Luc Christiaensen presents a non-monetary perspective on measuring poverty and well-being in Africa. While economic growth has been strong, progress on extreme poverty and human development has been uneven and challenges remain large. Literacy remains low, malnutrition is still a major issue, and conflict is rising again. A multidimensional approach considers factors like health, education, empowerment, and violence. Non-monetary indicators are systematically weaker in resource-rich countries. Expanding measures of well-being and focusing on improving education, especially for women and girls, can help address remaining human development gaps in Africa.
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Poverty in Africa Goes Beyond Income
1. POVERTY IN A RISING AFRICA
– A NON-MONETARY PERSPECTIVE
Luc Christiaensen, Presentation at Measurement of
Well Being and Development in Africa Conference,
Durban, South Africa, 12-14 November, 2015
1
http://www.worldbank.org/africa/povertyreport
2. • Robust economic growth (4.5 % per year 1995-2013)
…doubts @ progress in extreme poverty ($1.90-day), in part driven by data concerns
• And a monetary account of poverty does not tell the full story
• many aspects of well-being cannot be monetized
• it does not have an intrinsic (only an instrumental) value (initial conditions)
• Income is at household level (ignoring intra-household distribution)
• Poverty in a Rising Africa
• Scrutinizes the data for measuring consumption (and poverty, inequality)
• Revisits evolution of poverty and inequality taking data considerations into account
• Considers non-monetary dimensions
Africa is Rising! Are People Better Off?
2
3. A Nonmonetary Perspective
• Inspired by capability approach (functionings & capabilities)
• Human Development Indicators and Multidimensional Poverty Index
• Different emphasis in three areas
Conceptually: dimensions?
• TRADITIONALLY: Being able to read and write & being well nourished and healthy
• WE ADD: being free from violence, but also being free to decide (to proxy capability)
Practically : indicators?
• Data abundance; but functionings not covered (mobility/capacity to aspire/social inclusion)
• Remaining data issues (e.g. adult literacy)
• Focus on individual and achievement (not income)
Jointness in deprivation: dashboard versus single index ?
• Middle ground: share of individuals poor in 1, 2, .. K dimensions (~M0) 3
4. The Non-Monetary Perspective – Take-Aways
4
Health, nutrition, education, and empowerment have improved, and
violence has diminished.
The challenges remain enormous: more than two in five adults are still
illiterate and quality of schooling is often low; conflict is on the rise.
Nonmonetary welfare indicators are systematically weaker in resource-
rich countries, pointing to the unmet potential of natural resource wealth.
Higher female educational achievement remains the game changer for
improving human development outcomes Refocus on education
6. Adult literacy rates increased by 4 % points;
But two in five adults are still illiterate
6
83
93
62
79
50
67
54 58
0
10
20
30
40
50
60
70
80
90
100
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Africa
South Asia
East Asia
MENA
LAC
Adult literacy rates (%) (1995-2012)
- Literacy rates are lowest in W-Africa
- Gender parity gap: 25 %points
- Especially high in western Africa
- Much lower in southern Africa
- Illiteracy higher among
- Poorer, older, rural people
- Resource-rich & landlocked countries
Heterogeneity across Africa
7. Adult literacy rates remained low, despite substantial
increase in primary school enrollment
7
76
106
55
74
22
47
0
10
20
30
40
50
60
70
80
90
100
110
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Percent
Evolution of enrollment in SSA (1995-2012)
Gross enrollment primary school
Net enrollment primary school
Gross enrollment secondary school
male
female
8. But, very low quality of schooling– many sixth graders lack
even basic reading skill
8
-36
-73
-100 -50 0 50 100
SACMEQ
Malawi
Lesotho
Uganda
Namibia
Botswana
Zanzibar
Kenya
Swaziland
Reading test scores 6th graders (SACMEQ)
Pre, Emergent and Basic reading (1,2,3) Reading for meaning (level 4)
Interpretive and above (levels 5,6,7,8)
40
-100 -80 -60 -40 -20 0 20 40 60 80 100
Comoros
Benin
Chad
Cote d'Ivoire
DR Congo
Madagascar
Burkina Faso
Senegal
Burundi
Cameroon
Gabon
Reading Scores (PASEC)
Level 1: students perform at or below the level expected for random guessing (score of
less than 25%)
Level 2: students score between 25% and 40%
Level 3: Students perform at or above a level determined to be "basic knowledge"
Note: 2004-2009: SACMEQ = Southern Africa Consortium for Measuring Educational Quality. PASEC = Programme d’Analyse des Systèmes Educatifs de la CONFEMEN.
