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World Development Vol. 30, No. 3, pp.

511–522, 2002
Ó 2002 Published by Elsevier Science Ltd.
Printed in Great Britain
www.elsevier.com/locate/worlddev 0305-750X/02/$ - see front matter
PII: S0305-750X(01)00114-0

Combining Quantitative and Qualitative


Approaches in Poverty Analysis
HOWARD WHITE *
Institute of Development Studies, Brighton, UK
Summary. — Economics is commonly associated with the use of quantitative methods, and because
of this, supposedly, the discipline is more ‘‘rigorous’’ than other social sciences, which are in turn
associated with the application of qualitative methods, presumed to be less rigorous. This paper
challenges these assumptions and argues that the more serious distinction, which applies both to
quantitative and to qualitative research, is between data analysis and data mining. Opposing the
opposition of quantitative and qualitative analyses, the paper shows how a productive synergy may
be established both between methods, and between disciplines, using examples from studies of
labor in rural Africa, of the relationships of household size and poverty, and of child
survival. Ó 2002 Published by Elsevier Science Ltd.

Key words — methods, poverty, statistics, econometrics

1. INTRODUCTION number of cases in which areas of research have


been opened up in economics because of dif-
This set of papers explores the meaning, ferent ways of looking at things introduced
benefits and ramifications of multidisciplina- from other disciplines. He demonstrates that
rity. One of the ‘‘oppositions’’ between eco- many notable contributors to economics stand
nomics and other social sciences is that between out because of their ability (and willingness) to
quantitative and qualitative approaches (Har- draw on other disciplines. This paper takes the
riss, 2002). These oppositions are, to an extent, argument down to the level of a number of
false dichotomies. Quantitative versus qualita- specific cases all falling within the realm of
tive is a false dichotomy for two reasons. First, ‘‘poverty analysis.’’ Even without aspiring to a
noneconomic social sciences can and do utilize Nobel prize, economists can in their day-to-day
quantitative techniques (and economists quali- work learn much from drawing on other dis-
tative ones). Second, more important than the ciplines. Section 3 illustrates this point with
distinction between quantitative and qualita- reference to household models, in particular the
tive, is that between data analysis and data issues of labor exchange in rural Africa and
mining. The role of research, and perhaps even household economies of scale.
more so policy analysis, is to establish patterns There is, of course, a two-way flow, with
in the data, rather than try to force them into a other disciplines benefiting from the insights
preconceived view of the world. These points economics can bring. Section 4 discusses one
are discussed in Section 2. area in which there has been, and continues to
The distinction between quantitative and
qualitative is nonetheless well entrenched. In
practice, economics is identified with quantita- * This paper draws on unpublished work prepared with
tive approaches in contrast to the qualitative Nicola Desmond (LSHTM) and Sharada Srinivasan
approach of the ‘‘softer’’ social sciences. My (ISS) (White, Srinivasan, & Desmond, 2001). Additional
argument is that these distinctions need to be work for the paper has been supported by DFID as a
broken down because of the complementarity background paper for a presentation to the Global
between the different approaches. 1 In some Development Network on May 14, 2001. Helpful com-
cases one can argue that there is synergy, and ments have been received on earlier drafts from Sam
the contribution of a discipline is enhanced Jackson, John Harriss, Charles Clift, Jan Kmenta and
(able to move forward) because of insights from Neil McCulloch. The usual disclaimer applies. Final
another discipline. Harriss (2002) identifies a revision accepted: 8 October 2001.
511
512 WORLD DEVELOPMENT

