Rural Peru Research Articles

The use of antibiotics on small dairy farms in rural Peru

Very little is known about the use of antibiotics on small dairy farms in lower/middle-income countries. The use of these drugs can have profound impacts on animal health, farmer income and public health. A survey of 156 farmers was conducted in Cajamarca, a major dairy-producing center in the highlands of Peru characterized by small farms (<15 cows) to assess patterns and determinants of antibiotic use and farmers’ knowledge of antibiotics. The reported incidence of disease on these farms was relatively low (0.571 episodes of disease per cow-year), but more than 83% of the reported episodes were treated with antibiotics. The most commonly used antibiotics were oxytetracycline, penicillin and trimethoprim-sulfamethoxazole drugs; antiparasitic drugs were also used to treat what were likely bacterial infections. An increased incidence of treated disease was significantly associated with smaller farm size, lower farmer income, the previous use of the Californian Mastitis test on the farm and antibiotic knowledge. Farmers’ knowledge of antibiotics was assessed with a series of questions on antibiotics, resulting in a “knowledge score”. Increased knowledge was significantly associated with the use of antibiotics for preventative reasons, the purchase of antibiotics from feed-stores, the experience of complications in animals after having administered antibiotics, the number of workers on the farm and the educational level of the farmer. Overall, antibiotics appeared to be used infrequently, most likely because therapeutic interventions were sought only when the animal had reached an advanced stage of clinical disease. Few farmers were able to define an antibiotic, but many farmers understood that the use of antibiotics carried inherent risks to their animals and potentially to the consumers of dairy products from treated animals. The results of this study are useful for understanding the patterns of antibiotic use and associated management, demographic and knowledge factors of farmers on small dairy farms in rural Peru.

The role of veterinarians and feed-store vendors in the prescription and use of antibiotics on small dairy farms in rural Peru

This study aimed to describe and compare the role of veterinarians and feed-store vendors in the use of antibiotics on small dairy farms in Cajamarca, Peru, a major dairy-producing center characterized by small, rural farms with poor, mostly uneducated farmers. We used a purposive sampling strategy to recruit 12 veterinarians into 2 focus group discussions and supplemented these data with 8 semi-structured interviews with feed-store vendors. Participants reported that inappropriate antibiotic usage was widespread among their clients, which may prevent the efficient use of drugs on farms where animal disease can be devastating to the livelihood of the farmer. Participants also identified many barriers to appropriate prescribing and use, including availability of drugs, competition from other prescribers, economic constraints and habits of farmers, and limited farmer knowledge of drugs and disease. Veterinarians expressed mistrust toward nonprofessional prescribers, whereas feed-store vendors felt that veterinarians were important partners in promoting the health of their clients’ animals.

Joint Titling in Rural Peru: Impact on Women’s Participation in Household Decision-Making

Summary Peru has implemented joint property rights between spouses and cohabitants on 57% of 1.5 million formalized agricultural plots. Bargaining theory indicates such redistribution of assets should empower women. This project measures influence on decision-making in 1,280 rural households, interviewing man and woman separately. A historical coincidence during the land reform of the 1960–70s made only some communities eligible for plot titling. The process was exogenous and independent of both household and community characteristics. The significantly positive impact on female empowerment in simple mean comparison and econometric models including pre-titling historic variables is hence unbiased.

A pilot study characterizing real time exposures to particulate matter and carbon monoxide from cookstove related woodsmoke in rural Peru

Nearly half of the world's population is exposed to household air pollution (HAP) due to long hours spent in close proximity to unvented cooking fires. We aimed to use PM2.5 and CO measurements to characterize exposure to cookstove generated woodsmoke in real time among control (n = 10) and intervention (n = 9) households in San Marcos, Cajamarca Region, Peru. Real time personal particulate matter with an aerodynamic diameter ≤2.5 μm (PM2.5), and personal and kitchen carbon monoxide (CO) samples were taken. Control households used a number of stoves including open fire and chimney stoves while intervention households used study-promoted chimney stoves. Measurements were categorized into lunch (9 am–1 pm) and dinner (3 pm–7 pm) periods, where applicable, to adjust for a wide range of sampling periods (2.8–13.1 h). During the 4-h time periods, mean personal PM2.5 exposures were correlated with personal CO exposures during lunch (r = 0.67 p = 0.024 n = 11) and dinner (r = 0.72 p = 0.0011 n = 17) in all study households. Personal PM2.5 exposures and kitchen CO concentrations were also correlated during lunch (r = 0.76 p = 0.018 n = 9) and dinner (r = 0.60 p = 0.018 n = 15). CO may be a useful indicator of PM during 4-h time scales measured in real time, particularly during high woodsmoke exposures, particularly during residential biomass cooking.

