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Growing Together: Assessing Equity and Effciency in an Early-Life Health Program in Chile

Author

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  • Clarke, Damian
  • Cortés, Gustavo
  • Vergara, Diego

Abstract

We estimate the impact of participation in Chile Crece Contigo (ChCC), Chile’s flagship earlylife health and social welfare program, on neonatal health outcomes. We use administrative birth data matched to social benefits usage, and the staggered program roll-out, to identify the impact of participation. We find that this targeted social program had significant effects on birth weight (approximately 10 grams) and other early life human capital measures. These benefits are largest among the most socially vulnerable groups, however shift outcomes toward the middle of the distribution of health at birth. We show that program is efficient when compared to other successful neonatal health programs around the world, and find some evidence to suggest that maternal nutrition components and increased links to the social safety net are important mechanisms of action.

Suggested Citation

  • Clarke, Damian & Cortés, Gustavo & Vergara, Diego, 2017. "Growing Together: Assessing Equity and Effciency in an Early-Life Health Program in Chile," Research Department working papers 1139, CAF Development Bank Of Latinamerica.
    • Handle: RePEc:dbl:dblwop:1139
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    Cited by:

    1. Bhalotra, Sonia R. & Rocha, Rudi & Soares, Rodrigo R., 2019. "Does Universalization of Health Work? Evidence from Health Systems Restructuring and Expansion in Brazil," IZA Discussion Papers 12111, IZA Network @ LISER.
    2. Beltran-Silva, Francisco, 2023. "Fighting against hunger: A country-wide intervention and its impact on birth outcomes," World Development, Elsevier, vol. 165(C).
    3. Sonia Bhalotra & Martin Karlsson & Therese Nilsson & Nina Schwarz, 2022. "Infant Health, Cognitive Performance, and Earnings: Evidence from Inception of the Welfare State in Sweden," The Review of Economics and Statistics, MIT Press, vol. 104(6), pages 1138-1156, November.

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    Keywords

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    JEL classification:

    • H23 - Public Economics - - Taxation, Subsidies, and Revenue - - - Externalities; Redistributive Effects; Environmental Taxes and Subsidies
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • H43 - Public Economics - - Publicly Provided Goods - - - Project Evaluation; Social Discount Rate
    • O38 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Government Policy
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health

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