be, a particularly fruitful interaction between US profession has, in fact, seen something of a
economics and other disciplines, namely the convergence similar to that already witnessed in
analysis of child survival. Gender is a crucial economics (Harriss, 2002). A review of the two
aspect of such analyses, so that the example is a most recent issues of the American Journal of
specific case of the more general point argued Political Science shows that just over one-third
by Jackson (2002) that feminist economics of the papers (10 out of 29) use mathematical
demonstrates the application of economic modeling, most of a sort similar to that found
techniques to an area previously analyzed from in the Economic Journal or the American Eco-
a sociological perspective. Section 5 concludes. nomic Review (Table 1). Eighty percent of the
papers present regression results. While some of
these are ordinary least squares, logistic re-
2. THE USE AND ABUSE OF gression is the most commonly applied tech-
TECHNIQUES nique and one paper uses vector auto
regressions (VARs). One of the papers is pri-
There is a perception among economists that marily concerned with appropriate statistical
quantitative techniques provide more ‘‘rigor’’ techniques (Zorn, 2001). Sociologists are apt to
than qualitative techniques. Hence it is often draw on data analysis as and when it is ap-
felt that economics, with its more rigorous propriate for their purpose, as in Durkheim’s
footing, is a sounder basis from which to for- classic study of suicide first published in 1897.
mulate policy advice. 2 Three observations may Again, in the United States a tradition has
be made with respect to such an attitude. First, grown up which routinely utilizes relatively
the use of quantitative techniques is common in sophisticated quantitative techniques. A review
several other disciplines, with the US social of two leading US sociology journals in the
science tradition utilizing these to a greater 1960s reported that over 90% of the papers
extent than that in Europe. Second, the real reported results from quantitative surveys
basis for ‘‘rigor’’ is the proper application of (Brenner, 1981, cited in Silverman, 1985). In-
techniques. Badly or misleadingly applied, both spection of the two most recent issues of the
quantitative and qualitative techniques give American Journal of Sociology found that two-
bad or misleading conclusions. Finally, differ- thirds of the papers use regression-based sta-
ent techniques are appropriate to different set- tistical analysis or similar ones (e.g., factor
tings. Later sections of this paper elaborate this analysis). Recent issues of the annual publica-
last point, showing how combining quantitative tion of the American Sociological Association,
and qualitative work can strengthen both. The Sociological Methodology, largely contain pa-
discussion turns now to the first two points. pers on advanced statistical techniques (e.g.,
Economics is not the only social science to Agresti, Booth, & Hubert, 2000).
rely on math, modeling and statistical data Turning to the second point, both quantita-
analysis. Demography has a strong mathemat- tive and qualitative approaches are about tak-
ical tradition, and is by its very nature rooted in ing observations of the world (data) and
analysis of quantitative data. Yet demogra- presenting them within a framework (a model).
phers routinely combine both quantitative and The important point is the relationship between
qualitative methods, and the discipline has not the data and the model, which comes first, and
seen the convergence toward a stylistic hege- which has the upper hand in this relationship.
mony which is evident from mainstream eco- In econometrics there is a distinction between
nomic journals. Political scientists are also no data analysis and data mining. Although both
strangers to either math or statistics, and the data analyst and data miner do similar things—

Table 1. Use of mathematical and statistical analysis in political science and sociology
American Journal of Political Science American Journal of Sociology
Mathematical modeling 5 0
Statistical analysis: regression or similar 18 4
Statistical analysis: other 0 2
Both modeling and statistical analysis 5 4
Neither 1 2
Total 29 12
Source: author’s examination of named journals.
COMBINING QUANTITATIVE AND QUALITATIVE 513

running many regressions and looking at di- their results and those of the World Bank was
agnostic tests—their objectives are very differ- ‘‘a mystery’’ (p. 1466). This claim is simply
ent. 3 The data analyst is looking for the untrue. The results are replicable, as five min-
interpretation most consistent with the data, utes with a spreadsheet would show.
i.e., letting the data tell the story. The data In such a climate, suspicions of data mining
miner knows what she is looking for and keeps can always arise. The World Bank’s work on
digging until she finds it. Then she stops and aid effectiveness, notably the paper of Burnside
that is the story she tells. Data miners are and Dollar (2000), has been criticized by many
equally at home using either quantitative or academic researchers on these grounds. For
qualitative data. some time the Burnside and Dollar data set was
The large qualitative analysis undertaken by not made publicly available and researchers
the World Bank, the Voices of the Poor— were unable to replicate the results using what
published in three volumes: Crying Out for ought to have been at least very similar data.
Change (Narayan, Chambers, Shah, & Petesch, Once the data became available the results were
2000a), Can Anyone Hear Us? (Narayan, Pa- indeed replicated but they remained unrobust.
tel, Schafft, Rademacher, & Koch-Schullem, Quite minor changes in model specification
2000b) and From Many Lands (Narayan & could change the results in such a way as to
Petesch, 2000)—has come under criticism for make them inconsistent with the arguments
its lack of rigor with respect to sampling and advanced by Burnside and Dollar and the
presentation of the results. Regarding the latter World Bank’s Assessing Aid report. 6
it is argued that in a mountain of transcripts it Where does this discussion leave us with re-
is, of course, possible to find a quote from a spect to qualitative data? Of course, qualitative
‘‘poor person’’ to fit the argument being made. data can be mined for ‘‘the right result,’’ but so
This is an accusation of data mining. But this is can quantitative data. There are well-estab-
hardly something of which economics is inno- lished techniques for the scientific analysis of
cent. Indeed, economics is predisposed toward qualitative data, for example, content analysis
a theory-driven approach in which the model is of different media—and textbooks telling the
first derived and then data fitted to that model. budding social scientist how to go about it (e.g.,
There is a saying that ‘‘if you torture the data Gilbert, 1993; Silverman, 1985, 1993). Com-
long enough [they] will confess.’’ 4 Certainly puter programs, such as QSR-Nudist, mean
any moderately competent econometrician, that ever larger data sets can be analyzed in
given enough variables, should be able to such ways. The real question here is one of
produce the desired sign and significance on professional respect, trust and integrity. Just as
most variables of interest. economists quite readily take as ‘‘right’’ the
In the absence of the data set and replication regression results they find in published papers,
of the results, it is impossible to know how they should accord the same professional re-
badly the data have been treated. It is not part spect to presentations of qualitative material.
of the refereeing process for economics journals Members of all disciplines should be on the
to replicate the econometrics. Indeed, authors look out for shady practices which distort
are not generally required to submit the data patterns in the data. 7 These problems are by
set to make this possible. Nor does economics no means unique to users of qualitative data.
appear to attach the same importance to rep-
lication as do the natural sciences. 5 In one
case, data were obtained which had been used 3. CREATING SYNERGY BETWEEN
for a paper in the Journal of Development QUANTITATIVE AND QUALITATIVE
Economics and three researchers were, inde- APPROACHES
pendently, unable to replicate the results. Even
where data are available most readers of course Two examples are discussed here in which the
take statements on trust. For example, the combination of quantitative and qualitative
World Bank report Adjustment in Africa pub- techniques can enrich one another. I go so far
lished the data it had used to show the benefi- as to say there is a synergy between them. That
cial impact of various policy changes on is, using the approaches together yields more
growth. Mosley, Subasat, and Weeks (1995) than the sum of the two approaches used in-
published a critique in World Development dependently. The first example discusses the
which included the claim that they could not lack of economic analysis of labor exchange in
replicate the results and the difference between rural Africa and points to the rich anthropo-
514 WORLD DEVELOPMENT

