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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| Format: | Policy Research Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2014
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| Online Access: | http://hdl.handle.net/10986/16880 |
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okr-10986-16880 |
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okr-10986-168802017-12-14T08:51:09Z Excluding the Rural Population : The Impact of Public Expenditure on Child Malnutrition in Peru Gajate-Garrido, Gissele 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 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. 2014-02-04T19:40:56Z 2014-02-04T19:40:56Z 2013-10 http://hdl.handle.net/10986/16880 English en_US Policy Research Working Paper;No. 6666 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research Latin America & Caribbean Peru |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
World Bank |
| building |
World Bank Open Knowledge Repository |
| collection |
Online Access |
| language |
English en_US |
| topic |
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 |
| spellingShingle |
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 Gajate-Garrido, Gissele Excluding the Rural Population : The Impact of Public Expenditure on Child Malnutrition in Peru |
| geographic_facet |
Latin America & Caribbean Peru |
| relation |
Policy Research Working Paper;No. 6666 |
| 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 |
Publications & Research :: Policy Research Working Paper |
| 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 |
World Bank, Washington, DC |
| publishDate |
2014 |
| url |
http://hdl.handle.net/10986/16880 |
| _version_ |
1610777299706183680 |