Child Mortality [Source: Mosley and Chen (1984)] 10

3. Figure 2: Conceptual Framework of Child Mortality 12

4. Graph: Yearly Under-five Mortality (U5MR) Graph by Country from 2000 to 2015 16

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LIST OF TABLES

Table 1: Description of Variables 14-15

Table 2: Summary Statistics for Analysis 17

Table 3: Results of the Hausman test for the primary female on U5MR 18

Table 4: Results of the regressions for the primary female on U5MR 19

Table 5: Results of the Hausman test for the secondary female on U5MR 21

Table 6: Results of the regressions for the secondary female on U5MR 22

Table 7: Results of the Hausman test for the tertiary female on U5MR 24

Table 8: Results of the regressions for the tertiary female on U5MR 25

Table 9: Results of the regressions for the female school enrollment on U5MR 27

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I. INTRODUCTION

1.1. Background of the Study

Although some South East Asia countries had already developed, most of South

East Asian countries were as developing countries. Moreover, extremely poverty remains

a huge challenge in the South East Asia countries as Least Development Countries (LDCs).

Therefore, income and demographic characteristics has widened continuously with

developed countries in region. R. Fuchs, W. Lutz and E. Pamuk mentioned that different

policy implications approved especially with respect to reducing child mortality in

developing countries although most studies regarded education and income as

interchangeable measures of socio-economic status. Because mothers‟ levels of schooling

and learning performance can improve the children‟ lives as well as decrease child

mortality. Although we have various kinds of indicators for child mortality, I chose under-

five mortality because it can influence infant and under-one mortality as well as

Millennium Development Goals (MDG)‟s indicator. At the same time, survival children

will be the next generation for sustainable growth. Therefore, developing countries in

South East Asia should try to reduce the children mortality for the future inclusive growth.

1.2. Statement of the Problems/issues

There is need to establish evidence of the effect of mothers‟ education on under-

five mortality in South East Asia‟s developing countries. Most of developing countries

have several challenges and many issues such as lack of infrastructure, lack of knowledge,

lack of budget and inefficiency. Moreover, absence of actual statistics, policy maker met

the failed planning for growth especially education and health sectors. For inclusive

growth, these two sectors are very fundamental sectors. Therefore, filling the gap is

beneficial to both their governments and their citizens within region. Since there is general

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issue on the child mortality, establishing evidence on whether mothers‟ education will

contribute inclusive development efforts in the South East Asia‟s developing region. If it is

established that mothers‟ education has a negative impact on children mortality, policy

makers in region will have to focus their efforts on enhancing investment of education

sector. If the evidence proves otherwise they will think to adjust their investment policies

in the region.

1.3. Purpose of the Study

This study can support between decision makers and citizens to fulfill citizens‟

lives indirectly by government policy because child survival is often used broad indicators

for social development. Moreover, maternal education is important for health of children

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to improve of the country's growth. Mothers' routine decisions can influence child health.

Therefore, the very research can promote socio-economic status by studying the effect of

maternal education on child survival especially under-five mortality which is to be

sustainable growth in South East Asia.

1.4. The Objectives of the study

1. To monitor the demographic variables in South East Asia developing countries on

child mortality in the age of under-five years

2. To identify the relative importance of the levels of mothers‟ education and under-

five child mortality

3. To encourage female educational levels and mothers‟ knowledge to possess the

qualified children who be the human capital in future growth

1.5. Research questions

What is the effect of mothers‟ education on the under-five mortality of developing

countries in South East Asia?

How do we reduce under-five child mortality in these regions?

1.6. Study Hypothesis

The developing countries of South East Asia are expected to be positive by the

effect of mothers‟ education on child mortality and regardless of the prevailing policy

distortions in the individual countries within the region. Nevertheless policy and

institutional quality is expected to enhance the effect of mothers‟ education. With this

argument and our research questions in mind, a hypothesis is made that under-five child

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mortality is associated with mothers’ educational levels than other factors in South East

South East Asia’s developing countries.

1.7. Structure of the Paper

This paper is made up of the followings. Chapter 2 will be presented by literature

review and chapter 3 will discuss theoretical framework and chapter 4 is the methodology

with collecting data, specification of the conceptual models and definitions of the variables

used and interpreting. Chapter 5 will add discussion with the findings and reflection.

Finally, chapter 6 will include conclusions.

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II. LITERATURE REVIEW

2.1. Theoretical Background

Population size and population growth of a country are thought by variables for

economic growth and that, a mother's education is essential for child survival. The study

of the determinants of child survival plays a vital role on both social and biological

variables in developing countries. The mother's quality of care is very important during

pregnancy and child birth by nutrients management. The mother is the most important

health care provider of her baby. The mother's empowerment can influence a child's

health. It is hypothesized that a mother's education is essential for child survival. The

following literature reviews support this hypothesis.

