IDEAS home Printed from https://ideas.repec.org/p/wbk/wbrwps/6666.html
   My bibliography  Save this paper

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

Author

Listed:
  • Gajate-Garrido, Gissele

Abstract

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.

Suggested Citation

  • Gajate-Garrido, Gissele, 2013. "Excluding the rural population: the impact of public expenditure on child malnutrition in Peru," Policy Research Working Paper Series 6666, The World Bank.
    • Handle: RePEc:wbk:wbrwps:6666
    as

    Download full text from publisher

    File URL: http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2013/10/18/000158349_20131018105934/Rendered/PDF/WPS6666.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. 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. Mwabu, Germano, 2008. "Health Economics for Low-Income Countries," Handbook of Development Economics, in: T. Paul Schultz & John A. Strauss (ed.), Handbook of Development Economics, edition 1, volume 4, chapter 53, pages 3305-3374, Elsevier.
    3. 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.
    4. Stock, James H & Wright, Jonathan H & Yogo, Motohiro, 2002. "A Survey of Weak Instruments and Weak Identification in Generalized Method of Moments," Journal of Business & Economic Statistics, American Statistical Association, vol. 20(4), pages 518-529, October.
    5. Carlos Bozzoli & Angus Deaton & Climent Quintana-Domeque, 2009. "Adult height and childhood disease," Demography, Springer;Population Association of America (PAA), vol. 46(4), pages 647-669, November.
    6. 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.
    7. 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.
    8. Abowd, John M. & Freeman, Richard B. (ed.), 1991. "Immigration, Trade, and the Labor Market," National Bureau of Economic Research Books, University of Chicago Press, edition 1, number 9780226000954, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Bin Xiong & Jia Li, 2025. "The Impact of Public Employment Services Efficiency on the Urban Rural Income Gap and Its Spatial Spillover Effect," Sustainability, MDPI, vol. 17(3), pages 1-21, January.
    2. Torres, Javier & Pebe, Carol & Radas, Norally, 2017. "The mining canon and the budget political cycle in Peru’s district municipalities, 2002-2011," Revista CEPAL, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), December.
    3. Ramya Ambikapathi & Jessica D. Rothstein & Pablo Peñataro Yori & Maribel Paredes Olortegui & Gwenyth Lee & Margaret N. Kosek & Laura E. Caulfield, 2018. "Food purchase patterns indicative of household food access insecurity, children’s dietary diversity and intake, and nutritional status using a newly developed and validated tool in the Peruvian Amazon," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 10(4), pages 999-1011, August.
    4. Fani, Djomo Choumbou Raoul & Tabetando, Rayner & Henrietta, Ukpe Udeme & Francois, Siewe, 2022. "The Impact of Government Spending and Food Imports on Nutritional Status in Nigeria: A Dynamic OLS Application and Simulation," International Journal of Food and Agricultural Economics (IJFAEC), Alanya Alaaddin Keykubat University, Department of Economics and Finance, vol. 10(01), January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mesnard, Alice & Vera-Hernández, Marcos & Fitzsimons, Emla & Malde, Bansi, 2012. "Household Responses to Information on Child Nutrition: Experimental Evidence from Malawi," CEPR Discussion Papers 8915, C.E.P.R. Discussion Papers.
    2. Dagnelie, Olivier & Luca, Giacomo Davide De & Maystadt, Jean-François, 2018. "Violence, selection and infant mortality in Congo," Journal of Health Economics, Elsevier, vol. 59(C), pages 153-177.
    3. Schultz, T. Paul, 2010. "Population and Health Policies," Handbook of Development Economics, in: Dani Rodrik & Mark Rosenzweig (ed.), Handbook of Development Economics, edition 1, volume 5, chapter 0, pages 4785-4881, Elsevier.
    4. Donn Feir & M. Chris Auld, 2017. "The Effect of Indian Residential Schools on Height and Body Mass Post-1930," Department Discussion Papers 1703, Department of Economics, University of Victoria.
    5. Gabriella Conti, 2013. "The Developmental Origins of Health Inequality," Research on Economic Inequality, in: Health and Inequality, volume 21, pages 285-309, Emerald Group Publishing Limited.
    6. Goulão, Catarina & Pérez-Barahona, Agustín, 2011. "Intergenerational transmission of non-communicable chronic diseases," TSE Working Papers 11-219, Toulouse School of Economics (TSE).
    7. Donna L. Feir & M. Christopher Auld, 2021. "Indian residential schools: Height and body mass post‐1930," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 54(1), pages 126-163, February.
    8. Subha Mani, 2012. "Is there Complete, Partial, or No Recovery from Childhood Malnutrition? – Empirical Evidence from Indonesia," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 74(5), pages 691-715, October.
    9. Fitzsimons, Emla & Malde, Bansi & Mesnard, Alice & Vera-Hernández, Marcos, 2016. "Nutrition, information and household behavior: Experimental evidence from Malawi," Journal of Development Economics, Elsevier, vol. 122(C), pages 113-126.
    10. Dora L. Costa, 2015. "Health and the Economy in the United States from 1750 to the Present," Journal of Economic Literature, American Economic Association, vol. 53(3), pages 503-570, September.
    11. Abeliansky, Ana Lucia & Strulik, Holger, 2018. "Hungry children age faster," Economics & Human Biology, Elsevier, vol. 29(C), pages 211-220.
    12. Akbulut-Yuksel, Mevlude & Kugler, Adriana D., 2016. "Intergenerational persistence of health: Do immigrants get healthier as they remain in the U.S. for more generations?," Economics & Human Biology, Elsevier, vol. 23(C), pages 136-148.
    13. Turner, Alex J. & Fichera, Eleonora & Sutton, Matt, 2021. "The effects of in-utero exposure to influenza on mental health and mortality risk throughout the life-course," Economics & Human Biology, Elsevier, vol. 43(C).
    14. Eric B. Schneider & Kota Ogasawara & Tim J. Cole, 2021. "Health Shocks, Recovery, and the First Thousand Days: The Effect of the Second World War on Height Growth in Japanese Children," Population and Development Review, The Population Council, Inc., vol. 47(4), pages 1075-1105, December.
    15. Ciccarelli, Carlo & De Fraja, Gianni & Vuri, Daniela, 2021. "Effects of passive smoking on prenatal and infant development: Lessons from the past," Economics & Human Biology, Elsevier, vol. 42(C).
    16. Janet Currie & Tom Vogl, 2012. "Early-Life Health and Adult Circumstance in Developing Countries," Working Papers 1454, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    17. Park, Cheolsung & Kang, Changhui, 2008. "Does education induce healthy lifestyle?," Journal of Health Economics, Elsevier, vol. 27(6), pages 1516-1531, December.
    18. Hamid Noghanibehambari & David Slusky & Hoa Vu, 2025. "From Access to Wellness: Early Life Exposure to Abortion Legalization and the Next Generation’s Health," NBER Working Papers 33571, National Bureau of Economic Research, Inc.
    19. 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.
    20. Johanna Catherine Maclean, 2016. "Does Leaving School in an Economic Downturn Persistently Affect Body Weight? Evidence from Panel Data," Industrial Relations: A Journal of Economy and Society, Wiley Blackwell, vol. 55(1), pages 122-148, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wbk:wbrwps:6666. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Roula I. Yazigi (email available below). General contact details of provider: https://edirc.repec.org/data/dvewbus.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.