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Excluding the rural population: the impact of public expenditure on child malnutrition in Peru, Volume 1
 
Author:Gajate-Garrido, Gissele; Country:Peru;
Date Stored:2013/10/18Document Date:2013/10/01
Document Type:Policy Research Working PaperSubTopics:Regional Economic Development; Public Sector Expenditure Policy; Health Monitoring & Evaluation; Public Sector Management and Reform; Public Sector Economics
Language:EnglishRegion:Latin America & Caribbean
Report Number:WPS6666Collection Title:Policy Research working paper ; no. WPS 6666
Volume No:1  

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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