Excluding the Rural Population : The Impact of Public Expenditure on Child Malnutrition in Peru

Excluding the Rural Population : The Impact of Public Expenditure on Child Malnutrition in Peru

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 nutritio...

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Bibliographic Details
Main Author:	Gajate-Garrido, Gissele
Format:	Policy Research Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2014
Subjects:	ABSENTEEISM ACCESS TO HEALTH CARE ACCESS TO HEALTH FACILITIES ACCESS TO MARKETS ACCOUNTING ACUTE RESPIRATORY INFECTIONS AGED AGRICULTURAL PRODUCTIVITY ANDEAN REGION ANNUAL REPORTS BUDGET CONSTRAINTS BUDGETARY EXPENDITURE CAPACITY BUILDING CAPITAL INVESTMENT CENTRAL GOVERNMENT CHILD DEVELOPMENT CHILD NUTRITION CHRONIC ILLNESS CHRONIC MALNUTRITION CITIES COMPOSITION OF EXPENDITURES DEBT DIETS DIFFERENT REGION DISADVANTAGED GROUPS DRINKING WATER ECONOMIC ANALYSIS EFFECTIVENESS OF PUBLIC SPENDING EXPENDITURE CATEGORIES EXPENDITURE DATA EXPENDITURES ON HEALTH FAMILY PLANNING FEASIBILITY STUDIES FOOD AVAILABILITY FOOD POLICY FOOD SUPPLY GEOGRAPHICAL REGIONS GLOBAL POVERTY GOVERNMENT EXPENDITURE GOVERNMENT SPENDING HEALTH CARE HEALTH CENTERS HEALTH EXPENDITURES HEALTH OUTCOMES HEALTH POLICY HEALTH PROBLEMS HEALTH PROMOTION HEALTH SERVICES HEALTH SPENDING HEALTH WORKERS HOUSEHOLD SIZE HOUSEHOLD WELFARE HOUSING HUMAN CAPITAL HUMAN CAPITAL FORMATION IMMUNIZATION INADEQUATE HEALTH INCIDENCE OF PUBLIC SPENDING INFECTIOUS DISEASES INFRASTRUCTURE PROJECTS INTERVENTION IRON LEVEL OF PUBLIC SPENDING LIVING CONDITIONS LOCAL GOVERNMENTS MALNUTRITION MARGINAL EFFECTS MEDICAL PROFESSIONALS MEDICINES MIGRATION NATIONAL ACCOUNTS NET INCOME NURSES NUTRITION NUTRITION OUTCOMES NUTRITIONAL STATUS OPPORTUNITY COST PER CAPITA INCOME PHYSICIANS POLITICAL REGION POLLUTION POOR AREAS POOR BENEFIT POOR COUNTRIES POOR HOUSEHOLDS POOR PEOPLE POORER GROUPS POVERTY ALLEVIATION POVERTY LEVELS POVERTY LINE PRIMARY SCHOOLS PRIVATE GOODS PRIVATE SECTOR PRODUCTION FUNCTION PROGRAMS PROVINCIAL GOVERNMENTS PUBLIC PUBLIC ASSETS PUBLIC BUDGET PUBLIC ECONOMICS PUBLIC EXPENDITURE PUBLIC EXPENDITURES PUBLIC FUNDS PUBLIC GOODS PUBLIC HEALTH PUBLIC INTERVENTION PUBLIC INVESTMENT PUBLIC POLICY PUBLIC PROGRAMS PUBLIC PROVIDERS PUBLIC SECTOR PUBLIC SERVICE PUBLIC SERVICES PUBLIC SPENDING QUALITY OF SERVICES REGIONAL CHARACTERISTICS REGIONAL DISTRIBUTION REGIONAL GOVERNMENT REGIONAL GOVERNMENTS REGIONAL INCOME REGIONAL LEVEL REGIONAL MIGRATION REGIONAL PARTICIPATION REGIONAL PUBLIC EXPENDITURE REGIONAL SPENDING ROADS RURAL AREAS RURAL DIVIDE RURAL GAP RURAL POPULATION SANITATION SOCIAL PROGRAMS SOCIAL SERVICES TOTAL EXPENDITURE TOTAL PUBLIC EXPENDITURE TOTAL PUBLIC SPENDING TOTAL SPENDING URBAN AREAS WATER POLLUTION WORKERS
Online Access:	http://documents.worldbank.org/curated/en/2013/10/18412716/excluding-rural-population-impact-public-expenditure-child-malnutrition-peru http://hdl.handle.net/10986/16880

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Summary:	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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