10. African newborns can expect to live 7 years longer since
2000, but progress is leveling off
10
49.9
56.9
60.7
66.9
45
50
55
60
65
70
75
80
Age(years)
East Asia & Pacific Latin America & Caribbean
Middle East & North Africa Sub-Saharan Africa
North America Europe & Central Asia
Life expectancy (1995-2013)
7 years
• Follows sharp decline in
under five child mortality
(173 to 93 – 1995-2012)
• Due to an increase in
vaccination since 2000s
and a drop in malaria
deaths since mid 2000s
• But progress leveling off
• And HIV prevalence still
high in southern Africa
11. … and malnutrition remains high, with new health issues on
the horizon
11
Stunting among children(≤ 5):
• dropped by 6 % points (1995-2012)
• 2012: still 38.6 percent stunted
13
5
0
2
4
6
8
10
12
14
BMI<18,5 BMI>=30
%
One African woman in 8 is underweight;
one in 20 is obese
Boys are more stunted than
girls (by 5 %points);
Women can expect to live in
good health 1.6 years longer.
13. After a decade of relative peace, violence is rising again
14
Number of violent events against civilians
14. Tolerance of domestic violence in Africa declined, but remains
twice as high as in other developing countries
15
22%
14%
41%
30%
2000-2006 2007-2013
Other developing countries
Sub-Saharan Africa
Acceptance of domestic violence
Note: Figures are population-weighted averages of 32
African and 28 non-African developing countries Incidence is about 60 percent of the acceptance rate.
1316
7777
0%
20%
40%
60%
80%
Malawi
Benin
SaoTomeandPrincipe
Mozambique
Swaziland
Madagascar
Nigeria
Namibia
Ghana
Lesotho
Zimbabwe
Comoros
Liberia
BurkinaFaso
Cameroon
Coted'Ivoire
Gabon
Kenya
Tanzania
Rwanda
Uganda
Senegal
Niger
Congo,Rep.
Zambia
SierraLeone
Ethiopia
Burundi
Congo,Dem.Rep.
Uganda
Mali
Very high in some countries
15. Higher tolerance in fragile and resource rich states. Lower
tolerance among more educated & older NOT younger women.
16
-3.3
-7
-9.1
-10.8
-12.1
-13.7
-8.4
-15.8
-31.2
9.2
16
6.1
-1
-7.6
-40 -30 -20 -10 0 10 20
20-24
25-29
30-34
35-39
40-44
45-49
Age group/ compared with age group 15-19
Attended primary education
Attended secondary education
Attended higher education
Education/ compared with No education
Fragile/ compared with Non-Fragile
Resource Rich / compared with Resource Poor
Landlocked/ compared with Coastal
Lower Middle Income/ compared with Low Income
Upper Middle & High Income/ compared with Low Income
Acceptance of domestic violence
Declines with
education
Younger women are
more tolerant!!!
Note: only limited effects of no real effect of povOLS. Also controls for poverty, marital & employment status, annual trend, rural/urban. All limited effect
17. Voice and accountability levels in Africa remain low
Voice and accountability
“Do not listen to the radio, watch television,
or read a newspaper at least once a week “
• Africa: almost 40 %
• RoW (excl. China): 25 %
• Lower in Sahel, coastal West Africa,
populous countries (DRC, Ethiopia)
• 15% points lower among women
• Poverty, rural residence, and lack of
education are key differentiators.
• Lower in resource-rich & fragile states (6
and 5%points respectively)
Exposure to media
18
-2.5
-2
-1.5
-1
-0.5
0
0.5
1
1.5
2
2.5
1996
1998
2000
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
EAP ECA LAC
MENA North America South Asia
Source: Worldwide Governance Indicators.
Africa
East Asia and PacificMiddle East and North Africa
18. Trend toward greater participation of women in
household decision making processes.
• “Husband has final say in decisions regarding their wives’ health care”
• Africa: 46 %
• South Asia: 39 %
• Middle East and North Africa: 21 %
Lower among women in poor and rural households, in resource-rich and landlocked countries;
also among younger women!!!
