Publication: Impact of Salinity on Infant and Neonatal Mortality in Bangladesh
Loading...
Files in English
313 downloads
Published
2019-11
ISSN
Date
2019-11-21
Author(s)
Editor(s)
Abstract
In this paper, the impact of salinity on maternal and child health in Bangladesh is analyzed using data from the Bangladesh Demographic Health Surveys. A U-shaped association between drinking water salinity and infant and neonatal mortality is found, suggesting higher mortality when salinity is very low or high. With fresh drinking water, the marginal effect of salinity measured by groundwater electricity conductivity on infant death is always negative. With brackish drinking water and slightly saline water, the negative effect is small. As drinking water becomes moderately saline, the predicted probability of infant death starts to increase, and the marginal effect becomes and remains positive. The relationship between drinking water salinity and neonatal death shows a similar pattern. Finally, freshwater with very low concentration of healthy minerals and severely saline water with very high detrimental sodium can be harmful for infant and neonatal health during pregnancy. Severe salinity needs to be addressed if the recent gains in infant and neonatal mortality are to be sustained, especially in the coastal areas of Bangladesh.
Link to Data Set
Citation
“Wang, Qiao; Joseph, George; Chellaraj, Gnanaraj; Shamsudduha, Mohammed; Naser, Abu Mohammed. 2019. Impact of Salinity on Infant and Neonatal Mortality in Bangladesh. Policy Research Working Paper;No. 9058. © World Bank. http://hdl.handle.net/10986/32667 License: CC BY 3.0 IGO.”
Digital Object Identifier
Associated URLs
Associated content
Other publications in this report series
Publication The Economic Value of Weather Forecasts: A Quantitative Systematic Literature Review(Washington, DC: World Bank, 2025-09-10)This study systematically reviews the literature that quantifies the economic benefits of weather observations and forecasts in four weather-dependent economic sectors: agriculture, energy, transport, and disaster-risk management. The review covers 175 peer-reviewed journal articles and 15 policy reports. Findings show that the literature is concentrated in high-income countries and most studies use theoretical models, followed by observational and then experimental research designs. Forecast horizons studied, meteorological variables and services, and monetization techniques vary markedly by sector. Estimated benefits even within specific subsectors span several orders of magnitude and broad uncertainty ranges. An econometric meta-analysis suggests that theoretical studies and studies in richer countries tend to report significantly larger values. Barriers that hinder value realization are identified on both the provider and user sides, with inadequate relevance, weak dissemination, and limited ability to act recurring across sectors. Policy reports rely heavily on back-of-the-envelope or recursive benefit-transfer estimates, rather than on the methods and results of the peer-reviewed literature, revealing a science-to-policy gap. These findings suggest substantial socioeconomic potential of hydrometeorological services around the world, but also knowledge gaps that require more valuation studies focusing on low- and middle-income countries, addressing provider- and user-side barriers and employing rigorous empirical valuation methods to complement and validate theoretical models.Publication It’s Not (Just) the Tariffs: Rethinking Non-Tariff Measures in a Fragmented Global Economy(Washington, DC: World Bank, 2025-10-22)As tariffs have declined, non-tariff measures (NTMs) have become central to trade policy, especially in high-income countries and regulated sectors like food and green technologies. Although NTMs may serve legitimate goals, they could also sort countries and firms into or out of markets based on compliance capacity and differences in product mix. Documenting recent advances in the estimation of ad valorem equivalents (AVEs), this paper uncovers new patterns of use and exposure of NTMs. High-income countries rely more heavily on NTMs relative to tariffs, while low- and middle-income countries face steeper AVEs on their exports. Firm-level evidence shows that NTMs disproportionately affect smaller firms, leading to market exit and concentration. Poorly designed NTMs can harm productivity and welfare, while coordinated, capacity-aware use can deliver inclusive outcomes. Policy design, transparency, and diagnostics must evolve to reflect the growing role—and risks—of NTMs in a fragmented global trade landscape.Publication Monitoring Global Aid Flows: A Novel Approach Using Large Language Models(Washington, DC: World Bank, 2025-11-04)Effective monitoring of development aid is the foundation for assessing the alignment of flows with their intended development objectives. Existing reporting systems, such as the Organisation for Economic Co-operation