2.2. The Impact of Population Size and Population Growth

This research examined the impact of population size and population growth on

the quality of the health of mothers and their children. As indicated in a research article

by Bash (2015), census has important ramifications for many aspects of society and can

be an examined parameter in research involved in demographic analysis of the

population. Bash further investigates some limiting factors which avert population

growth and examines the differences in the results of the same period using different

models. The research design, the study area, data collection methods and instruments,

validation of the instruments, limitations and the procedure for data analysis were

discussed.

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2.3. The Effect of Maternal Education on Child Survival

Lillard, Simon, Ueyama (2007) indicated that a mother‟s high school education

improves a mother‟s age at child‟s birth including child care use. They also discovered

suggestive evidence of a much more complex set of behaviors that are causally related to

maternal education and that likely affect child health.

This preliminary evidence suggests that the very study can strongly conclude the

child health by maternal education. The body of empirical evidence showed that not only

education can improve health but also that health can affect education.

Researchers in this field have used many methodologies; one of the methods used

is the instrument variables. With this methodology, researchers have found that, in

developing countries generally, education concerned with better child health. According to

the researcher‟s result, when women get more education, child survival (Breierova and

Duflo 2004; Blunch 2005) and children‟s height-for-age increase (Ahmad and Iqbal 2005).

Many researchers generally agree that, the relationship between education and health is a

main point input to several continuing public policies in all economy contexts.

2.4. The Relationship between Child Survival and a Mother’s Health Based

Socioeconomic Status as Variables

Usually, social science research on child mortality has engrossed on the

suggestion between socioeconomic status and levels and designs of mortality in

populations. Chen and Mosley (1984) proposed the learning of the determinants of child

survival on both social and biological variables in developing countries. The purpose of

the child survival study is to illuminate our sympathetic of the many factors involved in

the family's production of healthy children in order to deliver a foundation for framing

health policies and strategies. The strategic to the model is the sympathy of a set of

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adjacent determinants, or intermediate variables, that directly impact the risk of morbidity

and mortality. Each of the maternal factors has been exposed to use an independent

influence on pregnancy results and infant survival through its effects on maternal health.

An important inclusion is the performants and the quality of care during pregnancy and

childbirth. The significance of this research is correlations between mortality and socio-

economic characteristics for the mortality causes. For example, income and maternal

education are two generally measured correlates (and inferred causal determinants) of

child mortality in a developing nation population. All social and economic determinants

must activate through these variables to affect child death.

2.5. Long Term Effect of Maternal Education on under-five child mortality

Child health is one of the main indicators of development of a country. Hassan

(2014) contributed to understanding the long term effect of maternal education on under-

five child mortality (U5MR).The relevance of this research stems from the fact that, asset

in girls‟ schooling is still one of the important ways to contribute not only child health

development but also growth in the long run. Hassan‟s paper examined the factors causal

child health by investigating the effects of maternal education on the event of under-five

mortality. This paper indicated the set of factors related to socio-economic status

including the use of health care service area; reproductive behaviors of women; mothers‟

empowerment; and parental employment status. These were comprised in the regressions

with the aim to catch the partial effect of maternal schooling on the incidence of under-

five mortality.

Instead, various other variables were tried for their mediation on the outcome of

maternal education on under-five mortality. These included maternal characteristics such

as family prosperity index, pre-birth interval, types of floor materials, sanitation facilities,

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drinking water, staying health facilities, modern contraceptive use, antenatal visit, and

delivery in health conveniences. The author used the Linear Probability Model (LPM)

regressions and the pooled regressions with DHS survey for Ethiopia country which

indicated that the mean of the incidence of under-five child mortality decreased

significantly in the period of 2000 to 2011. It similarly reduced with increasing levels of

maternal education. Likewise, significantly higher mean of years of schooling was attained

for surviving mothers‟ children.

2.6. The Relationship between Maternal Education and Child Survival based

Spatial Demographic Analysis

Weeks (2001) suggested for the application of spatial analysis to demographic

research as a method to integrate and superior understand the unlike transitional

apparatuses of the whole demographic transitions especially the fertility transition in

Egypt. The authors argued in the context of a analysis of the still reasonably sparse

literature on spatial analysis in demography and then turns to the sorts of data that are

required for spatial demographic analysis; the kinds of statistical methods that are

accessible to researchers; and the approach in which Geographical Information System

(GIS) can support to integrate each of these components for the theories testing and

models building. So, demography is not only spatial but also by nature interdisciplinary.

