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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 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.

Suggested Citation

  • Alderman, Harold & Hentschel, Jesko & Sabates, Ricardo, 2003. "With the help of one's neighbors: externalities in the production of nutrition in Peru," Social Science & Medicine, Elsevier, vol. 56(10), pages 2019-2031, May.
    • Handle: RePEc:eee:socmed:v:56:y:2003:i:10:p:2019-2031
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    1. Makate, Marshall & Makate, Clifton, 2016. "The causal effect of increased primary schooling on child mortality in Malawi: Universal primary education as a natural experiment," Social Science & Medicine, Elsevier, vol. 168(C), pages 72-83.
    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. Fedorov, Leonid & Sahn, David E, 2005. "Socioeconomic Determinants of Children's Health in Russia: A Longitudinal Study," Economic Development and Cultural Change, University of Chicago Press, vol. 53(2), pages 479-500, January.
    4. Pritha Chatterjee & Rockli Kim & Akshay Swaminathan & Rakesh Kumar & S.V. Subramanian, 2019. "From Administrative to Political Evaluation: Estimating Water, Sanitation, and Hygiene Indicators for Parliamentary Constituencies in India," Journal of Development Policy and Practice, , vol. 4(2), pages 188-212, July.
    5. 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.
    6. World Bank, 2002. "Poverty Assessment : Poverty in Pakistan - Vulnerabilities, Social Caps, and Rural Dynamics," World Bank Publications - Reports 15335, The World Bank Group.
    7. Steven A. Block, 2002. "Nutrition Knowledge Versus Schooling in the Demand for Child Micronutrient Status," CID Working Papers 93, Center for International Development at Harvard University.
    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. 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.
    10. Alderman, Harold & Headey, Derek D., 2017. "How Important is Parental Education for Child Nutrition?," World Development, Elsevier, vol. 94(C), pages 448-464.
    11. 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.
    12. 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.
    13. Krause, Brooke Laura, 2012. "Childhood Malnutrition and Educational Attainment: An Analysis using Oxford’s Young Lives Longitudinal Study in Peru," Master's Theses and Plan B Papers 146072, University of Minnesota, Department of Applied Economics.
    14. Lars Osberg & Jiaping Shao & Kuan Xu, 2009. "The growth of poor children in China 1991–2000: why food subsidies may matter," Health Economics, John Wiley & Sons, Ltd., vol. 18(S1), pages 89-108, April.
    15. Firestone, Rebecca & Punpuing, Sureeporn & Peterson, Karen E. & Acevedo-Garcia, Dolores & Gortmaker, Steven L., 2011. "Child overweight and undernutrition in Thailand: Is there an urban effect?," Social Science & Medicine, Elsevier, vol. 72(9), pages 1420-1428, May.

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