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Health reform, population policy and child nutritional status in China

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  • Bredenkamp, Caryn

Abstract

This paper examines the determinants of child nutritional status in seven provinces of China during the 1990s, focusing specifically on the role of two areas of public policy, namely health system reforms and the one child policy. The empirical relationship between income and nutritional status, and the extent to which that relationship is mediated by access to quality healthcare and being an only-child, is investigated using ordinary least squares, random effects, fixed effects, and instrumental variables models. In the preferred model - a fixed effects model where income is instrumented - the author find that being an only-child increases height-for-age z-scores by 0.119 of a standard deviation. The magnitude of this effect is found to be largely gender and income neutral. By contrast, access to quality healthcare and income is not found to be significantly associated with improved nutritional status in the preferred model. Data are drawn from four waves of the China Health and Nutrition Survey.

Suggested Citation

  • Bredenkamp, Caryn, 2008. "Health reform, population policy and child nutritional status in China," Policy Research Working Paper Series 4587, The World Bank.
    • Handle: RePEc:wbk:wbrwps:4587
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    1. repec:pri:cheawb:case_paxson_economic_status_paper is not listed on IDEAS
    2. Hsiao, William C. L., 1995. "The Chinese health care system: Lessons for other nations," Social Science & Medicine, Elsevier, vol. 41(8), pages 1047-1055, October.
    3. Doherty, Jim P. & Norton, Edward C. & Veney, James E., 2001. "China's one-child policy: the economic choices and consequences faced by pregnant women," Social Science & Medicine, Elsevier, vol. 52(5), pages 745-761, March.
    4. Wolfe, Barbara L & Behrman, Jere R, 1992. "The Synthesis Economic Fertility Model: A Latent Variable Investigation of Some Critical Attributes," Journal of Population Economics, Springer;European Society for Population Economics, vol. 5(1), pages 1-16, February.
    5. Henderson, Gail & Akin, John & Zhiming, Li & Shuigao, Jin & Haijiang, Ma & Keyou, Ge, 1994. "Equity and the utilization of health services: Report of an eight-province survey in China," Social Science & Medicine, Elsevier, vol. 39(5), pages 687-699, September.
    6. Barbara Entwisle & Feinian Chen, 2002. "Work Patterns Following a Birth in Urban and Rural China: A Longitudinal Study," European Journal of Population, Springer;European Association for Population Studies, vol. 18(2), pages 99-119, June.
    7. Liu, Xingzhu & Mills, Anne, 2002. "Financing reforms of public health services in China: lessons for other nations," Social Science & Medicine, Elsevier, vol. 54(11), pages 1691-1698, June.
    8. Ravallion, Martin & Chen, Shaohua, 2007. "China's (uneven) progress against poverty," Journal of Development Economics, Elsevier, vol. 82(1), pages 1-42, January.
    9. Behrman, Jere R. & Deolalikar, Anil B., 1988. "Health and nutrition," Handbook of Development Economics, in: Hollis Chenery & T.N. Srinivasan (ed.), Handbook of Development Economics, edition 1, volume 1, chapter 14, pages 631-711, Elsevier.
    10. Christiaensen, Luc & Alderman, Harold, 2004. "Child Malnutrition in Ethiopia: Can Maternal Knowledge Augment the Role of Income?," Economic Development and Cultural Change, University of Chicago Press, vol. 52(2), pages 287-312, January.
    11. repec:pri:cheawb:case_paxson_economic_status_paper.pdf is not listed on IDEAS
    12. Smith, Lisa C. & Haddad, Lawrence James, 2000. "Explaining child malnutrition in developing countries: a cross-country analysis," Research reports 111, International Food Policy Research Institute (IFPRI).
    13. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    14. Akin, John S. & Dow, William H. & Lance, Peter M., 2004. "Did the distribution of health insurance in China continue to grow less equitable in the nineties? Results from a longitudinal survey," Social Science & Medicine, Elsevier, vol. 58(2), pages 293-304, January.
    15. Paul Schultz, 1976. "Determinants of Fertility: a Micro-economic Model of Choice," International Economic Association Series, in: Ansley J. Coale (ed.), Economic Factors in Population Growth, chapter 4, pages 89-135, Palgrave Macmillan.
    16. Handa, Sudhanshu, 1999. "Maternal Education and Child Height," Economic Development and Cultural Change, University of Chicago Press, vol. 47(2), pages 421-439, January.
    17. Duncan Thomas & John Strauss & Maria-Helena Henriques, 1991. "How Does Mother's Education Affect Child Height?," Journal of Human Resources, University of Wisconsin Press, vol. 26(2), pages 183-211.
    18. Behrman, Jere R. & Skoufias, Emmanuel, 2004. "Correlates and determinants of child anthropometrics in Latin America: background and overview of the symposium," Economics & Human Biology, Elsevier, vol. 2(3), pages 335-351, December.
    19. Glewwe, Paul & Koch, Stefanie & Bui Linh Nguyen, 2002. "Child nutrition, economic growth, and the provision of health care services in Vietnam in the 1990s," Policy Research Working Paper Series 2776, The World Bank.
    20. Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic Status and Health in Childhood: The Origins of the Gradient," American Economic Review, American Economic Association, vol. 92(5), pages 1308-1334, December.
    21. Lawrence Haddad & Harold Alderman & Simon Appleton & Lina Song & Yisehac Yohannes, 2003. "Reducing Child Malnutrition: How Far Does Income Growth Take Us?," The World Bank Economic Review, World Bank, vol. 17(1), pages 107-131, June.
    22. Strauss, J. & Thomas, D., 1995. "Empirical Modeling of Household and Family Decisions," Papers 95-12, RAND - Reprint Series.
    23. Anson, Ofra, 2004. "Utilization of maternal care in rural HeBei Province, the People's Republic of China: individual and structural characteristics," Health Policy, Elsevier, vol. 70(2), pages 197-206, November.
    24. 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.
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    More about this item

    Keywords

    Health Monitoring&Evaluation; Population Policies; Transport Economics Policy&Planning; Health Systems Development&Reform; Rural Poverty Reduction;
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