reconciling food for work project feasibility with food aid targeting in tigray ethiopia abstract food for work ffw projects face the challenge of addressing three kinds of objectives to feed hungry people to build public works where needed and to be feasible for prompt project implementation in the debate over how to target ffw to the poorest of the poor the last two program objectives are often overlooked this research examines ffw afforestation and erosion control programs in central tigray ethiopia during 1992 95 in order to understand how these sometimes conflicting objectives were reconciled statistical analyses examined the factors that influenced 1 in which villages ffw projects were located 2 which households were deemed eligible to participate in ffw in those villages having ffw projects and 3 which eligible households elected to participate and 4 how much time the participating households dedicated to ffw activities project feasibility outweighed the needs for food security or natural resource conservation in influencing whether an ffw project would be located in one of the 25 villages surveyed in villages where ffw was available anti poverty targeting appears to be taking place since smaller households with less land were more likely to be eligible to participate in ffw projects but although the poor were likely to be eligible for ffw some non poor households were also eligible which suggests that anti poverty targeting was not efficient among households eligible for ffw those that were relatively better off larger families that did not lease out land tended to participate and supply more days of ffw labor than the poorest households the only households eligible for ffw which did not participate were headed mostly by elderly women and hence unable rather than unwilling to participate overall anti poverty targeting was sub optimal but reasonable considering that these resource conservation projects need to be located where labor and materials could be made available

countercyclical safety nets for the poor and vulnerable abstract relatively little is known about how government safety net programs insure against low consumption and stabilize asset bases compared to what is known about their role in transferring income the insurance function requires a flexible budget that can be scaled up rapidly to meet unanticipated circumstances safety nets serving an insurance function also differ from other transfer programs in their targeting they need to determine transitory need rather than more chronic correlates of poverty moreover insurance safety nets need a more flexible implementation strategy than do more permanent programs this paper reviews these issues from the perspective of low income countries

is there persistence in the impact of emergency food aid evidence on consumption food security and assets in rural ethiopia we identify the impact of emergency food aid programs after the 2002 drought in rural ethiopia on future welfare based on a difference in differences matching estimator participation in food for work increases growth in total consumption and food consumption eighteen months after the drought separately receiving free food raises growth in food consumption but surprisingly negatively impacts food security food for work benefited households in the middle and upper tail of the consumption distribution while the better targeted free food program benefited the poorest evidence suggests these impacts demonstrate accumulated and persistent effects of food aid received in the first twelve months after the drought

can food for work encourage agricultural production abstract food for work ffw is the most widely used type of public works program in ethiopia through which a high share of the food aid is distributed this paper assesses the impacts of ffw in tigray a chronically food insecure region in ethiopia in terms of relieving liquidity constraints and thereby improving input use in agriculture a heckman selection model on the adoption and intensity of fertilizer use demonstrated that ffw positively influenced the decision to adopt fertilizer and there was no evidence of disincentive effect

east west joint ventures and buyback contracts abstract contractual joint ventures cjvs and the buyback form of countertrade are popular methods that socialist countries use to attract foreign investment in this paper we explore some reasons why this is so and also explain two predominant characteristics of these contracts the existence of sharing rules and minimum standard requirements on inputs the model stresses the incentive problems involved when a socialist host country which does not allow foreign direct investment uses a cjv to obtain the fruits of some knowledge based production process from a multinational enterprise

the physical vulnerability to climate change index an index to be used for international policy abstract recent years have seen a sharp increase in the production of indices of vulnerability to climate change most of these indices of vulnerability to climate change have been primarily used for awareness raising purposes rather than for guiding international policy the physical vulnerability to climate change index pvcci proposed in this paper has been designed as an index of exogenous vulnerability not influenced by the present policy of the countries concerned as such it can be used as a criterion for guiding the international allocation of concessional resources in particular those devoted to adaptation as well as for the identification of the countries that are most vulnerable for structural or physical reasons the index has been calculated for 191 countries ldcs sids and african countries have a higher average score however there is a wide disparity in pvcci scores within these three groups of countries implying that a country by country allocation of resources should be used rather than an allocation by country group the findings appear to be robust after comparison of various options

prices credit markets and child growth in low income rural areas in this paper it is argued that fluctuations in child growth in rural areas of bangladesh during and after severe floods in i988 can provide insight into the structure of credit markets a model of intertemporal resource allocation is developed and euler equations relating growth patterns of children to the cost of borrowing by household are then derived from the model the evidence indicates that although some of the variation in growth patterns over the relevant period may be attributed to variation in illness and the price of rice growth patterns for children in landless households were influenced by credit market imperfections this paper links two prominent strands of research in economic development the first strand examines the extent to which households in poor rural economies are able to protect themselves from the adverse weather and other shocks that importantly influence earnings in underdeveloped areas while it has long been thought that credit market imperfections and other forms of market failure make it difficult for poor individuals in these economies to smooth consumption both within and across years there remains some question about the magnitude and pervasiveness of these imperfections while there is evidence that fluctuations in economic conditions result in inefficient allocation of resources e g morduch 1990 rosenzweig and wolpin i993 some recent papers have emphasised the fact that consumption patterns of households in the same village comove in a manner consistent with the idea that a substantial fraction of idiosyncratic variation in income is effectively