The overall transition in population size can occur when mortality drops sooner than

fertility (the common pattern in the demographic transition) from which massive

variations follow with respect to resource utilization and allocation. This paper

hypothesis is how and why these transitions occur.

Many demographic researches, engages spatial “analysis”. Research that

incorporates spatial information recognizes that demographic behavior will differ by

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geographic region that population characteristics and change are unlike in urban than in

rural places. The spatial analysis application to demographic research is a method of

integrating and enhanced understanding of the different transitional components of the

overall demographic transition.

Weeks also discussed the kind of data required for spatial demographic analysis,

permitting researchers to use the concepts and tools of spatial analysis to test theories

increasing out of the general framework. He also summarized the research for an upgraded

understanding of the Arab fertility transition through the challenging of explicitly spatial

hypotheses about the timing and tempo of fertility change.

Weeks‟s paper achieves with an example of this type of research, sketch upon the

author‟s study, which is expected at a better understanding of the Arab fertility transition

through the testing of explicit spatial theories about the timing and tempo of fertility

change. Definitely, this research relates GIS, remote sensing, and the relationship

between spatial statistics and the fertility transition in rural and urban Egypt.

Additionally as indicated above, the use of spatial analysis to demographic research must

be updated by accepting the different transitional components of the whole demographic

transitions especially the fertility transition.

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III. THEORETICAL FRAMEWORK

3.1. Mosley-Chen’s Conceptual Model of Mortality

The model recommends combining social science and medical science research

methods in dealing with infant and child mortality factors in developing countries. The

following is broadcast mechanism of the model.

Figure 1: Conceptual Framework of Child Mortality [Source: Mosley and Chen (1984)]

3.2. Leroy Almendarez’s Human Capital Theory

Leroy Almendarez (2011) purposes Human Capital Theory (HTC) which

determines that investment in human capital will hint to great economic outputs but the

validity of the theory is sometimes tough to demonstrate and contradictory. At one time,

economic strength was mainly depended on real physical assets such as land, factories and

equipment. Now a days, Beckr (1993) supports modern economists appear to concur that

education and health care are the significant to improving human capital and ultimately

growing the economic outputs of the nation. He argues that Human Capital Theory (HCT)

is the most persuasive increasing the economic theory of western education, situation the

framework of government policies since the early 1960s and it is gradually seen as a key

determinant of economic performance.

Stages of

operation

Community

level: Region

Mortality

outcomes

Intervening

variables

Socio-economic

Intermediate

determinants

Independent

variables

Mothers’

Education

levels

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Literature has indicated generally that the more educated mothers are superior for

absorbing the benefits of health infrastructure and health knowledge that are universally

accessible. Research has also indicated that giant part of maternal education can be

replaced by advancing in other factors that can improve socio-economic status, use of

health amenities, and health behaviors of women (Weeks, 2001).The extent to which

maternal education affects child survival can vary across various sectors of society and

within countries and also the direction of causation varies. The purpose of this study is to

simplify our understanding of the many factors complicated in the family's manufacture

of healthy children in order to afford a foundation for framing education policy and

strategies.

Therefore, this study builds on the strengths of the studies like that Uzma Iram

(2013) who focused a panel of world developing countries which are middle low income.

We attempt to overcome the other studies discussed in the literature review which make

general conclusions based on samples that are too broad. We believe the South East Asia‟s

developing region is reasonably homogeneous to be studied together over some time span

and make generalized conclusions. We further recognize the need to address the evidence

of the effect of mothers‟ education on under-five child mortality in South East Asia‟s

developing countries as done by Uzma Iram (2013).

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IV. METHODOLOGY

4.1. Conceptual Framework

Although both maternal and paternal education are among the socio-economic

factors that affect child mortality, mothers' education has been one of the main factors of

child health indicators and child mortality in many studies specially. The following

diagram (Figure 2) is drawn based on the above discussion and it shows the way mothers'

education can affect under-five mortality. It shows its direct effect and indirect effect and

employs through other factors.

Figure 2: Conceptual Framework of Child Mortality

Given the nature and characteristic of the problem under investigation in this

paper, it is prudent to use linear panel data regression methods to evaluate the effect of

mothers' education on under-five child mortality in South East Asia countries. This panel

data is a dataset in which the comportment of entities observed across time. These

entities could be developing countries in South East Asia for this paper. Panel data

permits me to control for variables I cannot see or measure like cultural factors or

variables for individual heterogeneity. Furthermore, we can contain variables at different

levels of analysis for multilevel modeling in panel data. We can center on two techniques

Mothers'

Education

levels

Demographic

Factors

Socio-economic

Factors

Under-five

Mortality

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use to analyze panel data such as Fixed Effects (FE) or Random Effect (RE) estimations

techniques for Error Component Model. We can use Fixed Effects (FE) whenever we

only engrossed for analyzing of the impact of variables that vary over time. Moreover,

FE can eliminate the effect of time-invariant characteristics thus we can measure the net

effect of the predictors on the outcome variable as well as Fixed Effects (FE) models are

considered to study the causes of changes within entity. Random Effect (RE), unlike the

fixed effects model, agrees generalizing the inferences beyond the example used in the

model. To select between fixed or random effects we can run a Hausman test where the

null hypothesis is that the ideal model is Random Effect (RE) and the alternative the

Fixed Effects (FE).

