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Long-term impacts of growth and development monitoring: Evidence from routine health examinations in early childhood

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  • Liang, Yinhe
  • Peng, Xiaobo
  • Sun, Meiping Aggie

Abstract

This paper examines the long-term impacts of growth and development monitoring in early childhood. For this purpose, we evaluate a public health program, the Systematic Management of Children (SMC), which offers growth and development monitoring through routine health checkups for all young children (0–6 years) in China. Using data on the program’s county-by-county rollout, we find that full exposure to the SMC from birth increases adult income by 5%. We further provide evidence that the introduction to the SMC leads to improved physical and mental health, better educational outcomes, increased cognitive skills, and sustained use of routine health checkups among adolescents.

Suggested Citation

  • Liang, Yinhe & Peng, Xiaobo & Sun, Meiping Aggie, 2025. "Long-term impacts of growth and development monitoring: Evidence from routine health examinations in early childhood," Journal of Health Economics, Elsevier, vol. 101(C).
  • Handle: RePEc:eee:jhecon:v:101:y:2025:i:c:s0167629625000062
    DOI: 10.1016/j.jhealeco.2025.102972
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    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J24 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Human Capital; Skills; Occupational Choice; Labor Productivity
    • N35 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - Asia including Middle East
    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

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