logical literature as a basis for developing payment, over which bargaining can occur, but
household models. The second point follows on there are many other forms of exchange rooted
from the first. This is how the problem of to varying degrees in social institutions. One
household economies of scale in consumption example, which can be found over much of the
can be resolved by realizing that the household continent, is of work parties or groups—com-
is the unit of production and the life cycle monly known as ‘‘beer parties’’ (or tea in
which follows from this. Muslim areas). The owner of the land provides
food and drink in return for the day’s work. It
8
(a) Labor exchange in rural Africa is prestigious to be able to arrange labor in this
way, and Kevane documents that older men
There is a view among many economists that will make their sons attend as part of the means
labor markets in rural Africa are very thin. A of ensuring attendance when they organize a
commonly cited statement of this position is similar event.
that of Binswanger, McIntire, and Udry (1989); The point made by Kevane can be general-
writing of the Sahel they say that ‘‘there is al- ized with evidence from throughout rural Af-
most no hiring or exchange of labour among rica. Labor exchange takes place when any
resident farmers during the peak labour sea- work is performed outside of the household.
son’’ (p. 125). 9 This view has been generalized Conversely, there is an exchange when any
for sub-Saharan Africa by Sahn and Sarris household production is performed by non-
(1994), who cite the view of Binswanger et al. household members. There are a wide range of
(1989) that rural Africa is typified by underde- market and nonmarket transactions through
veloped land and labor markets. They argue which labor exchange operates, which are
that labor and credit markets have only summarized in Table 2.
emerged in response to population growth and Economists model rural households as hav-
external trade opportunities and that there was ing a given labor supply (household size) and
little exchange of these factors before that. then deciding whether to hire labor in or out.
Hence, although their paper is titled ‘‘The But, as the last row of Table 2 shows, house-
evolution of states, markets, and civil institu- hold size is endogenous. Family size can be
tions in rural Africa,’’ and although they adopt deliberately enlarged to increase labor supply;
a broad definition of institutions to encompass Cheater (1984) (cited in den Ouden, 1995) calls
social relations, they do not touch upon any of this ‘‘the traditional idiom of accumulation.’’
the diverse forms of labor exchange which There are four main channels for adjusting
characterize rural Africa. family size. First, as economists have recog-
Kevane (1994) begins his paper analyzing nized, reproduction is an economic decision. If
labor exchange in Sudan with the quote from complementary assets are needed in production
Binswanger et al. given above. He goes on to then we would expect better-off households
show that, to the contrary, labor exchange is to have more children (though this is just
widespread. Some of this is in return for cash one determinant of the number of children).