Parametric versus nonparametric methods in risk scoring: an application to microcredit

The importance of credit access to improve economic opportunities in developing markets is well established in the literature. However, there exists a strong need to mitigate adverse selection problems in microlending. A risk scoring model that more accurately predicts the likelihood of repayment of potential borrowers can help address this market imperfection and to benefit both lenders and borrowers. This paper compares the performance of nonparametric versus semiparametric and traditional parametric risk scoring models based on default probabilities. We show the advantages of relying on less structured, data-driven methods for risk scoring using both simulated data and data from credit loans granted to small and microenterprises in rural Peru. The estimation results indicate that nonparametric methods lead to a better evaluation of credit worthiness and can help prevent including potential “bad” borrowers and excluding “good” borrowers from sensitive microcredit markets.

Do households that experience crop failure or price shocks reduce animal source food expenditures in rural Peru?

Animal source foods (ASF) are rich in protein, iron, zinc and other nutrients essential for optimal growth and development. We hypothesized that price shocks or crop failure for rural Peruvian households led to reduced expenditures on ASF. Peruvian Young Lives household panel data (n=857) in 2006 and 2009 was used to characterize relations between these shocks and ASF expenditures per adult equivalent (AE) over the previous 15 days, adjusted to 2006 Peruvian soles. Between 2006 and 2009, 6.8% (n=58) of households experienced crop failure and 13.3% (n=114) experienced price shocks. In that same time period, average household ASF expenditures per AE increased by ~50% (19.0 soles+ 16.5 to 27.6 soles+ 18.5) and household ASF expenditures increased from 25.1% to 29.0% of total food expenditures. Experience of price shocks or crop failure did not significantly affect changes in total ASF expenditures or meat expenditures between 2006 and 2009. Crop failure was significantly associated with decreased expenditures on eggs. ASF expenditures and total food expenditures increased during this period, and total ASF expenditures and meat expenditures remained stable regardless of reported shocks to the household.

Effects on Household Labor of Temporary Out-migration by Male Household Heads in Nicaragua and Peru: an Analysis of Spot-check Time Allocation Data Using Mixed-effects Models

When adult males are temporarily away from the household,observational evidence suggests cross-culturaland intra-cultural variation in the effects of their absence on the labor ofother householdmembers.Insubsistence-based econ- omies, we predict that other adolescent or older members will work more in essential production activities that otherwise would be performed by the missing men. We test this hypoth- esis using spot-check time allocation datasets from rural Nicaragua and Peru and the methodology of mixed-effects statistical models. In Nicaragua, we find that the absence of male household heads rarely necessitates substitute labor by household co-residents, apparently because men typically time their absences to coincide with the non-peak agricultural season. In Peru, the absence of male household heads results in increased men's work by co-residents only under unusual circumstances, as households apparently rely on other strate- gies to mitigate for the loss of labor. In addition to the com- parative empirical analysis of the two cases, we show how mixed-effects models allow for individual heterogeneity and data structures that confound more familiar statistical techni- ques and occasionally produce spurious results. Mixed-effects modeling techniques will be necessary if we are to realize the analytic potential of the extensive, standardized time al- location datasets gathered by anthropologists.