• ”Husband has final say on whether a married woman can visit friends or family”
• Africa: 40 %
• RoW : 33 %
• “Control over a women’s earnings lies fully with someone else”
• Africa: only 10 %
Trend is toward greater empowerment
19
20. Living in resource rich countries comes with a penalty for
your human development
21OLS estimates are conditional on country categories, residence and other household characteristics
-3.1
-4.5
3.7
2.1
9
-6 -4 -2 0 2 4 6 8 10
Literacy (% points)
Life expectancy (years)
Women's malnutrition (% points)
Children's malnutrition (% points)
Incidence of domestic violence (% points)
Resource-rich countries perform systematically worse
21. 22
Human development outcomes systematically higher
among and in households with better educated women
OLS estimates are conditional on country categories, residence and other household characteristics
-19.0
-24.7
-7.1
9.4
-9.9
-4.1
-30 -25 -20 -15 -10 -5 0 5 10 15
Final decision on own health care
Access to media
Tolerance of domestic violence
Incidence of domestic violence
Chronic child malnutrition
Women's malnutrition
% points
Attended Secondary Education
22. Vulnerable groups (ignored in standard poverty analyses):
Numerous people are disabled, displaced, or deprived from
one or both parents
23
In 2012, 32.1 African children were orphaned (of which 3.5 million
having lost both parents).
In 2013, two percent of Africa’s population was refugee (3.7 million)
or internally displaced (12.5 million).
In a sample of seven African countries, almost 1 in 10 working-age
adults were disabled.
Pastoralists: lack of systematic information
24. The vast majority of women suffers in at least one
dimension; 30 percent suffer in three or more
25
26
58
82
97
4
22
58
92
14
38
69
95
0
10
20
30
40
50
60
70
80
90
100
0 1 2 3 4
Cumulativeshareofadultfemales(%)
Number of dimensions deprived
Non monetary poor women Monetary poor women All women
4 dimensions :
- Illiterate
- BMI <18.5
- Tolerant of domestic
violence
- Limited freedom to decide
25. Multiple deprivation is substantial in West African
Sahel and Africa’s populous countries
26
27. Big Picture Take Aways (1)
Findings
Health, nutrition, education, and empowerment have improved, and violence has
diminished.
The challenges remain enormous
more than 2 in 5 adults are still illiterate; quality of schooling often low
almost 2 in 5 children are chronically malnourished, a burden for life
conflict is on the rise
Nonmonetary welfare indicators are systematically
weaker in resource-rich countries
better among or in households with better educated women
28
28. Take-Aways
Methodology and data
Expand beyond education and health
Important practical and conceptual issues remain
(Standard measures (literacy); other functionings (mobility, aspirations))
Include vulnerable groups
Implications
- Remove human development resource penalty
- Refocus attention on education, especially for girls; adult literacy campaigns?
29
A monetary account of poverty has appeal
it accounts for preferences;
it provides an objective threshold (minimum caloric diet)
It allows for aggregation across domains (food & nonfood)
Functionings is what people are and do
Capabilities the capacity of people to freely choose and achieve what they have reason to be and do (i.e. the functionings)
Which functionings
In capability approach one determines what one values so which functionings to track?
Dashboard vs single index
Listing achievement by achievement vs explicit trade-offs
Middle ground: share of individuals poor in 1, 2, .. K dimensions (~M0)
Considers jointness, but no complete ranking (less emphasis)
Indicator choice
Expansion of data, though not for all functionings (mobility, capacity to aspire, social inclusion)-
Remaining data concerns (availability, comparability, quality), also for common measures (literacy)
-Measured at individual level
Achievement if possible, inputs & conversion factors otherwise
-Average masks substantial difference across countries.
- Still high literacy rate gender gap, ddespite much progress in primary enrollment rate gender gap
Last wave of SACMEQ and PASEC (wave 4)
Pasec average of performing at or above basic knowledge: 46.82 %
Decline in child mortality
Two mortality indicators are significant drivers of changes in life expectancy in Africa: under-five mortality rates and HIV prevalence rates. For every 10 additional children per 1,000 live births surviving to the age of five, life expectancy increased by 0.7 years; for every percentage point increase in HIV prevalence, life expectancy decreased by 1 year. These two factors alone explain more than three-quarters of the variation in life expectancy in the region (under-five mortality explains 50 percentage points and HIV prevalence explains 28 percentage points). Country GDP levels and the number of deaths from conflict in previous years do not have important effects on life expectancy beyond their effects on child mortality or HIV prevalence.
HIV-AIDS
Southern Africa has been especially hard hit by HIV/AIDS. At least 10 percent of 15- to 49-year-olds there are HIV-positive (10.3 percent in Malawi, 10.8 in Mozambique, 19.1 in South Africa, 21.9 percent in Botswana, 22.9 percent in Lesotho, and 27.4 percent in Swaziland). Prevalence rates of 5–7 percent are observed in eastern Africa (Kenya, Tanzania, and Uganda) (map 3.1). Despite substantial progress and the increased availability of better treatment options, HIV/AIDs will continue to hold back life expectancy in a number of countries, especially in southern but also in eastern Africa
Decline in child mortality (160 till 80
Two specific mortality indicators are significant drivers of changes in life expectancy in Africa: under-5 mortality rates and HIV prevalence rates. For every 10 additional children per 1,000 live births surviving to the age of 5, life expectancy increased by 0.7 years; for every percentage point increase in HIV prevalence, life expectancy decreased by a year. These two factors alone explain more than three-quarters of the variation in life expectancy in the region; 50.4 percentage points are explained by under-5 mortality, and 28.2 percentage points are explained by HIV prevalence. Country GDP levels and the number of deaths from conflict during the previous years did not prove quantitatively important in understanding life expectancy beyond their effects on child mortality (or HIV prevalence).