Table 2. Forms of labor exchange in rural Africa


‘‘Pure’’ labor market transactions Long-term labor contracts
Short-term (including daily) labor contracts
Interlocking markets including labor exchange Sharecropping
Share contracts for other inputs
Lending and borrowing children
Pawnship and slavery
Nonmarket-based labor exchange Tributary labor
Generalized reciprocity
Balanced reciprocity
Work parties
Adjusting family size Additional wives
Additional children
‘‘Adopting’’ dependent subhousehold
Borrowing children, pawnship and slavery
COMBINING QUANTITATIVE AND QUALITATIVE 515

Second, polygamy is widespread in much of in the use of agricultural implements. But


Africa. It is the better off who are likely to have unlike in the case of Asia, for which there is a
more wives. This can be explained partly by rich economic literature, analysis of these is-
fact the it is socially and personally desirable to sues is virtually absent in Africa. Indeed,
have more wives. But it also provides addi- economic analysis of African rural households
tional household labor, which is particularly is slight. What this discussion makes clear is
required by the better off who have the assets to that the application of household models in
engage in farming on a larger scale. Third, the African context should be rooted in the
households can gain or lose members depend- specific social context. This point is a specific
ing on their prosperity. Unsuccessful house- example of that made by Harriss (2002) that
holds ‘‘disappear’’ as their members die or are economic models need to be confronted by
dispersed among more successful relatives. social reality.
Successful households ‘‘adopt’’ whole depen-
dent subhouseholds. Relatives within a house- (b) Household economies of scale
hold typically have a subordinate status
(reflected in worse social indicators) 10 and are It was argued above that household size in-
seen as a source of labor; in the words of a creases to fulfill the labor requirements of suc-
Bemba man (Zambia) ‘‘no one would know the cessful households. Much anthropological
difference between a slave and a poor relative’’ writing on Africa is unambiguous in the view
(quoted in Iliffe, 1987, p. 57). Finally, house- that larger families are better off; for example
hold size has historically been increased ‘‘Africans measured wealth and power in men
through owning slaves. While this practice is rather than acres; those who exercised power
diminished, though not eliminated, pawnship were man-owners rather than landowners’’
continues. Pawning is the exchange of a (Hopkins, 1973, p. 26) and in Benin (among the
household member, often a female child, in Adja)
return for credit; i.e., a debt bondage relation-
ship (Falola & Lovejoy, 1994). The practice the alo-su ame dji [are] powerful men who control
remains particularly common in West Africa, many people and are respected and feared. They have
with children being sold from countries such as many wives, children and dependants in their com-
Benin and Togo to oil-rich Gabon and Nigeria pounds . . . [and] many others . . . come to them for ad-
vice and support’’ (den Ouden, 1995, p. 3).
(Anti-slavery International). 11 Where there is
little likelihood of repayment pawnship is little
Finally, it is the rich man who can afford
different from sale of the child. A linked prac-
more wives:
tice is the lending and borrowing of children—
this serves the interests of both the poor family, the average number of wives is closely related to the
who are relieved of the responsibility of cloth- husband’s age and wealth . . . In Dorayi . . . the overall
ing and feeding the child (so the transaction ratio of wives to husbands was 1.4, the corresponding
interlocks goods and labor markets), and the ratio for the richest men was 2.1’’ (Hill, 1975, p. 119).
better-off household, which acquires labor.
There is also some social obligation from the But these findings are at odds with the
better-off household to the poorer as a result of ‘‘stylized fact’’ from quantitative poverty pro-
this transaction (Grandin, 1989). files that larger households are poorer. How
Beyond the household a variety of labor can we explain this discrepancy between
relationships may be found. Hill’s review of quantitative and qualitative evidence?
these in West Africa identifies four common Four explanations may be given for this
forms: (i) abusa, which is something akin to ‘‘paradox.’’ First, the quantitative data may be
sharecropping though the landowner or a rel- wrong. They may fail to adjust for either or
ative supervises the work, (ii) wage labor, both household size and composition. 12 Sec-
usually by younger men (there is stigma at- ond, mean consumption does not tell us about
tached to older men working for wages, and if intrahousehold allocation. Dependent house-
they do so it is usually away from their vil- hold members have subordinate status and so
lage), (iii) work groups and (iv) farm servants may well have low levels of consumption. Av-
on annual contracts (Hill, 1986). Hill points to erage household consumption may therefore be
strong similarities between these arrangements little different from, or even lower than, the
and those found in India. Other forms of in- average while the household head enjoys a
terlocking markets are also to be found, e.g., higher level of consumption. Third, the house-
516 WORLD DEVELOPMENT

