TAILIEUCHUNG - CHILD HEALTH IN RURAL COLOMBIA: DETERMINANTS AND POLICY INTERVENTIONS

GHI will also contribute to the strengthening of NTD integrated management and control through assisting GOK with the evaluation of the best prevention and management delivery systems. This includes whether a given integrated prevention or management approach can impact transmission of NTDs and which approach yields the largest effect on prevalence, morbidity, and mortality per unit of cost. The GHI NTD efforts will also support GOK leadership and management, policy, human resources for health, and supply chain systems. To assure country ownership, USG will provide technical assistance to the GOK in ensuring appropriate budgetary allocation for planned. | Child Health in Rural Colombia determinants and Policy interventions Orazio Attanasio Luis Carlo Gomez Ana Gomez Marcos Vera-Hernández EDePo Centre for the Evaluation of Development Policies the institute for fiscal studies EWP04 02 Child Health in Rural Colombia Determinants and Policy Interventions1 Orazio Attanasio2 3 Luis Carlos Gomez4 Ana Gomez5 Marcos Vera-Hernández2 3 Final version presented to the Interamerican Development Bank on the study of Child Health Poverty and the Role of Social Policies Abstract In this paper we study the determinants of child anthropometrics on a sample of poor Colombian children living in small municipalities. We focus on the influence of household consumption and public infrastructure. We take into account the endogeneity of household consumption using two different sets of instruments household assets and municipality average wage. We find that household consumption is an important determinant of child health. The importance of the effect is confirmed by the two different sets of instruments. We find that using ordinary least squares would lead to conclude that the importance of household consumption is much smaller than the instrumental variable estimates suggest. The presence of a public hospital in the municipality positively influences child health. The extent of the piped water network positively influences the health of children if their parents have at least some education. The number of hours of growth and development check-ups is also an important determinant of child health. We find that some of these results only show up once squared and interaction terms have been included in the regression. Overall our estimates suggest that both public and private investments are important to improve child health in poor environments. 1 We would like to thank the participants in the IADB project on Child Health Poverty and the Role of Social Policies for the comments received in the meetings held in Puebla and Washington. In .

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