and Development’s Creditor Reporting System, provide standardized classification of aid activities but have limitations when it comes to capturing new areas like climate change, digitalization, and other cross-cutting themes. This paper proposes a bottom-up, unsupervised machine learning framework that leverages textual descriptions of aid projects to generate highly granular activity clusters. Using the 2021 Creditor Reporting System data set of nearly 400,000 records, the model produces 841 clusters, which are then grouped into 80 subsectors. These clusters reveal 36 emerging aid areas not tracked in the current Creditor Reporting System taxonomy, allow unpacking of “multi-sectoral” and “sector not specified” classifications, and enable estimation of flows to new themes, including World Bank Global Challenge Programs, International Development Association–20 Special Themes, and Cross-Cutting Issues. Validation against both Creditor Reporting System benchmarks and International Development Association commitment data demonstrates robustness. This approach illustrates how machine learning and the new advances in large language models can enhance the monitoring of global aid flows and inform future improvements in aid classification and reporting. It offers a useful tool that can support more responsive and evidence-based decision-making, helping to better align resources with evolving development priorities.Publication The Macroeconomic Implications of Climate Change Impacts and Adaptation Options(Washington, DC: World Bank, 2025-05-29)Estimating the macroeconomic implications of climate change impacts and adaptation options is a topic of intense research. This paper presents a framework in the World Bank's macrostructural model to assess climate-related damages. This approach has been used in many Country Climate and Development Reports, a World Bank diagnostic that identifies priorities to ensure continued development in spite of climate change and climate policy objectives. The methodology captures a set of impact channels through which climate change affects the economy by (1) connecting a set of biophysical models to the macroeconomic model and (2) exploring a set of development and climate scenarios. The paper summarizes the results for five countries, highlighting the sources and magnitudes of their vulnerability --- with estimated gross domestic product losses in 2050 exceeding 10 percent of gross domestic product in some countries and scenarios, although only a small set of impact channels is included. The paper also presents estimates of the macroeconomic gains from sector-level adaptation interventions, considering their upfront costs and avoided climate impacts and finding significant net gross domestic product gains from adaptation opportunities identified in the Country Climate and Development Reports. Finally, the paper discusses the limits of current modeling approaches, and their complementarity with empirical approaches based on historical data series. The integrated modeling approach proposed in this paper can inform policymakers as they make proactive decisions on climate change adaptation and resilience.Publication The State of Global Services Trade Policies: Evidence from Recent Data(Washington, DC: World Bank, 2025-10-28)The economic environment for services trade has changed dramatically over the past 15 years, driven by rapid technological progress that has expanded the possibilities for exchanging services. How has trade policy responded to these changes? How do policy stances in a wide range of service sectors compare across economies? With its unprecedented global coverage, the Services Trade Policy Database and the associated Services Trade Restrictions Index, developed jointly by the World Bank and the World Trade Organization, help address these questions. This paper makes three principal contributions. First, it offers an in-depth discussion of the current state of services trade policies and their differences across 134 economies and 34 services subsectors. Second, the paper reveals how recent (2016–22) changes in policy stances have seen progressive liberalization by lower-income economies but stabilization or even slight policy reversals in high-income economies. This dynamic differs fundamentally from the trend that unfolded after the Great Recession over 2008–16. Third, the paper shows the implications of policy changes over the past six years on services trade costs, and it showcases how the Services Trade Policy Database’s regulatory information can inform trade negotiations, regulatory analysis, and policy making. Alongside these contributions, the paper documents updates to the Services Trade Policy Database’s economy and sector coverage and explains the latest methodological improvements made to the World Bank–World Trade Organization Services Trade Restrictions Index.
Journal
Journal Volume
Journal Issue
Collections
Related items
Showing items related by metadata.