hold life cycle matters for household well-being. most closely associated with the name of Mo-
Large families at certain stages of this cycle digliani, e.g., Ando & Modigliani, 1963). At
may be expected to be well off, but others may their simplest the models show expenditure to
not. Finally, there may be no paradox. Con- be based on expected lifetime earnings so that
sumption is not the thing that is valued; rather households are net savers in their working years
it is the prestige that follows from having large (except perhaps when starting out) and net
agricultural holdings, many cattle, and the borrowers in retirement. The story can be made
large family that goes with that. The first and more realistic by taking into account expendi-
third of these possibilities require further ex- tures related to property acquisition and child
planation. rearing. 14 The matter is more complicated
Quantitative analysis of the link between when the household is also involved in pro-
household size and poverty is complicated by duction. The most prosperous household will
the need to make two adjustments. The first be that with many healthy children of working
adjustment is to convert household size to adult age. That with a few young children, or an
equivalents to allow for the lower consumption older couple with no children, will be worse off,
requirements of children. 13 This adjustment is though the latter may well be absorbed into
commonly, though not always, made. The another household. There is clearly scope to
second adjustment, far less commonly made, is adapt modern theories of consumption to
to allow for economies of scale in household tropical settings, but only by taking into ac-
consumption, that is, the fact that two can live count the prevailing institutional setting. An-
more cheaply together than apart by virtue of thropological analysis of this social context
‘‘public goods’’ within the household. For ex- sheds light on how household size and com-
ample, charges for utilities may be the same for position affect household welfare. 15 Although
a household of two as for that of one, and present in some economic thinking (for exam-
certainly do not rise proportionately as house- ple, the work of Chayanov) recent household
hold size increases. Two problems arise if models for developing countries do not capture
economies of scale are not properly accounted these aspects.
for: systematic underestimation or overestima-
tion of poverty, misleading poverty correlates
with respect to household size. Both of these (c) Data collection
have important policy implications, so it would
be useful to know what light can be shed on The above is a broad outline of research is-
them by anthropological analysis. sues which may be tackled by economics, but
At least for rural households the key to this informed by information on institutional ar-
puzzle is likely to lie in the fact that the rangements provided by sociology. Moving
household is the unit of production as well as beyond modeling to data analysis requires that
consumption. Anthropologists have been the appropriate data be available. The current
critical of economists’ ready application of form of income and expenditure surveys is ill
the concept of ‘‘the household’’ to a wide adapted to the realities of rural life in much of
range of social settings (Hill, 1986). Of par- Africa. Termine (2001) reviews the Zambia
ticular importance for our purposes here is Living Conditions Monitoring Survey as a basis
that household size is chosen as part of the for analyzing rural labor markets. The small
production strategy. As discussed above, the labor market module asks questions such as
rich household head with control over ample whether the person has paid annual leave or is
resources will find ways to increase family in a superannuation scheme. Such questions
size to acquire labor. This fact is in contrast are peculiarly inappropriate to a rural laborer,
to the household models of economists which and a waste of an opportunity to collect labor
assume a household with a given endowment market data. The questionnaire does not allow
of labor (and sometimes land) to analyze if identification of payment in kind for particular
households are net suppliers or demanders of activities, and would miss activities such as
labor. beer parties (which are an important feature
Recognizing the household as the unit of of Zambian agricultural production, see
production also points to the importance of the Vaughan, 1998). Clearly there is a need for
household life cycle. The concept of the life data collection, as well as economic theory, to
cycle has been applied in Western economics to be informed by insights from anthropological
theories of consumption (life cycle theory is analysis.
COMBINING QUANTITATIVE AND QUALITATIVE 517