4.2. Model Specification

The baseline models specifically investigate the effect of mothers' education on

under-five child mortality in South East Asia‟s developing countries takes the form:

U5MRit = β0 + β1 Female (primary) Edu it + ø X it + ε it ………(1)

U5MRit = β0 + β1 Female (secondary) Edu it + ø X it + ε it ……(2)

U5MRit = β0 + β1 Female (tertiary) Edu it + ø X it + ε it ………(3)

For Overall Regression,

U5MRit = β0 + β1 Female (primary) Edu it + β1 Female (secondary) Edu it + β1 Female

(tertiary) Edu it + ø X it + ε it ………(4)

Where i=1...N and t=1...N

Under-five Mortality is dependent variable and independent variables are School

enrollment, tertiary, female (%), School enrollment, secondary, female (%), School

enrollment, primary, female (%), Fertility rate, total (births per woman), GDP per capita

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(current US$), Improved water source (% of population with access), Pregnant women

receiving prenatal care (%), Births attended by skilled health staff (% of total), Health

expenditure, total (% of GDP), Improved sanitation facilities (% of population with

access), Immunization, measles (% of children ages 12-23 months). The following

definitions are variables for that study.

Main research of this paper is on the levels of school enrollment female variables.

As indicated in the hypothesis, we expect mothers‟ education levels to have negative

impact on child mortality. The theoretical basis is that female schooling levels can affect

the under-five child mortality in South East Asia‟s developing countries.

Table 1: Description of Variables

S/N

o

Variable Definition Stata

Label

1 Under-five Mortality Rate the probability per 1,000 that a baby will

pass away before reaching age

U5MR

2 School enrollment, tertiary, female The ratio of female , tertiary school

enrollment

tertiary

3 School enrollment, secondary,

female

The ratio of female , secondary school

enrollment

secondary

4 School enrollment, primary, female The ratio of female , primary school

enrollment

primary

5 Fertility rate, total (births per

woman),

The number of children that would be

born to a woman between 15 to 49 years

fertilityR

6 GDP per capita (current US$) Gross Domestic Product divided by

midyear population

gdppc

7 Improved water source (% of

population with access)

The percentage of the population using

all kinds of drinking water source

water

8 Pregnant women receiving prenatal

care (%)

The women joined at least once during

pregnancy by skilled health personnel for

prenatalCa

re

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aims related to pregnancy.

9 Births attended by skilled health staff

(% of total)

The percentage of distributions attended

by personnel trained to care for

newborns.

Births hel

staff

10 Health expenditure, total (% of GDP) The summation of public and private

health expenditure

HealthExp

11 Improved sanitation facilities (% of

population with access)

Using improved sanitation facilities are

possible to ensure hygienic separation of

human excreta from human contact

sanitation

12 Immunization, measles (% of

children ages 12-23 months)

Children ages 12-23 months who

received immunizations before 1 year or

at any time

ImmuMea

ls

4.3. Limitations of the Study and Data Sources

Universally, mortality studies are faced with data limitations, mainly in the

developing countries in South East Asia where death is viewed as a sad affair that

respondents do not love to recall because it brings back sad memories. The data

limitations will stance a severe challenge to this study. The study therefore uses panel

data for all sample variables of South East Asia‟s developing countries from 2000 to

2015, sources from the World Development Indicators (World databank).

4.4. Data Analysis with Panel Data

According to analysis, we can see 14 variables and 272 observations and strongly

balanced among panel variables for 17 developing countries in South East Asia from 2000

to 2015 year. Although most of countries‟ graphs showed negative relationship between

under-five child mortality and year, there are still the highest mortality rates in the world.

