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 nutritional outcomes is examined. To account for policy endo...

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Main Author:	Gajate-Garrido, Gissele
Format:	Journal Article
Language:	en_US
Published:	Oxford University Press on behalf of the World Bank 2016
Subjects:	child development child nutrition diets malnutrition health services public health health care
Online Access:	http://hdl.handle.net/10986/24196

id	okr-10986-24196
recordtype	oai_dc
spelling	okr-10986-241962021-04-23T14:04:20Z Excluding the Rural Population : The Impact of Public Expenditure on Child Malnutrition in Peru Gajate-Garrido, Gissele child development child nutrition diets malnutrition health services public health health care 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. 2016-05-03T22:06:46Z 2016-05-03T22:06:46Z 2014-10-02 Journal Article World Bank Economic Review 1564-698X http://hdl.handle.net/10986/24196 en_US CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Oxford University Press on behalf of the World Bank Publications & Research :: Journal Article Publications & Research Peru
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	en_US
topic	child development child nutrition diets malnutrition health services public health health care
spellingShingle	child development child nutrition diets malnutrition health services public health health care Gajate-Garrido, Gissele Excluding the Rural Population : The Impact of Public Expenditure on Child Malnutrition in Peru
geographic_facet	Peru
description	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.
format	Journal Article
author	Gajate-Garrido, Gissele
author_facet	Gajate-Garrido, Gissele
author_sort	Gajate-Garrido, Gissele
title	Excluding the Rural Population : The Impact of Public Expenditure on Child Malnutrition in Peru
title_short	Excluding the Rural Population : The Impact of Public Expenditure on Child Malnutrition in Peru
title_full	Excluding the Rural Population : The Impact of Public Expenditure on Child Malnutrition in Peru
title_fullStr	Excluding the Rural Population : The Impact of Public Expenditure on Child Malnutrition in Peru
title_full_unstemmed	Excluding the Rural Population : The Impact of Public Expenditure on Child Malnutrition in Peru
title_sort	excluding the rural population : the impact of public expenditure on child malnutrition in peru
publisher	Oxford University Press on behalf of the World Bank
publishDate	2016
url	http://hdl.handle.net/10986/24196
_version_	1764455904805126144

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

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