Publication Drinking Water Salinity and Infant Mortality in Coastal Bangladesh(World Bank Group, Washington, DC, 2015-02)Bangladesh, with two-thirds of its land area less than five meters above sea level, is one of the most climate-vulnerable countries in the world. Low-lying coastal districts along the Bay of Bengal are particularly vulnerable to sea level rise, tidal flooding, storm surges, and climate-induced increases in soil and water salinity. This paper investigates the impact of drinking water salinity on infant mortality in coastal Bangladesh. It focuses on the salinity of drinking water consumed during pregnancy, which extensive medical research has linked to maternal hypertension, preeclampsia, and post-partum morbidity and mortality. The study combines spatially-formatted salinity measures for 2001-09 provided by Bangladesh with individual and household survey information from the Bangladesh Demographic and Health Surveys for 2004 and 2007. It uses probit and logit analyses to estimate mortality probability for infants less than two months old. Controlling for many other determinants of infant mortality, the analysis finds high significance for salinity exposure during the last month of pregnancy and no significance for exposure during the preceding months. The estimated impact of salinity on infant mortality is comparable in magnitude to the estimated effects of traditionally-cited variables such as maternal age and education, gender of the household head, household wealth, toilet facilities, drinking water sources, and cooking fuels.Publication Beyond Money(Washington, DC: World Bank, 2022-03-14)This paper examines the impact of return migration from Saudi Arabia and the Gulf on the transfer of gender norms to the Indian state of Kerala. Migration to countries in the Middle East has led to significant remittance flows and economic prosperity, although the effects on social norms and attitudes remain largely unexplored. The paper finds that returning migrants from Saudi Arabia tend to exhibit conservative values regarding gender-based violence and extreme attitudes pertaining to the perpetration of physical violence against women. Compared with those who have no migration experience, the attitudes of returning migrants from Saudi Arabia toward gender-based violence were more conservative by three standard deviations, while the attitudes of those returning from the Gulf were less conservative by 0.5 standard deviation. Similarly, compared with those with no migration experience, returning migrants from Saudi Arabia were more conservative by 2.6 standard deviations regarding extreme attitudes related to gender norms, such as sexual assault, while those returning from the Gulf were less conservative by 0.7 standard deviation. These results show that migration experience can have a substantial impact on the gender attitudes of returning migrants, with potential implications for migration and gender policies in Kerala and for countries that send a large share of temporary migrants overseas for work.Publication Why Do So Many Water Points Fail in Tanzania? An Empirical Analysis of Contributing Factors(World Bank, Washington, DC, 2019-02)According to the 2015 Tanzania Water Point Mapping data, about 29 percent of all water points are non-functional, out of which 20 percent failed within the first year. This paper analyzes the various factors which impact water point failure and measures the relative contributions of these determinants. The results indicate that water points managed by village committees had a much higher likelihood of failure than those managed by private operators or water authority. Factors that cannot be modified such as hydrogeological factors play a major role in determining water points failure during the first year after installation. However, management type as well as the type of pump and technology matter considerably more in the short and medium term.Publication Why Are So Many Water Points in Nigeria Non-Functional?(World Bank, Washington, DC, 2018-03)This paper utilizes information from the 2015 Nigeria National Water and Sanitation Survey to identify the extent, timing, as well as reasons for the failure of water points. The paper finds that more than 38 percent of all improved water points are nonfunctional. The results indicate that nearly 27 percent of the water points are likely to fail in the first year of construction, while nearly 40 percent are likely to fail in the long run (after 8-10 years). The paper considers the reasons behind these failures, looking at whether they can or cannot be controlled. During the first year, a water point's location -- the political region and underlying hydrogeology -- has the greatest impact on functionality. Other factors—specifically, those that can be controlled in the design, implementation, and operational stages -- also contribute significantly. As water points age, their likelihood of failure is best predicted by factors that cannot be modified, as well as by the technology used. The paper concludes that, to improve the sustainability of water points, much can be done at the design, implementation, and operational stages. Over time, technology upgrades are important.Publication An Evaluation of the Contributing Factors of Water Scheme Failures in Nigeria(World Bank, Washington, DC, 2018-03)This paper utilizes information from the 2015 Nigeria National Water and Sanitation Survey to identify the extent and timing of the failure of water schemes in the country and the factors affecting it. Around 46 percent of all the water schemes in Nigeria are nonfunctional, and approximately 30 percent are likely to fail in the first year. The results indicate that during the first year of operation, factors that can be controlled in the design, implementation, and operational stages contribute to the failure of 61 percent of the water schemes. As water schemes age, their likelihood of failure is best predicted by factors that cannot be modified. The influence of operational factors, such as repairs and maintenance, decreases slightly over time.