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Graph : Yearly Under-five Mortality (U5MR) Graph by Country from 2000 to 2015

1. Afghanistan

2. Bangladesh

3. Bhutan

4. Cambodia

5. China

6. India

7. Indonesia

8. Lao PDR

9. Mongolia

10. Myanmar

11. Nepal

12. Pakistan

13. Philippines

14. Sri Lanka

15. Vietnam

16. Timor-Leste

17. Thailand

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Table 2: Summary Statistics for Analysis

(1) (2) (3) (4) (5)

VARIABLES N mean sd min max

Fertility Rate 255 3.074 1.363 1.447 7.496

U5MR 272 54.30 30.68 9.800 137

GDP Per Capital 259 1,534 1,422 119.9 7,925

Improved Water 272 78.40 15.56 30.30 100

Prenatal Care 98 73.95 23.62 16.10 99.50

Birth with skilled-staff 103 59.54 31.45 11.60 99.90

Health Expenditures 253 4.286 1.753 0.368 9.419

Sanitation 272 54.37 20.05 16.30 95.10

Immunization meals 253 80.65 16.21 27 99

Tertiary Female 175 20.17 18.10 0.536 75.92

Secondary Female 178 56.23 22.99 0 102.0

Primary Female 218 101.9 18.31 0 151.3

First and foremost, my paper used the summary statistics for knowing minimum and

maximum levels for variables as shown in figure.

4.4.1. Modeling under-five mortality rate on the female, primary school enrollment with

Fixed Effects: Hausman Test

Having decided to conduct panel estimation, we look another decision of whether to

estimate our model with random effects (RE) or fixed effects (FE). The general approach to

determining a more appropriate model between a fixed effects model and a random effects model

is to conduct the Hausman Test. We therefore conduct the Hausman test for the female, primary

school enrollment – under-five mortality rate model as shown in table 3 below. For Hausman test,

null hypothesis that RE is appropriate and alternative hypothesis is FE is appropriate. The test

generates a small Chi-square test statistic at 20.02 and a large p-value at 0.0103. We therefore

reject the null hypothesis that the difference in the coefficients generated by our model is

systematic and accept the alternative. We therefore proceed to estimate a fixed effects model for

the female, primary school enrollment – under-five mortality rate regression.

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Table 3: Results of the Hausman test for the female, primary school enrollment – under-five

Mortality rate regression

(V_b-V_B is not positive definite)

Prob>chi2 = 0.0103

= 20.02

chi2(8) = (b-B)'[(V_b-V_B)^(-1)](b-B)

Test: Ho: difference in coefficients not systematic

B = inconsistent under Ha, efficient under Ho; obtained from xtreg

b = consistent under Ho and Ha; obtained from xtreg

immumeals -.1321688 -.5133551 .3811863 .1177738

sanitation -.05376 -.2965823 .2428222 .2370414

healthexp .7869377 -.331209 1.118147 .5661843

birthshels~f -.2142654 -.2807879 .0665225 .0632162

prenatalcare -.1037497 -.0772619 -.0264878 .0582428

water -1.200191 -.4254436 -.7747479 .3407239

fertilityr -3.388727 -.5782835 -2.810444 2.990412

primary -.3198135 -.2908383 -.0289752 .0712172

fixed random Difference S.E.

(b) (B) (b-B) sqrt(diag(V_b-V_B))

Coefficients

. hausman fixed random

4.4.2. Results of the regressions for the female, primary school enrollment – under-five

mortality rate

As stated in our hypothesis, we expect the female, primary school enrollment to effect on

the under-five mortality rate by decreasing child mortality. Therefore we expect a negative

relationship between for the female, primary school enrollment – under-five mortality rate. In

Table 4 below, we will discuss the results which are estimated by regressing of under-five

mortality on mothers‟ education levels and some control variables with pooled OLS and Fixed

Effect (FE). Moreover, our interest is to see the changes in the magnitude and significance of the

coefficient for variables. Then, we can claim the changes.

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Table 4: Results of the regressions for the female, primary school enrollment – under-five mortality rate

(1) (2)

VARIABLES OLS FE

Primary Female -0.476*** -0.315***

(0.0854) (0.117)

GDP Per Capital -0.000999 -0.00103

(0.000957) (0.000859)

Fertility Rate 3.109 -1.870

(1.908) (4.067)

Improved Water -0.171 -1.188***

(0.104) (0.379)

Prenatal Care -0.119 -0.128

(0.136) (0.140)

Birth- skilled-staff -0.198 -0.220

(0.130) (0.145)

Health Expenditures -0.558 1.219

(0.865) (1.071)

Sanitation -0.302*** 0.0764

(0.0982) (0.291)

Immunization meals -0.617*** -0.0475

(0.133) (0.196)

Constant 198.9*** 204.2***

(18.63) (29.72)

Observations 74 74

R-squared 0.941 0.891

Standard errors in parentheses

*** p<0.01, ** p<0.05, * p<0.1

In pooled OLS, a child from a mother with primary level of education is 0.476 percentage

points less likely to die under the age of five. Then, a child from good sanitation facilities is 0.302

percentage points less likely to die under the age of five. Moreover, a child from getting

immunization meals is 0.617 percentage points less likely to die under the age of five. The

statistical significance levels of these are lower than 99%.