4. ANALYZING CHILD SURVIVAL Three different factors may be identified be-


hind differential mortality rates. First is the
Infant and child mortality rates differ greatly excess mortality of female children in Asian
around the world and even within countries. 16 countries as a result of relative neglect or out-
The World Fertility Survey (WFS) in the 1970s right murder. Second are cases of apparent
and Demographic Health Survey (DHS) since neglect or indifference in which some children
the 1980s have collected high-quality data on are allowed to die. Finally, local health and
infant and child health at the household and childcare practices may be detrimental.
individual level. These data have been subject
to statistical analysis. Indeed the concept of (a) Excess female mortality in Asia
child survival, being a probability, is an inher-
ently statistical concept and, as discussed be- Excess female mortality was publicized by
low, it is statistical analysis which is needed to Sen (1990) in his paper ‘‘More than a million
uncover overall patterns in the data. But there women are missing.’’ This calculation follows
is a potential interaction between quantitative from an analysis of Asian sex ratios with norms
and qualitative methods. Indeed Croll (2000) elsewhere. More sophisticated versions of the
argues that ‘‘inter-disciplinarity approach [is] calculation come to somewhat lower figures,
required to examine this rising discrimination’’ but confirm the idea of missing women (Table
behind excess female mortality in Asia (p. xiv). 3). Such calculations are best based on census
Statistical analysis of the determinants of data, and show very clearly how quantitative
infant and child mortality is commonly based data can open up areas for qualitative enquiry.
on logistic regressions in which the dependent Croll (2000) combines demographic and
variable is zero for children who, for example, ethnographic approaches to the analysis of ex-
survive their first year and one for those who do cess female mortality in Asian countries, fo-
not. 17 The explanatory variable can be used to cusing on India and China. She demonstrates
determine how various factors, such as that the phenomenon has increased over time
mother’s education, affect the probability of rather improved with development. 18 Harriss-
premature death. These models often include White (2001) reports that the male–female ratio
dummy variables for either the ethnic group of rises with income, i.e., excess mortality is more
the household head or region of residence, severe at higher income levels, except for the
where the latter may sometimes be a proxy for very top of the range. What has usually been
the former. Where the coefficients on these called ‘‘son preference’’ Croll suggests should
dummies are significant, as they often are, then be called ‘‘daughter discrimination’’—and
the results say that, having taken into account supports this view with a wide range of demo-
other factors such as education levels, eco- graphic evidence, which uncovers a range of
nomic well-being and access to health services, factors which depend on the economic status of
children from some ethnic backgrounds are women (the amount of dowry, their productive
more likely to die than those from others. The opportunities, etc.). Since it is women’s eco-
statistical analysis is unable to get us further nomic potential which determines decisions of
than that. But anthropological studies can yield preferred sex of children, these arguments can
considerable insights into the reasons behind be incorporated into economic models of the
mortality differentials between population household, as has been done by Agnihotri
groups. (2000) (cited by Harriss-White, 2001).

Table 3. Missing women in Asia


Actual Expected Percentage No. missing
sex ratio sex ratio missing women (millions)
China 1990 1.066 1.010 5.3 29.1
India 1991 1.077 1.020 5.6 22.8
Pakistan 1981 1.105 1.025 7.8 3.1
Bangladesh 1981 1.064 1.025 3.8 1.6
Nepal 1981 1.050 1.025 2.4 0.2
West Asia 1985 1.060 1.030 3.0 1.7
Egypt 1986 1.947 1.020 2.6 0.6
Source: Croll (2000, p. 2).
518 WORLD DEVELOPMENT

The paper of Venkatramani (1992) on the ternal one; Howard, 1994; Howard & Millard,
Kallars in Madurai district of Tamil Nadu put 1997). Howard (1994) describes how the rela-
this in a human perspective: tionship between birth order and traditional
land tenure systems can have consequences for
I killed my child to save it from the lifelong ignominy child health and survival. As the shortage of
of being the daughter of a poor family that cannot af- land is becoming increasingly acute, middle
ford to pay a decent dowry . . . But all the same, it was sons and daughters lose out on any inheritance.
extremely difficult to steel myself for the act. A mother
who has borne a child cannot bear to see it suffer even
So when times are hard parents must make a
for a little while, let alone bring herself to kill it. But I difficult choice between who to favor and who
had to do it, because my husband and I concluded to abandon. 20
that it was better to let our child suffer an hour or
two than suffer throughout life (p. 127).
(c) Mortality from medical and dietary beliefs