The results derive from a country-fixed effect regression analysis of the life expectancy for years 2000–12 among 39 countries on the under-5 mortality rate, the HIV prevalence rate, an indicator variable taking the value of 1 if the average annual number of deaths over the five years preceding the year of recorded life expectancy exceeded 100, and GDP (constant 2005 U.S. dollars per capita) and its square term.
Southern Africa has been especially hard hit by HIV/AIDS. At least 10 percent of 15- to 49-year-olds there are HIV-positive (10.3 percent in Malawi, 10.8 in Mozambique, 19.1 in South Africa, 21.9 percent in Botswana, 22.9 percent in Lesotho, and 27.4 percent in Swaziland). Prevalence rates of 5–7 percent are observed in eastern Africa (Kenya, Tanzania, and Uganda) (map 3.1). Despite substantial progress and the increased availability of better treatment options, HIV/AIDs will continue to hold back life expectancy in a number of countries, especially in southern but also in eastern Africa
Adult women :
13 % underweight
5 % obese
The number of deaths of violent events from declined from 20 (in the late 1990s) to 4, but the number of violent events against civilians has increased fourfold to more than 4000 in 2014 (concentrated in the central Africa and increasingly also in the Greater Horn).
Incidence of domestic violence also declined
Incidence of domestic violence also declined
Africans are slightly more empowered
Scores on voice and accountability rose slightly and there was a trend toward greater participation of women in household decision making processes.
Worse off: rural and poorer populations.
Not so clear about female headed households and women
Conditional on other features, citizens in resource rich countries are less literate (by 3.1 percentage points); have shorter life expectancy (by 4.5 years), and higher rates of malnutrition among women (by 3.7 percentage points) and children (by 2.1 percentage points), and suffer more from domestic violence (by 9 percentage points
Conditional on other features, female individuals who attended secondary education are less deprived in access to media (by 24.7 percentage points) compared to those who did not attend school. Female individuals are who attended secondary or higher education are more free to decide on their own health compared to those who did not attend school.
Regarding tolerance of domestic violence, female who attended higher education are far less tolerant (by 24.3 percentage points) to to accept domestic violence compared to those who did not attend school.
Limited freedom to decide: No media exposure or husband has final say on decisions regarding own health care, family visits, and spending)
Box 3.1: Measuring Multiple deprivations with the DHS
To measure multiple deprivations, we use data form the DHS on 25 countries, covering 72 percent of the population of Africa. We assess our four main dimensions as follows. We focus on women as information on these four dimensions is only available for the same individuals for reproductive age women.
Deprivation in cognitive ability is illiteracy (illiterate if unable to read a full sentence, blind, or with no reading card for the required language). Over half (56 percent) of women in the sample countries are illiterate (similar to the ratio for Africa reported above).
Women are classified as deprived in health if they are undernourished (BMI below 18.5). There is no direct information on life expectancy, but the correlation coefficient between country life expectancy and the proportion of undernourished adult women is 0.3.
To reflect physical security, women’s attitudes toward domestic violence are used as an indicator. Across countries, social norms toward domestic violence and the incidence of casualties from political violence are correlated (a correlation coefficient of 0.4).
Finally, freedom to decide is captured through an indicator for not having frequent media (not using at least one media channel—newspaper, television, radio—once a week) or not being involved in decisions regarding own health care, family visits, and spending (not involved in decisions regarding any of these three domains). Both indicators are correlated with the WGI indicator of voice and accountability (correlation coefficient of 0.4).
We further augment these dimensions by adding a fifth aspect: monetary wealth. The DHS asset index is used to classify adult women as poor or nonpoor (Christiaensen and Stifel 2007; Filmer and Scott 2012; Sahn and Stifel 2000 establish correlations with expenditures). Country cutoffs are defined based on the share of the population living below $1.85 poverty headcount for the corresponding survey year. With a correlation coefficient of 0.33, on average, the correlation of this indicator with the other dimensions is low, underscoring the observation that income can mask deprivation in many basic functionings and capabilities.