According to FE regression results, under-five mortality rate changes or increases 0.315

percentages, when the female primary school level decreases by one unit. When the improved

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water source decreases by one unit, under-five mortality rate will change or increases 1.188

percentages.

The findings also indicate a strong effective and negative relationship between under-five

mortality rate and them in these seventeen countries. This is also well expected and in line with

theory. Moreover, our model is very good fit because the variables have significant influences on

under-five mortality when the statistical significance levels of these are lower than 99%. We are

happy about this model. I have no doubt about the result.

We can therefore conclude that indeed female primary school enrollment by increasing

has helped in decreasing under-five mortality rate in these seventeen developing countries in

South East Asia and to this effect female primary school enrollment has been very effective

especially by model-1.

4.4.3. Modeling under-five mortality rate on the female, secondary school enrollment

with Fixed Effects: Hausman Test

For Table 5 Hausman test, null hypothesis that RE is appropriate and alternative hypothesis

is FE is appropriate. The test generates a small Chi-square test statistic at 24.29 and a large p-

value at 0.0020. We therefore reject the null hypothesis that the difference in the coefficients

generated by our model is systematic and accept the alternative. We therefore proceed to estimate

a fixed effects model for the female, secondary school enrollment – under-five mortality rate

regression.

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Table 5: Results of the Hausman test for the female, secondary school enrollment – under-five mortality rate

regression

(V_b-V_B is not positive definite)

Prob>chi2 = 0.0020

= 24.29

chi2(8) = (b-B)'[(V_b-V_B)^(-1)](b-B)

Test: Ho: difference in coefficients not systematic

B = inconsistent under Ha, efficient under Ho; obtained from xtreg

b = consistent under Ho and Ha; obtained from xtreg

immumeals -.1584245 -.3820334 .2236089 .1468217

sanitation -.907188 -.4654804 -.4417076 .3582411

healthexp -1.461959 -.7506087 -.7113506 .7130524

birthshels~f -.1805794 -.1328091 -.0477704 .1084893

prenatalcare .0450099 -.0575156 .1025254 .0910523

water -.7622521 -.4385035 -.3237486 .7115231

fertilityr 1.507933 .7915469 .7163861 3.264376

secondary -.0456639 -.2619816 .2163177 .0782608

fixed random Difference S.E.

(b) (B) (b-B) sqrt(diag(V_b-V_B))

Coefficients

. hausman fixed random

4.4.4. Results of the regressions for the female, secondary school enrollment – under-

five mortality rate regression

As stated in our hypothesis, we expect the female, secondary school enrollment to effect

on the under-five mortality rate by decreasing child mortality. Therefore we expect a negative

relationship between for the female, secondary school enrollment – under-five mortality rate. The

results for that are shown in Table 6 below. Moreover, our interest is to see the changes in the

magnitude and significance of the coefficient for variables. Then, we can claim the changes. As

expected, our findings indicate a negative impact of secondary school enrollment for female on

under-five child mortality in developing countries in SOUTH EAST ASIA.

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Table 6: Results of regressions for the female, secondary school enrollment –under-five mortality

rate regression

(1) (2)

VARIABLES OLS FE

Secondary Female -0.542*** -0.0170

(0.129) (0.169)

GDP Per Capital -0.00104 -0.000208

(0.00134) (0.00151)

Fertility Rate 4.096* 2.194

(2.154) (5.680)

Improved Water -0.341** -0.807

(0.133) (0.781)

Prenatal Care 0.0506 0.0770

(0.177) (0.175)

Birth- skilled-staff -0.124 -0.193

(0.151) (0.189)

Health Expenditures -0.419 -1.449

(1.070) (1.399)

Sanitation -0.0558 -0.901**

(0.122) (0.415)

Immunization meals -0.414** -0.169

(0.169) (0.234)

Constant 146.3*** 187.6***

(17.21) (54.76)

Observations 65 65

R-squared 0.932 0.875

Standard errors in parentheses

*** p<0.01, ** p<0.05, * p<0.1

In pooled OLS, when mother with secondary level of education increases by one unit,

under-five mortality rate decreases 0.542 percentages. The statistical significance level of that is

lower than 99%. Then, a child from improved water facilities is 0.341 percentages points less

likely to die under the age of five. Moreover, a child from getting immunization meals is 0.414

percentages points less likely to die under the age of five. The statistical significance levels of

these are lower than 95%.

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According to FE regression results, under-five mortality rate changes or increases 0.017

percentages, when coefficient of the female primary school level decreases by one unit. When of

the sanitation facilities decrease by one unit, under-five mortality rate will change or increases

0.901 percentages. The statistical significance level of that is lower than 95%.

