Escobal, Javier and Saavedra, Jaime and Suárez, Pablo (2005): The Interaction of Public Assets, Private Assets and Community Characteristics and its Effect on Early Childhood Height-for-Age in Peru. Published in: Young Lives Working Paper Series No. 14 (January 2005)
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Abstract
Child health, particularly long-term nutritional status, is closely related to the characteristics of families, communities and children, including level of education and access to public services,. Public policy has a crucial role in increasing the likelihood that a child can access high quality health-care and other services that affect health status. Access to these public services, however, may have different effects depending on community and family characteristics, particularly the education level of the mother or caregiver. In Peru, despite a dramatic increase in investment in health during the last decade, there is still a large degree of inequality of access.
This paper uses Young Lives data to explore the interaction of private assets, such as education, with public services, provided at the community and household level. The authors explore the ways in which maternal education levels interact with access to clean water and sewage, availability and quality of health facilities, proximity to paved or engineered roads, and access to electricity. The authors also focus on the direct and indirect impact of maternal education levels on height-for-age measurements. Their results clearly establish that the level of maternal education is an important determining factor of child nutritional status. Only in the case of those mothers who are more educated does access to services not make a significant difference to nutritional status. These findings thus endorse the argument investment in public services is even more necessary in areas of low maternal education levels.
Item Type: | MPRA Paper |
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Original Title: | The Interaction of Public Assets, Private Assets and Community Characteristics and its Effect on Early Childhood Height-for-Age in Peru |
Language: | English |
Keywords: | Peru, child health, asset ownership, education |
Subjects: | I - Health, Education, and Welfare > I1 - Health > I12 - Health Behavior I - Health, Education, and Welfare > I1 - Health > I14 - Health and Inequality O - Economic Development, Innovation, Technological Change, and Growth > O1 - Economic Development > O12 - Microeconomic Analyses of Economic Development |
Item ID: | 56478 |
Depositing User: | Javier Escobal |
Date Deposited: | 11 Jun 2014 20:11 |
Last Modified: | 03 Oct 2019 17:52 |
References: | Alderman, H, J Hentschel and R Sabates (2001) With the Help of One’s Neighbors: Externalities in the Production of Nutrition in Peru. http://econ.worldbank.org/files/2237_wps2627.pdf Barber, S L and P J Gertler (2002) ‘Child health and the quality of medical care’, mimeo, University of California at Berkeley and National Bureau of Economic Research (NBER) Barrera, A (1990) ‘The role of maternal schooling and its interaction with public health programs in child health production’, Journal of Development Economics, 32: 69-91 Block, S (2002) Nutrition Knowledge Versus Schooling in the Demand for Child Micronutrient Status, Discussion Paper No. 10, Food Policy and Applied Nutrition Program, Friedman School of Nutrition Science and Policy, Tufts University CDC – National Center for Chronic Disease Prevention and Health Promotion (2000) ‘Use and interpretation of the CDC growth charts: An instructional guide’. www.cdc.gov/nccdphp/dnpa/growthcharts/guide.htm Chong, A, J Hentschel and J Saavedra, ‘Bundling and household welfare in the delivery of social services in developing countries using panel data: The case of Peru’, March 2003, mimeo, IDB/WB/GRADE de Onis, M, E Frongillo and M Blössner (2000) ‘Is malnutrition declining? An analysis of changes in levels of child malnutrition since 1980’, Bulletin of the World Health Organisation, 2000, 78(10): 1222-33. http://whqlibdoc.who.int/bulletin/2000/Number%2010/78(10)1222-1233.pdf Desai, S and S Alva (1998) ‘Maternal education and child health: Is there a strong causal relationship?’, Demography, 35(1): 71-81 Escobal, J and M Torero (2002) ‘Asset complementarities: The case of rural Peru’, paper presented at the 2001 Global Development Network (GDN) Annual Conference, Rio de Janeiro. www.grade.org.pe/download/docs/JE-MT-measuring%20Asset%20Complementarities.pdf Escobal, J, C F Lanata, S Madrid, M E Penny, J Saavedra, P Suárez, H Verástegui, E Villar and S Huttly (2003) Young Lives Preliminary Country Report: Peru, London Glewwe, P (1999) ‘Why does mother’s schooling raise child health in developing countries?’, The Journal of Human Resources, Vol. XXXIV: pp. 124-59 Grantham-McGregor, S, L Fernald and K Sethuraman (1999) ‘Effects of health and nutrition on cognitive and behavioural development in children in the first three years of life. Part 2. Infections and micronutrient deficiencies: Iodine, iron and zinc’, Food and Nutrition Bulletin, 20(1): 76-99 INEI (2001) Encuesta Nacional Demográfica y de Salud Familiar, ENDES 2000, Lima, Instituto Cuánto (2000) Encuesta Nacional de Hogares sobre Medición de Niveles de Vida (ENNIV) 2000, Lima, Instituto Cuánto Kovsted J, C C Pörtner and F Tarp (2002) ‘Child health and mortality: Does health knowledge matter?’, mimeo, University of Copenhagen and Georgetown University, October Kravdal, O (2003) Child Mortality in India: Exploring the community-level effect of education, Health Economics Research Programme at the University of Oslo, HERO 2003, Oslo MINSA (2000) Oficina de Estadística e Informática. Health Census 1999. NCHS (1977) Growth Curves for Children Birth-18 Years, National Center for Health Statistics (NCHS), Rockville, Maryland, USA StataCorp (2003) Stata Statistical Software: Release 8.0, College Station, TX, Stata Corporation Strauss, J (1990) ‘Households, communities, and preschool children’s nutrition outcomes: Evidence from rural Côte d’Ivoire’, Economic Development and Cultural Change, 38 (January): 231-61 Thomas, D, V Lavy and J Strauss (1996) ‘Public policy and anthropometric outcomes in the Côte D’Ivoire’, Journal of Public Economics, 61: 155-92 Thomas, D, J Strauss and M H Henriques (1991) ‘How does mother’s education affect child height?’ The Journal of Human Resources, 26(2): 183-211 Victora, C G, S Huttly, F C Barros, C Lombardi and P Vaughan (1992) ‘Maternal education in relation to early and late child health outcomes: Findings from a Brazil cohort study’, Social Science & Medicine, 34(8): 899-905 Williams, R L (2000) ‘A note on robust variance estimation for cluster-correlated data’, Biometrics, 56: 645-46 Wolfe, B L and J Behrman (1986) ‘Child quantity and quality in a developing country: Family background, endogenous tastes and biological supply factors’, Economic Development and Cultural Change, 34 (4): 703-20, July |
URI: | https://mpra.ub.uni-muenchen.de/id/eprint/56478 |