(b) Neglect as triage Medical and dietary beliefs may decrease or


increase the probability of survival. Nutritional
Elsewhere, children may be discriminated status is important for infant and child survival.
against as a response to their low survival Poor nutrition cannot always be wholly at-
prospects. Scheper-Hughes (1992) documents tributed to lack of food. Periodic and long-term
this phenomenon in the case of a poor urban food taboos can have an important effect on
community in Brazil where infant mortality infant and maternal mortality. Aunger (1992)
rates probably range between three and five uses data on actual consumption behavior to
hundred per 1,000. 19 Parents seem indifferent establish the consequences of food avoidance
to these deaths. Scheper-Hughes (1992) argues beliefs on horticulturalists and foragers living
that parents’ response is their way of coping in the Ituri forest of northeastern Zaire. Here, a
with the inevitable. Mothers are well aware of variety of different ethnic groups practice two
the causes of death—mostly diarrhea related to different subsistence strategies. Food avoid-
malnutrition—which is more than appears in ances mostly involve whole animals rather than
official death certificates, which generally give body parts and stem from culturally sanctioned
‘‘stopped breathing’’ or ‘‘heart failure’’ as the taboos, either lifelong or specific to periods of
cause of death. But parents do exercise some life such as the first menses, pregnancy or
discrimination, preferring stronger children to childbirth. Violation of such taboos is used to
weaker. explain many types of illness. Food taboos in
Indifference may be at the level of the com- the area are often also linked to social control
munity—as in the case of the Chagga in Tan- mechanisms such as witchcraft, fear of which
zania. The majority dismiss the very poor as reinforces and culturally sanctions such taboos.
‘‘these people’’ (hawa watu), responsible for Aunger finds that the average proportion of
their own plight—they drink too much, are dietary calories lost through taboo in the Ituri
ignorant, do not plan ahead, etc. (Howard & is quite small in this case but that the highest
Millard, 1997). These attitudes mean that a levels of dietary restriction occur during the
poor individual cannot get a loan, the attempt times when people need greatest sustenance,
of one of the authors to help the creation of a such as gestation and lactation and the physi-
woodworking co-operative was frustrated by ological growth periods of children.
lack of support from both church and govern- Spielmann (1989) examines the relationship
ment, and the children of the poor are allowed between food intake and fertility and infant
to die the slow death of malnutrition living next mortality among hunter-gatherer societies and
to, or even in the same compound as, wealthier agriculturalists both archaeologically and using
relatives. evidence from such societies today. She argues
Evidence from other countries also provides that women are restricted either periodically or
examples of birth order, gender and clan affil- indefinitely in access to critical nutrients due to
iation affecting infant mortality and health differential access to shared meats (loss of
status. The decision to favor one child over protein and fat) and food taboos. Such poor
another can be made on the basis of matrilineal maternal nutritional health leads to higher in-
or patrilineal affiliation (among the Chagga the fant mortality and food taboos help to magnify
first boy and girl belong to the paternal family the effects of ‘‘naturally occurring’’ nutrient
while the second born are aligned to the ma- deficiencies. Examples of tabooed foods among
COMBINING QUANTITATIVE AND QUALITATIVE 519

Table 4. Food taboos in selected societies


Group Pregnancy Lactation Tabooed foods
Walbiri   Wide variety of meats: turkey, eggs, bandicoots, large
lizards, fats
Andamanese   Dugong, honey, yams, turtle, monitor lizard, pig
Koyukon   Fresh meat, eat only cold foods
Mbuti  Unspecified personal and band-level food taboos
Navajo  Meat, potatoes, beans and salt
Source: Spielmann (1989).

certain groups during pregnancy and lactation (d) Concluding comment


are outlined in Table 4.
Medical practices may also be detrimental to Anthropological studies can help us better
health (as has been the case in developed understand the findings from quantitative
countries in the West, and some would argue is analysis of demographic data. The examples
still the case, especially with respect to mental given here are of excess female mortality, inci-
health). Azevedo, Gwendolyn, and Lantum dences when certain groups suffer relative ne-
(1991) found belief in witchcraft, sorcery and glect, and variations in dietary and medical
God to be commonly perceived causes of infant practices. But the examples also illustrate how
death and disease in Cameroon. Irrespective of quantitative data provide a framework to raise
age, religion and ethnic origin, belief in natural the questions to be addressed by qualitative
causation of disease is almost nonexistent. Be- approaches.
lief that certain diseases such as tuberculosis,
yellow fever, epilepsy and leprosy could only be
cured by a traditional healer, along with the 5. CONCLUSION
large percentage of respondents in the study
who stated that a disease caused by a sorcerer Both quantitative and qualitative techniques
could only be cured by a traditional healer, has have their place in social analysis. There is no
meant that visits to health centers are relatively reason to give primacy to one over the other.
low in the region studied (East Province). Different methods are required to tackle dif-
Further examples from Cameroon are among ferent problems, and a combination of tech-
the Baya, who cut the umbilical cord with the niques will frequently yield greater insight than
peel of sugar cane, treat a human bite with either one used in isolation. The need is rather
chicken excrement, use dirt on fresh wounds to for mutual professional respect. This paper has
cure and prevent scars, make the child drink the outlined several areas of analysis where insights
same water in which he has just bathed in order from qualitative methods can feed into a de-
to speed his growth, and have elders spit in the velopment of quantitative analysis. Specifically,
mouth of infants immediately following birth there has been little economic modeling of the
to make him or her eloquent. household in rural Africa. While there is an
Traditional practices can also be beneficial to existing literature from South Asia and there
child health and their abandonment in favor of are parallels in the organization of work, at-
modern alternatives may also lead to an in- tempts at modeling should draw on insights of
crease in rates of infant mortality. A prominent the institutional setting provided by anthropo-
example is the change in attitudes toward logical work. Key insights are the importance
breast-feeding practices. Traditionally mothers and nature of nonpecuniary labor exchange
breast-feed their children for a fairly extended and the endogeneity of household size as a
period of time allowing the infant to receive means of obtaining labor. Such models, espe-
adequate nutrition and to improve birth spac- cially to the extent that they reflect the house-
ing, which was reinforced by polygyny. But, in hold life cycle, may help explain problems of
the last decade, with the promotion of infant economies of scale in household consumption.
formula, many mothers have been discouraged Child survival is a case in which quantitative
from breast-feeding. The loss of long birth in- methods provide the basis for qualitative work,
tervals has produced a negative impact on both which helps understand quantitative analysis of
mothers and children (Hanmer & White, 1999). demographic data.
520 WORLD DEVELOPMENT

