Abstract |
Economic growth in Africa has accelerated over the past 10-15 years, welcome news that is widely discussed, including in the popular press. But even as economies grow, some analysts have expressed concerns that such growth is not having as significant an impact on poverty as one would hope. Analysts and policymakers are asking whether Africa’s growth is adequately pro-poor, shared, or inclusive. Less noticed, but equally important, is the fact that improvements in children’s health in Africa are accelerating, too. This paper examines the extent to which these health improvements are equitably shared or “inclusive.” We propose a descriptive method for this analysis that is analogous to growth incidence curves and apply it to four African countries over the past two decades. We draw two principal conclusions. First, within countries, health improvements often have a different distribution than income/expenditure growth, and that distribution is usually more hopeful in the sense that it is more likely to be relatively pro-poor than the distribution of income growth. Second, we have yet to see clear patterns across countries in terms of the relationship between growth incidence curves and health improvement incidence curves. Thus, one cannot rely on the information in the growth incidence curve alone to infer the inclusiveness of health improvements. |