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Chinese Aid for Transportation Infrastructure and Child Health in Africa.

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Titel:	Chinese Aid for Transportation Infrastructure and Child Health in Africa.
Autoren:	Li J; Yangtze River Institute of International Digital Trade Innovation and Development, Nanjing University of Information Science and Technology, Nanjing, China.; School of Business, Nanjing University of Information Science and Technology, Nanjing, China.
Quelle:	Health economics [Health Econ] 2025 Dec; Vol. 34 (12), pp. 2255-2269. Date of Electronic Publication: 2025 Sep 07.
Publikationsart:	Journal Article
Sprache:	English
Info zur Zeitschrift:	Publisher: Wiley Country of Publication: England NLM ID: 9306780 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1099-1050 (Electronic) Linking ISSN: 10579230 NLM ISO Abbreviation: Health Econ Subsets: MEDLINE
Imprint Name(s):	Original Publication: Chichester ; New York : Wiley, c1992-
MeSH-Schlagworte:	Child Health/statistics & numerical data , International Cooperation , Transportation/economics , Transportation/methods, Child ; Child, Preschool ; Female ; Humans ; Infant ; Male ; Africa South of the Sahara/epidemiology ; China ; Health Surveys
Abstract:	This study investigates the impact of transportation infrastructure financed by Chinese aid on child health in 11 sub-Saharan African countries using Demographic and Health Survey data matched with the precise geospatial features of transportation infrastructure. We find that an additional year of exposure to transportation infrastructure significantly increases children's height-for-age z-scores by 0.041 standard deviations and reduces the likelihood of stunting by 1.6 percentage points among urban households without migration experience, relative to children in the control group. Our analysis, which employs mother fixed-effects specifications, yields consistent results. Notably, we find that the positive effects of transportation infrastructure are primarily attributable to exposure during the construction phase of aid projects. The increased likelihood of mothers securing paid employment during this period may serve as a critical mechanism driving the observed effects of exposure to transportation infrastructure. (© 2025 John Wiley & Sons Ltd.)
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Grant Information:	72403129 National Natural Science Foundation of China; 2021r056 Startup Foundation for Introducing Talent of Nanjing University of Information Science and Technology
Contributed Indexing:	Keywords: Africa; Chinese aid; child health; transportation infrastructure
Entry Date(s):	Date Created: 20250907 Date Completed: 20251101 Latest Revision: 20251118
Update Code:	20251118
DOI:	10.1002/hec.70035
PMID:	40914865
Datenbank:	MEDLINE

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Abstract:	This study investigates the impact of transportation infrastructure financed by Chinese aid on child health in 11 sub-Saharan African countries using Demographic and Health Survey data matched with the precise geospatial features of transportation infrastructure. We find that an additional year of exposure to transportation infrastructure significantly increases children's height-for-age z-scores by 0.041 standard deviations and reduces the likelihood of stunting by 1.6 percentage points among urban households without migration experience, relative to children in the control group. Our analysis, which employs mother fixed-effects specifications, yields consistent results. Notably, we find that the positive effects of transportation infrastructure are primarily attributable to exposure during the construction phase of aid projects. The increased likelihood of mothers securing paid employment during this period may serve as a critical mechanism driving the observed effects of exposure to transportation infrastructure.<br /> (© 2025 John Wiley & Sons Ltd.)
ISSN:	1099-1050
DOI:	10.1002/hec.70035