NOTES

1. For an elaboration of the ways in which quantitative stated that he had crossed out any sections of African
and qualitative techniques can be combined see Carv- poverty assessments referring to rural labor markets
alho and White (1996). since these did not exist.

2. An ethnology of disciplines could usefully explore 10. There are few systematic data to substantiate this
some oppositions—hard/soft, rigorous/arbitrary, sys- view (but there are some showing, for example, lower
tematic/impressionistic—including the macho language enrollments of orphans), but Howard and Millard’s
economists may use when talking about their own description of the death of the malnourished son of a
discipline. woman living in the compound of her well-off uncle is a
forceful illustration of the point (cf. Howard & Millard,
3. See Mukherjee, Wuyts, and White (1998) for a fuller 1997).
discussion of the philosophy underpinning data analysis.
11. The persistence of slavery is ignored in most
4. Quoted by Leamer (1983), attributed to Coase. poverty analysis. The tragic case of a slave ship off the
Leamer adds two more: ‘‘econometricians, like artists, West African coast at the time of writing the first draft
tend to fall in love with their models’’ and ‘‘there are two of this paper did little to help re-establish the issue on the
things you are better off not watching in the making: policy agenda. See www.antislavery.org.
sausages and econometric estimates’’ (1983).

12. Hanmer, Pyatt, and White (1999) review 26 World


5. The next paragraph discusses academic findings on Bank poverty assessments for African countries. Several
the lack of robustness of the World Bank’s work on adjust for adult equivalence, but none do so for
aid effectiveness. Yet a recent review of the aid household economies of scale.
effectiveness literature by the World Bank’s research
department (Collier & Dollar, 2001) repeated the
World Bank’s findings while ignoring much of the 13. The conversion factors often also assume lower
other literature published in the last two years (e.g., consumption requirements for women. This is con-
the papers in Tarp’s recent book on aid), including tested by some, especially where women are responsi-
that criticizing—some may say refuting—the World ble for a large part of ‘‘heavy work’’ (e.g., agricultural
Bank papers, and incorrectly citing some of what was production and carrying water, firewood and other
mentioned. items).

6. This discussion ignores a number of other econo- 14. Model outcomes depend on whether a household
metric criticisms of the World Bank’s work, for which wishes to run down its assets in old age so that they
see Lensink and White (2000). are all consumed by the time of death, or if they wish
to make provision for later generations. These consid-
7. Or, in the extreme, simply falsify the data. One of erations are captured by overlapping generations
the best known examples of this is work by Burt to show models.
that IQ is hereditary rather than a function of upbring-
ing based on a study of twins separated at a young age
(see Joynson, 1989). Among the techniques he used to 15. See Whitehead (1990) for explicit discussion of the
establish this theory as accepted wisdom was to work implications of household structure for economic mod-
with younger researchers using data he provided, with eling.
the results published only under the name of the other
researcher. He then cited these papers as independent 16. Infants are those aged 12 months or less, and
verification of his views. The data, it transpired, were children those aged one to four years inclusive.
made up.

8. This section is partly based on White and Leavy 17. See Hanmer and White (1999) for a survey of such
(2001). papers.

9. A more extreme statement of this position was made 18. But, the possibility of determining sex before
by a former World Bank chief economist for Africa who birth means that discrimination can take place through
COMBINING QUANTITATIVE AND QUALITATIVE 521

sex-selective abortion. This has been the case for some 19. Official data in fact show an infant mortality rate
time in China, where abortion is readily available and of 1,200 per 1,000 live births!
shows up as the male–female ratio at birth being less
than the norm of 1.06. Croft shows that for mothers 20. This process is graphically described by Turnbull
with two or more children, all of which are female, the (1973) in his description of the response of the Ik to the
probability of a female fetus being aborted is very destruction of their hunting-based livelihood by the
high. creation of a National Park.

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