Chimney stoves modestly improved Indoor Air Quality measurements compared with traditional open fire stoves: results from a small-scale intervention study in rural Peru

Nearly half of the world's population depends on biomass fuels to meet domestic energy needs, producing high levels of pollutants responsible for substantial morbidity and mortality. We compare carbon monoxide (CO) and particulate matter (PM2.5) exposures and kitchen concentrations in households with study-promoted intervention (OPTIMA-improved stoves and control stoves) in San Marcos Province, Cajamarca Region, Peru. We determined 48-h indoor air concentration levels of CO and PM2.5 in 93 kitchen environments and personal exposure, after OPTIMA-improved stoves had been installed for an average of 7 months. PM2.5 and CO measurements did not differ significantly between OPTIMA-improved stoves and control stoves. Although not statistically significant, a post hoc stratification of OPTIMA-improved stoves by level of performance revealed mean PM2.5 and CO levels of fully functional OPTIMA-improved stoves were 28% lower (n = 20, PM2.5, 136 μg/m(3) 95% CI 54-217) and 45% lower (n = 25, CO, 3.2 ppm, 95% CI 1.5-4.9) in the kitchen environment compared with the control stoves (n = 34, PM2.5, 189 μg/m(3), 95% CI 116-261; n = 44, CO, 5.8 ppm, 95% CI 3.3-8.2). Likewise, although not statistically significant, personal exposures for OPTIMA-improved stoves were 43% and 17% lower for PM2.5 (n = 23) and CO (n = 25), respectively. Stove maintenance and functionality level are factors worthy of consideration for future evaluations of stove interventions.

From Amazon to the Andes: Wash Projects in Rural Peru

From Amazon to the Andes: Wash Projects in Rural Peru

Mobile Phones and Economic Development in Rural Peru

We estimate the effects of mobile phone coverage on different measures of economic development. We exploit the timing of mobile coverage at the village level merging it with a village-level panel dataset for rural Peru. The main findings suggest that mobile phone expansion has increased household real consumption by 11 per cent, reduced poverty incidence by 8 percentage points and decreased extreme poverty by 5.4 percentage points. Moreover, those benefits appear to be shared by all covered households regardless of mobile ownership.

On Childhood and Risk: An Exploration of Children's Everyday Experiences in Rural Peru

Drawing on data from Peru, this article explores how poverty mediates diverse risks in rural children's lives. It offers four main arguments. First, risk is not simply a feature of ‘extraordinary’ childhoods, but integral to everyday, ‘ordinary’ lives. Second, children's responses to adversity are crucially shaped by sociomoral considerations. Third, children participate actively in household risk mitigation, their engagement structured by individual (biographical) and collective factors. Fourth, changing circumstances present new opportunities and challenges for children living with adversity. Current approaches focusing on so‐called ‘objective’ risks neglect children's own priorities and subjective experiences.

Technology and Child Development: Evidence from the One Laptop Per Child Program

Although many countries are aggressively implementing the One Laptop per Child (OLPC) program, there is a lack of empirical evidence on its effects. This paper presents the impact of the first large-scale randomized evaluation of the OLPC program, using data collected after 15 months of implementation in 319 primary schools in rural Peru. The results indicate that the program increased the ratio of computers per student from 0.12 to 1.18 in treatment schools. This expansion in access translated into substantial increases in use both at school and at home. No evidence is found of effects on enrollment and test scores in Math and Language. Some positive effects are found, however, in general cognitive skills as measured by Raven's Progressive Matrices, a verbal fluency test and a Coding test.

Technology and Child Development: Evidence from the One Laptop Per Child Program

Although many countries are aggressively implementing the One Laptop per Child (OLPC) program, there is a lack of empirical evidence on its effects. This paper presents the impact of the first large-scale randomized evaluation of the OLPC program, using data collected after 15 months of implementation in 319 primary schools in rural Peru. The results indicate that the program increased the ratio of computers per student from 0.12 to 1.18 in treatment schools. This expansion in access translated into substantial increases in use both at school and at home. No evidence is found of effects on enrollment and test scores in Math and Language. Some positive effects are found, however, in general cognitive skills as measured by Raven's Progressive Matrices, a verbal fluency test and a Coding test.

