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Excluding the rural population: the impact of public expenditure on child malnutrition in Peru

  • Gajate-Garrido, Gissele

Why is the urban-rural gap in child malnutrition increasing in Peru despite government efforts to improve the provision of public services? To answer this question, the impact of regional public expenditure in Peru on young children's nutritional outcomes is examined. To account for policy endogeneity, public expenditures are instrumented using unanticipated regional mining revenues. Even after accounting for changes in expenditure composition due to increases in mining revenues, public spending has a significant and positive impact on children's outcomes only in urban areas. However, even in urban areas, barriers exist that diminish the effectiveness of public expenditure, so indigenous and frailer children in these areas do not benefit from public spending. These children face constraints that limit their ability to use public services. This result reveals the paramount importance of initial conditions. In rural areas, possibly because of the lower quantity and quality of public services, there is no positive effect for any children.

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Paper provided by The World Bank in its series Policy Research Working Paper Series with number 6666.

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Date of creation: 01 Oct 2013
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Handle: RePEc:wbk:wbrwps:6666
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  1. Carlos Bozzoli & Angus Deaton & Climent Quintana, 2008. "Adult height and childhood disease," Working Papers 2008-25, FEDEA.
    • Carlos Bozzoli & Angus Deaton & Climent Quintana-Domeque, 2008. "Adult height and childhood disease," Working Papers 1119, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
  2. Gronau, Reuben, 1977. "Leisure, Home Production, and Work-The Theory of the Allocation of Time Revisited," Journal of Political Economy, University of Chicago Press, vol. 85(6), pages 1099-1123, December.
  3. 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 223-55, March-Apr.
  4. Wolfe, Barbara L. & Behrman, Jere R., 1982. "Determinants of child mortality, health, and nutrition in a developing country," Journal of Development Economics, Elsevier, vol. 11(2), pages 163-193, October.
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