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CHILD HEALTH AND ECONOMIC CRISIS IN PERU

Through MICYRN, a pan-Canadian collaboration linking databases for 13 existing pregnancy/birth cohort studies has been established. Three additional birth cohort studies - the Canadian Healthy Infant Longitudinal Development (CHILD) asthma and allergy birth cohort, the Integrated Research Network in Perinatology of Quebec and Eastern Ontario and the Interdisciplinary Team in Childhood Obesity - have recently been funded as the first components of the MICYRN birth cohort coalition. Together, these 16 existing independent cohort studies form the MICYRN birth cohort coalition that collectively represents over 79,000 mother-baby pairs, 47,000 of which were or are being studied prospectively and longitudinally up. | Child Health and Economic Crisis in Peru Christina Paxson and Norbert Schady The effect of macroeconomic crises on child health is a topic of great policy importance. This article analyzes the impact of a profound crisis in Peru on infant mortality. It finds an increase of about 2.5 percentage points in the infant mortality rate for children born during the crisis of the late 1980s which implies that about 17 000 more children died than would have in the absence of the crisis. Accounting for the precise source of the increase in infant mortality is difficult but it appears that the collapse in public and private expenditures on health played an important role. Over the past two decades a large number of countries including Argentina Indonesia Mexico Peru and Russia experienced economic crises that led to sharp reductions in incomes and living standards. A growing body of literature has examined whether these crises had adverse effects on health outcomes. To the extent that crises lead to declines in health outcomes it is important to identify the specific mechanisms that are responsible with an eye toward developing policies that can ameliorate adverse health effects in the future. This article considers how economic shocks affect health by examining the effect of one crisis that experienced by Peru in the late 1980s on infant mortality. The Peruvian case is noteworthy because the crisis was unusually sharp per capita gross domestic product gdp declined by 30 percent and real wages in the capital city of Lima fell by more than 80 percent. The sheer depth of the economic collapse makes Peru a useful place in which to study the health effects of economic crises. In addition Peru has good information on infant mortality from a set of household surveys the Demographic and Health Surveys Christina Paxson is professor of economics and public affairs at Princeton University her email address is cpaxson@princeton.edu. Norbert Schady is senior economist in the Development .