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Document Type:Latin Dissertation
Language of Document:English
Record Number:54438
Doc. No:TL24392
Call number:‭3364743‬
Main Entry:Elan Satriawan
Title & Author:Essays on evaluation of the effectiveness of public health programs on child's well-being: Evidence from Indonesia Family Life SurveyElan Satriawan
College:Michigan State University
Date:2009
Degree:Ph.D.
student score:2009
Page No:132-n/a
Abstract:This dissertation consists to two essays. The first essay evaluates the impact of childhood nutritional status and the presence of a public health program on subsequent child schooling in Indonesia during 1990s. We estimate dynamic relationship of childhood nutrition and subsequent child schooling in which we carefully address the potential correlation between childhood nutrition and important but unobserved factors such as child innate healthiness and parents' taste toward child quality. We find that reducing incidence of poor childhood nutrition reduces also the probability of delayed enrollment, but not the probability of repeating a grade. More importantly, the estimated effects when taking into account the endogeneity of childhood nutrition are 5-7 times stronger than when ignoring the endogeneity of childhood nutrition. The effect of childhood nutrition on subsequent child schooling is even higher if child has access to public health facilities. Looking particularly at presence of midwife, we find that the presence of midwife magnifying the effect of childhood nutritional status on subsequent child schooling. This result suggests that the exposure to midwife during early childhood improved child nutritional status that in turn helped child schooling. The second essay evaluates the effectiveness of a supplementary feeding program for maintaining child nutritional status through the period of the 1997-1998 economic crises in Indonesia. We exploit heterogeneity in program exposure to evaluate the program effect. The use of program heterogeneity has at least two advantages for identifying the effect of Indonesia's supplemental feeding program. First use of program exposure allows us to estimate an effect even with low variation of program distribution across targeted subjects. Second, use of the program allows us to avoid the strong assumption that all targeted children experienced homogenous exposure to the program. We show that although the program tended to be universally distributed during 1998-2000, the distribution of program length varied across communities. We also provide insight into the government's implicit allocation rule when determining program length. Findings on the effect of program exposure show that the program improved the nutritional status of children 12 to 23 months of age during the period of economic crisis. Our findings also suggest that the program helped children with severe malnutrition problems. Our results also highlight the potential benefit of using heterogeneity in program exposure when evaluating a universally targeted program. The use of program intensity is not just helpful to capture program effects as it can also be used to in conjunction with community fixed effects in a way that avoids bias from endogenous program placement.
Subject:Health and environmental sciences; Social sciences; Education; Children; Public health programs; Indonesia Family Life Survey; Supplementary feeding; Nutrition-schooling relationship; Educational sociology; Economics; Public health; Public policy; Effectiveness studies; Families & family life; Polls & surveys; Indonesia; 0340:Educational sociology; 0630:Public policy; 0573:Public health; 0501:Economics
Added Entry:R. H. Bernsten
Added Entry:Michigan State University