The findings also indicate a strong effective and negative relationship between under-five

mortality rate and them in these seventeen countries. This is also well expected and in line with

theory. Moreover, our model is very good fit when probability value is significant. We are happy

about this model. I also have no doubt about the result.

We can therefore conclude that indeed female secondary school enrollment by increasing

has helped in decreasing under-five mortality rate in these seventeen developing countries in

South East Asia and to this effect female secondary school enrollment has been very effective

especially by model-2.

4.4.5. Modeling under-five mortality rate on the female, tertiary school enrollment with

Fixed Effects: Hausman Test

To determining a more appropriate model between a fixed effects model and a random

effects model by conducting Table 7 the Hausman Test, null hypothesis that RE is appropriate and

alternative hypothesis is FE is appropriate. The test generates a small Chi-square test statistic at

4.15 and a large p-value at 0.8434. We fail to reject the null hypothesis that the difference in the

coefficients generated by our model is not systematic. We therefore use to estimate a Random

effects model for the female, tertiary school enrollment – under-five mortality rate regression.

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Table 7: Results of the Hausman test for the female, tertiary school enrollment – under-five mortality rate

Regression

Prob>chi2 = 0.8434

= 4.15

chi2(8) = (b-B)'[(V_b-V_B)^(-1)](b-B)

Test: Ho: difference in coefficients not systematic

B = inconsistent under Ha, efficient under Ho; obtained from xtreg

b = consistent under Ho and Ha; obtained from xtreg

immumeals -.3373533 -.4157821 .0784288 .0979278

sanitation -.1329261 -.04933 -.0835961 .2540522

healthexp 1.047483 .1791319 .8683512 .5885603

birthshels~f .0257424 .0464016 -.0206592 .1087059

prenatalcare -.2707565 -.3596471 .0888907 .1007853

water -.1417429 -.3153666 .1736236 .4519853

fertilityr 9.499454 5.462412 4.037042 3.275602

tertiary -.6886475 -.5241703 -.1644772 .1376923

fixed random Difference S.E.

(b) (B) (b-B) sqrt(diag(V_b-V_B))

Coefficients

. hausman fixed random

4.4.6. Results of the regressions for the female, tertiary school enrollment – under-five

mortality rate regression

As stated in our hypothesis, we expect the female, tertiary school enrollment to

effect on the under-five mortality rate by decreasing child mortality. Therefore, we expect a

negative relationship between for the female, tertiary school enrollment – under-five mortality

rate. The results for the female, tertiary school enrollment and under-five mortality rate regression

are shown in Table 8 below. Moreover, our interest is to see the changes in the magnitude and

significance of the coefficient for variables. Then, we can claim the changes. As expected, our

findings indicate a negative impact of tertiary school enrollment for female on under-five child

mortality in developing countries in South East Asia.

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Table 8: Results of the regressions for the female, tertiary school enrollment –under-five mortality rate

(1) (2)

VARIABLES OLS RE

Tertiary Female 0.114 -0.534***

(0.136) (0.187)

GDP Per Capital -0.00248** 0.000185

(0.00122) (0.00101)

Fertility Rate 5.055** 5.678**

(2.055) (2.730)

Improved Water 0.0444 -0.270

(0.156) (0.251)

Prenatal Care -0.493*** -0.352***

(0.163) (0.124)

Birth- skilled-staff 0.0751 0.0588

(0.144) (0.156)

Health Expenditures -1.011 0.328

(1.163) (1.045)

Sanitation -0.311** -0.117

(0.153) (0.226)

Immunization meals -0.698*** -0.420***

(0.162) (0.147)

Constant 147.5*** 129.9***

(17.76) (23.31)

Observations 69 69

R-squared 0.905

Standard errors in parentheses

*** p<0.01, ** p<0.05, * p<0.1

According to pooled OLS, when GDP per capital increases by one unit, under-five

mortality rate decreases 0.0025 percentages. Then, a child from fertility rate is 5.055 percentages

points more likely to survive under the age of five. The statistical significance levels of these are

lower than 95%. A child from getting immunization meals and prenatal care are 0.698

percentages and 0.493 percentages points less likely to die under the age of five. The statistical

significance levels of these are lower than 99%. Moreover, when sanitation facilities increase by

one unit, under-five mortality rate decreases 0.311 percentages. The statistical significance level

of that is lower than 95%.

