Health Reform, Population Policy and Child Nutritional Status in China

This paper examines the determinants of child nutritional status in seven provinces of China during the 1990s, focusing specifically on the role of two areas of public policy, namely health system reforms and the one child policy. The empirical relationship between income and nutritional status, and the extent to which that relationship is mediated by access to quality healthcare and being an only-child, is investigated using ordinary least squares, random effects, fixed effects, and instrumental variables models. In the preferred model - a fixed effects model where income is instrumented - the author find that being an only-child increases height-for-age z-scores by 0.119 of a standard deviation. The magnitude of this effect is found to be largely gender and income neutral. By contrast, access to quality healthcare and income is not found to be significantly associated with improved nutritional status in the preferred model. Data are drawn from four waves of the China Health and Nutrition Survey.

Bibliographic Details

Main Author:	Bredenkamp, Caryn
Language:	English
Published:	World Bank, Washington, DC 2008-04
Subjects:	ACCESS TO HEALTH SERVICES, ACCESSIBILITY, ANTENATAL CARE, BICYCLES, BIRTH CONTROL, BREASTFEEDING, BULLETIN, CHILD CARE, CHILD HEALTH, CHILD NUTRITION, CHILD SURVIVAL, CHINESE POPULATION, CITIES, COMMON COLD, COMMUNITY HEALTH, COMPETENCIES, CONTRACEPTION, COST OF TRAVEL, CULTURAL CHANGE, DEVELOPING COUNTRIES, DISEASE CONTROL, ECONOMIC GROWTH, EDUCATED MOTHERS, EDUCATIONAL ATTAINMENT, EFFECTIVE ACTION, EMPLOYMENT, EPIDEMIOLOGY, EXPENDITURES, FAMILY-PLANNING METHODS, FARMLAND, FERTILITY, FEWER CHILDREN, FINANCIAL PENALTIES, FOOD POLICY, FOOD PRICES, FORMAL EDUCATION, GENDER DIFFERENTIALS, GENDER DISPARITIES, GOVERNMENT POLICIES, HEALTH CARE, HEALTH CARE SYSTEM, HEALTH ECONOMICS, HEALTH FACILITIES, HEALTH INSURANCE, HEALTH POLICY, HEALTH REFORM, HEALTH SECTOR, HEALTH SECTOR REFORM, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH STATUS, HEALTH SYSTEM, HEALTH SYSTEM FINANCING, HEALTH SYSTEM REFORM, HEALTH-CARE SYSTEM, HEALTHCARE PROVIDERS, HOUSEHOLD CONSUMPTION, HOUSEHOLD HEAD, HOUSEHOLD INCOME, HOUSEHOLD SIZE, HUMAN DEVELOPMENT, HUMAN RESOURCES, ILLNESS, IMMUNIZATION, IMMUNIZATIONS, INCOME GROWTH, INFANTS, INFLUENZA, INTERNATIONAL FOOD POLICY RESEARCH INSTITUTE, JOURNAL OF EPIDEMIOLOGY, LABOR SUPPLY, LIVESTOCK OWNERSHIP, MALNUTRITION, MALNUTRITION AMONG CHILDREN, MATERNAL CARE, MEDICINES, MOTHER, NATIONAL LEVEL, NEIGHBORHOODS, NUMBER OF ADULTS, NUMBER OF CHILDREN, NUTRITION, NUTRITION INTERVENTIONS, NUTRITIONAL STATUS, OBSTETRIC CARE, PEDIATRICS, POLICY CHANGE, POLICY IMPLICATIONS, POLICY RESEARCH, POLICY RESEARCH WORKING PAPER, POLITICAL ECONOMY, POOR, POPULATION AND DEVELOPMENT, POPULATION DENSITY, POPULATION GROWTH, POPULATION POLICY, POSTNATAL CARE, PREGNANCIES, PREGNANT WOMEN, PRIMARY SCHOOL, PROGRESS, PUBLIC HEALTH, PUBLIC HEALTH SERVICES, PUBLIC PERCEPTIONS, PUBLIC POLICY, PUNITIVE MEASURES, QUALITY CARE, QUALITY OF CARE, QUALITY OF HEALTH, QUALITY OF SERVICES, RESPECT, RURAL, SAVINGS, SERVICE PROVISION, SEX, SIBLINGS, SOCIAL SCIENCE, SOCIOECONOMIC FACTORS, SOCIOECONOMIC STATUS, TRANSPORT, TRANSPORTATION, TRANSPORTATION INFRASTRUCTURE, TRAVEL COSTS, TRAVEL TIME, TRAVEL TIMES, TRUE, URBAN AREAS, URBAN POPULATION, USER FEES, WALKING, WORLD HEALTH ORGANIZATION, YOUNG CHILDREN,
Online Access:	http://documents.worldbank.org/curated/en/2008/04/9354384/health-reform-population-policy-child-nutritional-status-china https://hdl.handle.net/10986/6514
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