Users also downloaded
Showing related downloaded files
Publication Digital Africa(Washington, DC: World Bank, 2023-03-13)All African countries need better and more jobs for their growing populations. "Digital Africa: Technological Transformation for Jobs" shows that broader use of productivity-enhancing, digital technologies by enterprises and households is imperative to generate such jobs, including for lower-skilled people. At the same time, it can support not only countries’ short-term objective of postpandemic economic recovery but also their vision of economic transformation with more inclusive growth. These outcomes are not automatic, however. Mobile internet availability has increased throughout the continent in recent years, but Africa’s uptake gap is the highest in the world. Areas with at least 3G mobile internet service now cover 84 percent of Africa’s population, but only 22 percent uses such services. And the average African business lags in the use of smartphones and computers as well as more sophisticated digital technologies that catalyze further productivity gains. Two issues explain the usage gap: affordability of these new technologies and willingness to use them. For the 40 percent of Africans below the extreme poverty line, mobile data plans alone would cost one-third of their incomes—in addition to the price of access devices, apps, and electricity. Data plans for small- and medium-size businesses are also more expensive than in other regions. Moreover, shortcomings in the quality of internet services—and in the supply of attractive, skills-appropriate apps that promote entrepreneurship and raise earnings—dampen people’s willingness to use them. For those countries already using these technologies, the development payoffs are significant. New empirical studies for this report add to the rapidly growing evidence that mobile internet availability directly raises enterprise productivity, increases jobs, and reduces poverty throughout Africa. To realize these and other benefits more widely, Africa’s countries must implement complementary and mutually reinforcing policies to strengthen both consumers’ ability to pay and willingness to use digital technologies. These interventions must prioritize productive use to generate large numbers of inclusive jobs in a region poised to benefit from a massive, youthful workforce—one projected to become the world’s largest by the end of this century.Publication Doing Business 2014 : Understanding Regulations for Small and Medium-Size Enterprises(Washington, DC: World Bank Group, 2013-10-28)Eleventh in a series of annual reports comparing business regulation in 185 economies, Doing Business 2014 measures regulations affecting 11 areas of everyday business activity: Starting a business, Dealing with construction permits, Getting electricity, Registering property, Getting credit, Protecting investors, Paying taxes, Trading across borders, Enforcing contracts, Closing a business, Employing workers. The report updates all indicators as of June 1, 2013, ranks economies on their overall “ease of doing business”, and analyzes reforms to business regulation – identifying which economies are strengthening their business environment the most. The Doing Business reports illustrate how reforms in business regulations are being used to analyze economic outcomes for domestic entrepreneurs and for the wider economy. Doing Business is a flagship product by the World Bank and IFC that garners worldwide attention on regulatory barriers to entrepreneurship. More than 60 economies use the Doing Business indicators to shape reform agendas and monitor improvements on the ground. In addition, the Doing Business data has generated over 870 articles in peer-reviewed academic journals since its inception.Publication World Development Report 2006(Washington, DC, 2005)This year’s Word Development Report (WDR), the twenty-eighth, looks at the role of equity in the development process. It defines equity in terms of two basic principles. The first is equal opportunities: that a person’s chances in life should be determined by his or her talents and efforts, rather than by pre-determined circumstances such as race, gender, social or family background. The second principle is the avoidance of extreme deprivation in outcomes, particularly in health, education and consumption levels. This principle thus includes the objective of poverty reduction. The report’s main message is that, in the long run, the pursuit of equity and the pursuit of economic prosperity are complementary. In addition to detailed chapters exploring these and related issues, the Report contains selected data from the World Development Indicators 2005‹an appendix of economic and social data for over 200 countries. This Report offers practical insights for policymakers, executives, scholars, and all those with an interest in economic development.Publication Classroom Assessment to Support Foundational Literacy(Washington, DC: World Bank, 2025-03-21)This document focuses primarily on how classroom assessment activities can measure students’ literacy skills as they progress along a learning trajectory towards reading fluently and with comprehension by the end of primary school grades. The document addresses considerations regarding the design and implementation of early grade reading classroom assessment, provides examples of assessment activities from a variety of countries and contexts, and discusses the importance of incorporating classroom assessment practices into teacher training and professional development opportunities for teachers. The structure of the document is as follows. The first section presents definitions and addresses basic questions on classroom assessment. Section 2 covers the intersection between assessment and early grade reading by discussing how learning assessment can measure early grade reading skills following the reading learning trajectory. Section 3 compares some of the most common early grade literacy assessment tools with respect to the early grade reading skills and developmental phases. Section 4 of the document addresses teacher training considerations in developing, scoring, and using early grade reading assessment. Additional issues in assessing reading skills in the classroom and using assessment results to improve teaching and learning are reviewed in section 5. Throughout the document, country cases are presented to demonstrate how assessment activities can be implemented in the classroom in different contexts.Publication World Development Report 2011(World Bank, 2011)The 2011 World development report looks across disciplines and experiences drawn from around the world to offer some ideas and practical recommendations on how to move beyond conflict and fragility and secure development. The key messages are important for all countries-low, middle, and high income-as well as for regional and global institutions: first, institutional legitimacy is the key to stability. When state institutions do not adequately protect citizens, guard against corruption, or provide access to justice; when markets do not provide job opportunities; or when communities have lost social cohesion-the likelihood of violent conflict increases. Second, investing in citizen security, justice, and jobs is essential to reducing violence. But there are major structural gaps in our collective capabilities to support these areas. Third, confronting this challenge effectively means that institutions need to change. International agencies and partners from other countries must adapt procedures so they can respond with agility and speed, a longer-term perspective, and greater staying power. Fourth, need to adopt a layered approach. Some problems can be addressed at the country level, but others need to be addressed at a regional level, such as developing markets that integrate insecure areas and pooling resources for building capacity Fifth, in adopting these approaches, need to be aware that the global landscape is changing. Regional institutions and middle income countries are playing a larger role. This means should pay more attention to south-south and south-north exchanges, and to the recent transition experiences of middle income countries.