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In RE regression results, under-five mortality rate changes or increases 0.534 percentages,

when coefficient of the female tertiary school level decreases by one unit. Then, a child from

fertility rate is 5.678 percentages points more likely to survive under the age of five. The

statistical significance levels of these are lower than 95%. A child from getting immunization

meals and prenatal care are 0.420 percentages and 0.352 percentages points less likely to die

under the age of five. The statistical significance levels of these are lower than 99%. Moreover,

when sanitation facilities increase by one unit, under-five mortality rate decreases 0.117

percentages. The statistical significance level of that is lower than 95%.

The findings also indicate a strong effective and negative relationship between under-five

mortality rate and these variables in these seventeen countries except the fertility rate. This is also

well expected and in line with theory. Moreover, our model is very good fit when probability

values are significant. We are happy about this model and no doubt about the result.

We can therefore conclude that indeed female tertiary school enrollment by increasing has

helped in decreasing under-five mortality rate in these seventeen developing countries in South

East Asia and to this effect female tertiary school enrollment has been very effective especially by

model-3.

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4.4.7. Findings of the overall female school enrollment regression model

Table 9: Results of the regressions for the female school enrollment for all levels on under-five

mortality rate

VARIABLES UNDER FIVE

MORTALITY

Primary Female

Secondary Female

-0.369***

(0.130)

-0.491***

(0.168)

Tertiary Female 0.106

(0.143)

GDP Per Capital -0.00105

(0.00134)

Fertility Rate 2.526

(2.401)

Improved Water -0.306*

(0.161)

Prenatal Care 0.110

(0.213)

Birth- skilled-staff -0.228

(0.177)

Health Expenditures 0.0385

(1.274)

Sanitation -0.186

(0.148)

Immunization meals -0.359*

(0.182)

Constant 183.9***

(23.47)

Observations 50

R-squared 0.948

Standard errors in parentheses

*** p<0.01, ** p<0.05, * p<0.1

According to the above overall regression results, under-five mortality rate changes or

increases 0.4 percentages and 0.5 percentages, when coefficient of the female primary and

secondary school level decreases by one unit. The statistical significance levels of these are lower

than 99%. A child from getting immunization meals and improved water are 0.4 percentages and

0.3 percentages points less likely to die under the age of five. The statistical significance levels of

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these are lower than 90%. The findings also indicate a strong effective and negative relationship

between under-five mortality rate and these variables in these seventeen countries except the

female tertiary school level. Therefore, we can conclude that indeed female tertiary school

enrollment by increasing has helped in decreasing under-five mortality rate in these seventeen

developing countries in South East Asia and to this effect female tertiary school enrollment has

been very effective especially by model-4.

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V. DISCUSSION

Hence above chapters present the deliveries of the study sample by designated demographic,

socio-economic and community related characteristics which could either directly and/or

indirectly affect under-five child mortality. The demographic and socio-economic characteristics

especially mothers‟ educational levels can affect child mortality where children are born and

upraised are vital and necessary to be lectured first before embarking on the study of any

component of population change (be it fertility, mortality). The study population will improve

good and clear sympathetic of the findings.

According to the reflection from my supervisors and research project evaluation result,

they evaluated my thesis that the study explores critical topic in developing countries, that is, a

relationship between mother‟s education and it impact on mortality rate. Mobilizing empirical

data, the thesis investigate a magnitude of mother‟s education, as an independent variable, on the

mortality and finds out positive relations between the two variables, which leads to a conclusion

of „mother is school‟. Overall, the study is well organized and informative for future studies.

Finally, we accept this hypothesis due to panel data analysis that under-five child

mortality is associated with mothers’ educational levels than other factors in South East

Asia’s developing countries.

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VI. CONCLUSION

This study measures effects of mothers‟ education on under-five children mortality from

developing countries in South East Asia. In order to prove the hypothesis, this study applied

statistical analysis such as Hausman test with panel data and pooled OLS regressions by using

three models. The results of my study discovered that the effects are all statistically significant.

My study confirmed a strong association between mother‟s education and under-five child

mortality and remained significant after control for other factors. The findings of this paper

supported for an independent effect of mother education levels ( primary, secondary and tertiary)

operating through increase health knowledge such as improved water source, sanitation facilities,

immunization and etc. for under-five child mortality rate.

Therefore, the findings of this research agree that “Mother is school”. Most of developing

countries in South East Asia show higher under-five mortality rate by low-level female education.

This study can realize mothers‟ educational levels can appear to possess a stronger effect on the

under-five child mortality rate than other factors.

This also can prove the effect of mothers‟ education on the under-five mortality developing

countries in South East Asia. That is why; we can reduce under-five child mortality by improving

the performance of female education in these regions. Countries with higher level of education

can create the inclusive growth.

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Oscar, T. (2010). Panel data analysis fixed and random effects using Stata. Data and Statistical

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VIII. APPENDICES

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