The purpose of this paper is to find the most effective determinants in reducing child and neonatal mortality, so that policymakers may use policy variables to achieve Millennium Development Goal (MDG) 4: the reduction of child mortality rates by two-thirds by the year 2015 from a baseline of 1992. The paper uses two surveys: the IV Demographic and Family Health Survey (DFHS, 2000), as well as the II Census of Sanitary Infrastructure and Resources of the Health Sector for the year 1999. The duration models (Cox Proportional Hazard model) provided the main methodology in finding the determinants ofneonatal and child mortality, since this is directed towards the survival trajectory of a child in the infant period; in other words, the longer a child manages to stay alive, the better his chances of survival. The evidence suggests that the determinants affecting the neonatal stage most are th...

In Peru one out of four children suffers chronic malnutrition and inequalities among different income quintiles are significant. The consequences of this situation are alarming: limits future capacities and productivity, has harmful effects on health, and perpetuates poverty across generations. Using a two stages least squares methodology, this research analyzes the causes of child malnutrition in Peru based in series of demand factors, such as health status and parents’ education, and supply factors such as sewerage infrastructure and Programa Integral de Nutrición (PIN) coverage. The results show child’s weight at birth, district’s malnutrition rate, rations of food provided by PIN, mother’s age and child’s gender are the most important determinants of child malnutrition. When considering wealth quintiles, for the two poorest ones, the floor material, access to potable water...

This paper measures the impact of time distribution of parents and children over the students’ age-grade retardation. The research uses the Time Use Survey applied in Peru in 2010 and cross-sectional econometric models. The results point out that the time mothers dedicate to educational issues influences significantly when children are at primary school, while the time spent by the father is important to children between 12 and 17 years old. In any case parents’ education is important. The time children spend studying is also important for school performance; it competes against child labor outside or inside of the home.  

El síndrome del dedo azul es infrecuente y se presenta mayormente en mujeres y a mediana edad, pudiendo ser la manifestación de diversas enfermedades. Se presenta el caso de una mujer de 85 años con demencia, dependencia funcional, dolor crónico en rodilla y usuaria de analgésicos, quien ingresó por un síndrome de dedo azul, afebril, en quien los exámenes de laboratorio e imágenes fueron negativos para enfermedades inmunológicas y neoplásicas, teniendo como hallazgo en la tomografía abdomino pélvica una amplia colección en partes blandas a nivel para lumbar, glútea y de cadera derecha. Dicha colección fue drenada y debridada quirúrgicamente, la evolución clínica fue favorable. Este reporte de caso nos demuestra como algunas infecciones en las personas adultas mayores pueden tener una presentación clínica inusual, como el síndrome del dedo azul.