From Amazon to the Andes: WASH Projects in Rural Peru

From Amazon to the Andes: WASH Projects in Rural Peru

Hypertension prevalence, awareness, treatment and control among older people in Latin America, India and China

To estimate the prevalence, social patterning, treatment and control of hypertension among older people in the 10/66 Dementia Research Group developing country sites. Cross-sectional surveys of SBP, hypertension, and hypertension awareness, treatment and control among 17 014 people aged 65 years and over in eight urban and four rural sites in Latin America, India and China. Hypertension prevalence was higher in urban (range 52.6-79.8%) than rural sites (range 42.6-56.9%), and lower in men than women [pooled prevalence ratio 0.89, 95% confidence interval (CI) 0.85-0.93]. Educational attainment was positively associated with hypertension in rural and least-developed sites. Age-standardized morbidity ratios, compared to USA (100), were higher in urban sites in Cuba (105), Dominican Republic (109), and Venezuela (107), similar in Puerto Rico (105), urban Mexico (99) and urban India (101), and lower in urban (75) and rural (61) Peru, rural Mexico (81), urban (91) and rural (84) China and rural India (65). In most Latin American centres, and urban China just over one-third of those with hypertension were controlled (BP < 140/90). Control was poor in rural China (2%), urban India (12%) and rural India (9%). The proportion controlled, not compositional factors (age, sex, education and obesity), explained most of the between-site variation in SBP. Uncontrolled hypertension is common among older people in developing countries, and may rise further during the demographic and health transitions. It is a major determinant of population SBP level. Strengthening primary care to improve hypertension management is necessary for primary prevention.

Breaking the norm: An empirical investigation into the unraveling of good behavior

We present results from an artefactual field experiment conducted in rural Peru that considers whether observing non-reciprocal behavior influences an individual's decision to reciprocate. Specifically, we consider the behavior of second movers in a trust game, assessing whether their decision to reciprocate is influenced by the observed reciprocity of others. In documenting the impact of an external shock to observed reciprocity, this paper shows that small increases in non-reciprocal behavior result in an unraveling of the norm of reciprocity. Survey data is used to explore mechanisms by which this occurred. Results are not consistent with learning effects, suggesting that preferences may be changed by observing others deviating from a norm of reciprocity. These results suggest that investing in encouraging trustworthy behavior can have large benefits in situations where individuals are observing each other's behavior, such as may be the case in a new market institution.

Ambiguity Aversion and Portfolio Choice in Small-Scale Peruvian Farming

Abstract While the effect of risk aversion on farmers' decision-making has long been documented, far less is known about the effect of ambiguity aversion. We argue that ambiguity aversion is just as relevant to their decision-making process because they are uncertain about the yield distributions generated by new technologies. By experimentally measuring risk and ambiguity aversion in rural Peru, we provide new evidence on the role of ambiguity aversion on farm decisions in developing countries: ambiguity aversion, not risk aversion, reduces the likelihood that farmers plant more than one variety of their main crop.

Priest-Indian Conflict in Upper Peru: The Generation of Rebellion, 1750 – 1780

Priest-Indian Conflict in Upper Peru: The Generation of Rebellion, 1750 – 1780

Variables Associated With Utilization of a Centralized Medical Post in the Andean Community of Pampas Grande, Peru

Integral to the location of health resources is the distance decay of utilization observed in a population. In rural Peru, a nongovernmental organization planning to increase the availability of health services needed this information. To determine variables associated with utilization of a central medical clinic and determine whether, because of the mountainous topography, travel time (TT) would be a better predictor of utilization than distance. A door-to-door survey of all available households (81% of total), using a Spanish translation of questions excerpted from the Behavioral Risk Factor Surveillance System Survey, was conducted in the summer of 2008 to determine variables associated with self-reported history of clinic utilization. Utilization was inversely related to TT and distance. Of those living within 5 minutes of the clinic, 61% had been to the clinic whereas only 25% of those living 30 or more minutes away had sought care. Female gender and fever predicted increased odds of clinic utilization. Having a disability reduced one's odds (OR 0.55) of visiting the clinic, after adjusting for gender, TT, and fever. The inverse correlation of utilization with travel distance and TT was not significantly different, thus failing to demonstrate that TT is a better predictor of utilization than distance. In health service planning, care for common conditions should be available within 5 minutes' TT or a few kilometers' distance from each person's home in order to improve health care access and reduce health care disparities worsened by disability.

Student Column: Sustain Ability of Solar Disinfection to Provide Safe Drinking Water in Rural Peru

<i>Student Column</i>: Sustain Ability of Solar Disinfection to Provide Safe Drinking Water in Rural Peru