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With the help of one's neighbors - externalities in the production of nutrition in Peru

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  • Alderman, Harold
  • Hentschel, Jesko
  • Sabates, Ricardo

Abstract

Both public, and private resources contribute to children's nutritional status. And investments by one household may improve health in other neighborhood households, by improving the sanitation environment, and increasing shared knowledge. The authors measure the externalities of investments in nutrition, by indicatingthe impact of women's education in Peruvian neighborhoods, on children's nutrition in other households, after controlling for those households'education, and income. They find that in rural areas this shared knowledge has a significant impact on nutrition. The coefficient of an increase in the average education in the neighborhood is appreciably larger than the coefficient of education in isolation. That is, educating women in rural areas, improves all children's nutritional status, even for those whose caregivers are themselves not educated. In both urban, and rural areas, they observe externalities from investments in sanitation made by neighboring households. They do not find the same externalities in the case of investments, only in the household water supply. There is a direct link between the caregivers'education, and their children's health status. Education transmits information about health, and nutrition. It teaches numeracy, and literacy, which help caregivers read labels, and instructions. Bu exposing caregivers to new environments, it makes them receptive to modern medical treatment. It gives women the confidence to participate in decision-making within a household, and it gives men, and women the confidence to interact with health care professionals.

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Bibliographic Info

Paper provided by The World Bank in its series Policy Research Working Paper Series with number 2627.

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Date of creation: 30 Jun 2001
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Handle: RePEc:wbk:wbrwps:2627

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Keywords: Health Economics&Finance; Urban Services to the Poor; Urban Services to the Poor; Decentralization; Public Health Promotion; Urban Services to the Poor; Urban Services to the Poor; Health Economics&Finance; Water Supply and Sanitation Governance and Institutions; Town Water Supply and Sanitation;

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References

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  1. Thomas, D & Lavy, V & Strauss, J, 1996. "Public Policy and Anthropometric Outcomes in the Cote d'Ivoire," Papers 96-19, RAND - Reprint Series.
  2. Basu, Kaushik & Foster, James E., 1998. "On measuring literacy," Policy Research Working Paper Series 1997, The World Bank.
  3. Paul Glewwe, 1999. "Why Does Mother's Schooling Raise Child Health in Developing Countries? Evidence from Morocco," Journal of Human Resources, University of Wisconsin Press, vol. 34(1), pages 124-159.
  4. Shi, Anqing, 2000. "How access to urban potable water and sewerage connections affects child mortality," Policy Research Working Paper Series 2274, The World Bank.
  5. Barrera, Albino, 1990. "The role of maternal schooling and its interaction with public health programs in child health production," Journal of Development Economics, Elsevier, vol. 32(1), pages 69-91, January.
  6. Alderman, Harold & Garcia, Marito, 1994. "Food Security and Health Security: Explaining the Levels of Nutritional Status in Pakistan," Economic Development and Cultural Change, University of Chicago Press, vol. 42(3), pages 485-507, April.
  7. Gragnolati, Michele, 1999. "Children's growth and poverty in rural Guatemala," Policy Research Working Paper Series 2193, The World Bank.
  8. Gibson, John, 2001. "Literacy and Intrahousehold Externalities," World Development, Elsevier, vol. 29(1), pages 155-166, January.
  9. Haddad, Lawrence James & Alderman, Harold & Appleton, Simon & Song, Lina & Yohannes, Yisehac, 2002. "Reducing child undernutrition," FCND discussion papers 137, International Food Policy Research Institute (IFPRI).
    • Haddad, Lawrence James & Alderman, Harold & Appleton, Simon & Song, Lina & Yohannes, Yisehac, 2002. "Reducing child undernutrition," FCND briefs 137, International Food Policy Research Institute (IFPRI).
  10. Thomas, D. & Lavy, V. & Strauss, J., 1992. "Public Policy and Anthropometric Outcomes in Cote d'Ivoire," Papers 89, World Bank - Living Standards Measurement.
  11. Mark R. Rosenzweig & T. Paul Schultz, 1988. "The Stability of Household Production Technology: A Replication," Journal of Human Resources, University of Wisconsin Press, vol. 23(4), pages 535-549.
  12. Lawrence Haddad & Harold Alderman & Simon Appleton & Lina Song & Yisehac Yohannes, 2003. "Reducing Child Malnutrition: How Far Does Income Growth Take Us?," World Bank Economic Review, World Bank Group, vol. 17(1), pages 107-131, June.
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Citations

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Cited by:
  1. Outes, Ingo & Porter, Catherine, 2013. "Catching up from early nutritional deficits? Evidence from rural Ethiopia," Economics & Human Biology, Elsevier, vol. 11(2), pages 148-163.
  2. Ana Maria Osorio & Catalina Bolancé & Nyovane Madise & Katharina Rathmann, 2013. "Social Determinants of Child Health in Colombia: Can Community Education Moderate the Effect of Family Characteristics?," Working Papers XREAP2013-02, Xarxa de Referència en Economia Aplicada (XREAP), revised Mar 2013.
  3. Øystein Kravdal & Ivy Kodzi, 2011. "Children's stunting in sub-Saharan Africa: Is there an externality effect of high fertility?," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 25(18), pages 565-594, September.
  4. World Bank, 2002. "Poverty Assessment : Poverty in Pakistan - Vulnerabilities, Social Caps, and Rural Dynamics," World Bank Other Operational Studies 15335, The World Bank.
  5. Lars Osberg & Jiaping Shao & Kuan Xu, 2007. "The Growth of Poor Children in China 1991-2000: Why Food Subsidies May Matter," Department of Economics at Dalhousie University working papers archive wider_nov_18_2007.pdf, Dalhousie, Department of Economics.
  6. Steven Block, 2002. "Nutrition Knowledge Versus Schooling in the Demand for Child Micronutrient Status," Working Papers in Food Policy and Nutrition 10, Friedman School of Nutrition Science and Policy.
  7. Francesco Burchi, 2012. "Whose education affects a child’s nutritional status? From parents' to household's education," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 27(23), pages 681-704, November.
  8. Maddox, Bryan, 2007. "Worlds Apart? Ethnographic Reflections on "Effective Literacy" and Intrahousehold Externalities," World Development, Elsevier, vol. 35(3), pages 532-541, March.
  9. Escobal, Javier & Saavedra, Jaime & Suárez, Pablo, 2005. "The Interaction of Public Assets, Private Assets and Community Characteristics and its Effect on Early Childhood Height-for-Age in Peru," MPRA Paper 56478, University Library of Munich, Germany.

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