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

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

Both public and private resources contribute to the nutritional status of children. In addition, the investments made by one household may contribute to the health of other households in the neighborhood through improvements in the sanitation environment and through increases in shared knowledge. This paper measures the externalities of investments in nutrition by indicating the impact of the education of women in Peruvian neighborhoods on the nutrition of children in other households, after controlling for the education and income of those households. We find that in rural areas this shared knowledge has a significant impact on nutrition, with the coefficient of an increase in the average education of women in the neighborhood being appreciable larger than the coefficient of education in isolation. In addition, we indicate the impact of the water and sanitation environment in the neighborhood, again controlling for the household's own access to sanitation and water. In both urban and rural areas, we observe externalities from investments in such household level infrastructure with the evidence particularly strong for sanitation made by neighboring households.

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Article provided by Elsevier in its journal Social Science & Medicine.

Volume (Year): 56 (2003)
Issue (Month): 10 (May)
Pages: 2019-2031

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Handle: RePEc:eee:socmed:v:56:y:2003:i:10:p:2019-2031
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  1. Shi, Anqing, 2000. "How access to urban potable water and sewerage connections affects child mortality," Policy Research Working Paper Series 2274, The World Bank.
  2. 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.
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    • Haddad, Lawrence James & Alderman, Harold & Appleton, Simon & Song, Lina & Yohannes, Yisehac, 2002. "Reducing child undernutrition," FCND briefs 137, International Food Policy Research Institute (IFPRI).
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  6. 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.
  7. Basu, Kaushik & Foster, James E, 1998. "On Measuring Literacy," Economic Journal, Royal Economic Society, vol. 108(451), pages 1733-49, November.
  8. 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.
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  10. Gragnolati, Michele, 1999. "Children's growth and poverty in rural Guatemala," Policy Research Working Paper Series 2193, The World Bank.
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