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Comments on: The permanent effects of recessions on child health: evidence from Peru

Comments on: The permanent effects of recessions on child health: evidence from Peru. By : Adriana Camacho. Positive aspects. Interesting and important for public health policy Contributes to evidence in developing countries, as the impact is the reverse of developed countries

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Comments on: The permanent effects of recessions on child health: evidence from Peru

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  1. Comments on:The permanent effects of recessions on child health: evidence from Peru By : Adriana Camacho.

  2. Positive aspects • Interesting and important for public health policy • Contributes to evidence in developing countries, as the impact is the reverse of developed countries • A very good country to study given strong recessions • Deals with selection of mothers into phases of the economic cycle.

  3. Channels: Recession can affect Health • Reduce (private and public) resources • Nutrition • Medical care (prenatal, postnatal) • Breastfeeding • Result on nutrition not counterintuitive in this case. • Expect to see neonatal mortality flatter • Exploit age heterogeneity with this channel 2a. Prenatal care visits • If impact of recession starts during pregnancy, lag GDP to check results with mortality. 2b. Stress • Birth Weight, term of delivery 2c Postnatal access to medical care • Control for type of health insurance or public health programs in the area. (regional effects in the cross sections)

  4. Include in the paper to Clarify of Motivate • literature on: • early child human capital development. • Health Production function • clarify income-substitution effect • Genetics (mother fe) • Brief explanation of health care system for pregnant woman and children. • Shade recession years in the mortality figure

  5. Other possible outcomes • Probability of breastfeeding • Birth weight • Term delivery • Probability of complete vaccination by age • Intestinal and Respiratory Health problems • Other Z scores for WfA, WfH (easier to change)

  6. Other things to do • Evidence of pro-poor anti-poor (unequal) growth • Twins !! control for them • Could be used to do a robustness check of the results. • Heterogeneous effect by age • child cohort • Educational attainment of recession cohorts to validate the claim “permanent mark on children´s human capital”. • Positive selection into survival.

  7. Check • Compare IMR constructed from DHS with vital stats. Yours are really high! • Explain better the way IMR was constructed when there is an overlap of years. • Show data of counter-cyclical public expenditure • Strongest impact in the last two recessions (mildest ones), evidence problems of retrospective info?

  8. Minor changes • Include urban area control • Descriptive stats of GDP and growth • Fig 2. Mortality not Infant Mortality • Explain “continuous” 2004 DHS • Growth rates in fig do not coincide with number in paper • Drop Aguero and Robles citation (credit constraints not tested). • Conclusions have long discussion on education?? (Drop fig 5, 6 and 7ª). (only significant for non educated)

  9. Colombia:

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