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Excluding the rural population: the impact of public expenditure on child malnutrition in Peru

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  • Gajate-Garrido, Gissele

Abstract

Why is the urban-rural gap in child malnutrition increasing in Peru despite government efforts to improve the provision of public services? To answer this question, the impact of regional public expenditure in Peru on young children's nutritional outcomes is examined. To account for policy endogeneity, public expenditures are instrumented using unanticipated regional mining revenues. Even after accounting for changes in expenditure composition due to increases in mining revenues, public spending has a significant and positive impact on children's outcomes only in urban areas. However, even in urban areas, barriers exist that diminish the effectiveness of public expenditure, so indigenous and frailer children in these areas do not benefit from public spending. These children face constraints that limit their ability to use public services. This result reveals the paramount importance of initial conditions. In rural areas, possibly because of the lower quantity and quality of public services, there is no positive effect for any children.

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Bibliographic Info

Paper provided by The World Bank in its series Policy Research Working Paper Series with number 6666.

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Date of creation: 01 Oct 2013
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Handle: RePEc:wbk:wbrwps:6666

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Keywords: Health Monitoring&Evaluation; Public Sector Economics; Public Sector Expenditure Policy; Regional Economic Development; Public Sector Management and Reform;

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  1. Carlos Bozzoli & Angus Deaton & Climent Quintana-Domeque, 2009. "Adult height and childhood disease," Demography, Springer, vol. 46(4), pages 647-669, November.
  2. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, University of Chicago Press, vol. 80(2), pages 223-55, March-Apr.
  3. Reuben Gronau, 1976. "Leisure, Home Production and Work--The Theory of The Allocation of Time Revisited," NBER Working Papers 0137, National Bureau of Economic Research, Inc.
  4. Wolfe, Barbara L. & Behrman, Jere R., 1982. "Determinants of child mortality, health, and nutrition in a developing country," Journal of Development Economics, Elsevier, vol. 11(2), pages 163-193, October.
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