Abstract
The research aims to establish whether the DIRESA (Dirección Regional de Salud) of residence is a contextual factor affecting child stunting and identify individual level factors associated with child stunting. It uses data from the National Survey of Demographic and Health (DHS, 2008) and multilevel logistic regression models to estimate the effect of DIRESA residence and individual level variables on the dependent variable child stunting. The results show first, that there is “DIRESA effect” on the likelihood of child stunting, which cannot be explained by differences in variables related to household characteristics, mothers or children measured at the individual level. Furthermore, the variables that represent characteristics of households, mothers and children are statistically associated with child stunting.
References
Altobelli, L y Gómez, M. (2000). Impact evaluation 1997-1999 Infant Nutrition Programa of ADRA Peru: Final Report on ten Departaments. ADRA y DS consult (Febrero).
Arocena, V. (2009). Factores asociados a la desnutrición crónica infantil en el Perú 1996 - 2007. Instituto Nacional de Estadística e Informática (INEI), USAID Macrointernational.
Calvo, E. (2003). Estudio multicéntrico y riesgo de desnutrición infantil. S. E. (Agosto).
INEI-PRISMA. (2010). Perú: Encuesta Demográfica y de Salud Familiar. ENDES 2008 Informe principal. (Septiembre).
INEI-PRISMA. (1999). Determinantes de la desnutrición aguda y crónica en niños menores de 3 años. Un sub-análisis de la ENDES 1992 y 1996. (Febrero).
Marini, A. y Gragnolati, M. (2003). Malnutrition and Poverty in Guatemala. World Bank Policy Research , Working paper 2967 (January).
Mayston, D. (1999). The Economic Determinants of Health Inequalities. Department of Economics and Related Studies University of York.
Pardo, A., Ruiz, M. y San Martín, R. (2007). Cómo ajustar e interpretar modelos multinivel con SPSS. Psicoyhema , 19(2), 308-321.
Sanabria, M. (2002). Determinantes del estado de salud y nutrición de niños menores de 5 años en situación de pobreza en Paraguay, s.e.
Segura, J. et ál. (2002). Pobreza y desnutrición infantil. PRISMA (Septiembre).
Sttrauss, J. y Thomas, D. (1998). Health, Nutrition and Economic Development. Jorunal of Economic Literature , 36(2), 766-817.
Valdivia, M. (2002). Acerca de la magnitud de la inequidad en salud en el Perú. GRADE, Documento de trabajo 37 (Abril).
Wastgaff, A., Doorslaer, E. y Watanabe, N. (2003). On Descomposing the Causes of Health Sector Inequalities with an Application on Malnutrition Inequalities in Vietnam. Journal of Econometrics, Elsevier , 112(January), 207-223.
Wastgaff, A., Paci, P. y Joshi, H. (2001). Causes of Inequality in Health: Who you are? Where you live? or Who your orents where? Manuscrito (Noviembre).
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