does resilience capacity reduce the negative impact of shocks on household food security evidence from the 2014 floods in northern bangladesh abstract using data collected before and after the catastrophic flooding that took place in northern bangladesh in 2014 this paper contributes to the growing evidence on the factors enhancing households resilience to shocks or their resilience capacities the analysis takes into account all three dimensions of resilience capacity absorptive adaptive and transformative as well as a broad range of specific capacities supporting them in addition to disaster preparedness and mitigation it finds suggestive evidence that the following capacities reduced the negative impact of the flooding on household food security social capital human capital exposure to information asset holdings livelihood diversity safety nets access to markets and services women s empowerment governance and psycho social capabilities such as aspirations and confidence to adapt the paper highlights the importance of taking a comprehensive approach to understanding the determinants of resilience in future research one that accounts for the full range of potential capacities it also points to the value of taking a cross sectoral multi intervention approach to on the ground resilience programing in bangladesh and other developing country areas that are increasingly vulnerable to climate shocks

food aid and child nutrition in rural ethiopia abstract this paper uses a unique panel data set from ethiopia to examine the determinants of participation in and receipts of food aid through free distribution fd and food for work ffw results show that aggregate rainfall and livestock shocks increase household participation in both fd and ffw ffw also seems well targeted to asset poor households the probability of receiving fd does not appear to be targeted based on household wealth but fd receipts are lower for wealthier households the effects of fd and ffw on child nutritional status differ depending on the modality of food aid and the gender of the child both ffw and fd have a positive direct impact on weight for height households invest proceeds from fd in girls nutrition while earnings from ffw are manifested in better nutrition for boys the effects of the gender of the aid recipient are not conclusive

food aid and household food security in a conflict situation empirical evidence from northern uganda it is well established that armed political conflict has a detrimental effect on food security and household welfare conflict induces food insecurity by reducing own food production access to food through the market and various other resources to sustain healthy and productive lives one way of mitigating these adverse effects is to provide food aid in this study we evaluate the impact of a world food programme intervention on household food security and asset protection among conflict affected households in northern uganda we employ propensity score matching to estimate the average treatment effect on food expenditure food consumption and preservation of assets using a sample of 1265 observations from a 2008 survey our results reveal that the operation s system of targeting beneficiaries was effective and in accordance with programme objectives food aid considerably reduced food expenditure of households suggesting that recipients were net buyers of food and that the food aid received was effectively consumed within the household a corresponding positive effect on non food expenditure was not found our results also indicate that food aid was effective in increasing meals consumed and in avoiding distress destocking of low value assets but surprisingly only for male headed households

too certain to invest public safety nets and insurance markets in ethiopia researchers efforts to introduce index insurance in developing countries have met with little demand despite its great potential to help farmers mitigate economic risk i argue that researchers have overlooked institutional context s critical role in the formation of private markets when designing insurance contracts using micro level evidence from ethiopia i show that recipients of a preexisting effective large scale public safety net fail to take up a new highly subsidized private insurance offer government safety net programs can decrease demand for private index insurance forming an additional barrier to index insurance take up a direct implication of this research is that policymakers should design private and public insurance products that account for or even complement each other

gone with the storm rainfall shocks and household well being in guatemala this paper investigates the causal consequences of tropical storm agatha 2010 the strongest tropical storm ever to strike guatemala since rainfall records have been kept on household welfare the analysis reveals substantial negative effects particularly among urban households per capita consumption fell by 12 6 percent raising poverty by 5 5 percentage points an increase of 18 percent the negative effects of the shock span other areas of human welfare households cut back on food consumption 10 percent or 43 to 108 fewer calories per person per day and reduced expenditures on basic durables these effects are related to a drop in income per capita 10 percent mostly among salaried workers adults coped with the shock by increasing their labor supply on the intensive margin and simultaneously relying on the labor supply of their children and withdrawing them from school impact heterogeneity is associated with the intensity of the shock food price inflation and the timing of agatha with respect to the harvest cycle of the main crops the results are robust to placebo treatments household migration issues of measurement error and different samples the negative effects of the storm partly explain the increase in poverty seen in urban guatemala between 2006 and 2011 which national authorities and analysts previously attributed solely to the collateral effects of the global financial crisis

does food aid disrupt local food market evidence from rural ethiopia the paper examines the impact of food aid on households marketing behavior based on a panel of households followed during 1994 2009 in 15 villages of ethiopia the impact of aid is examined at the intensive margin on quantities produced sold or bought by the households and at the extensive margin on the number of producers sellers and buyers food aid reduces the probability of being a producer it also increases the probability of being a seller after a reform of aid policy in 2004 from repeated emergency distributions toward a multi year program aiming at agricultural development

food aid domestic policy and food security contrasting experiences from south asia and sub saharan africa abstract food aid both for short term emergency relief and as program food aid that helps address medium term food deficits is often a major component of food security strategies in developing countries this study reviews the experience with food aid of four major recipients of food aid india bangladesh ethiopia and zambia regarding food production trade markets consumption and safety nets as well as the policy responses to food emergencies the widely varying experiences of the study countries suggest that food aid that supports building of production and market enhancing infrastructure is timed to avoid adverse price effects on producers and is targeted to food insecure households can play a positive role in enhancing food security however food aid is not the only or in many cases the most efficient means of addressing food insecurity in many cases private markets can more effectively address shortfalls in food availability and cash transfers may be a viable alternative to food transfers in kind

food aid and adult nutrition in rural ethiopia insight into the role of safety nets that contribute to adult nutrition is an important component to understanding the dynamics of poverty in developing countries this article uses panel data from rural ethiopia on individual nutritional status to test for an effect of public transfers on adult body mass index bmi results show that among adult household members male members are the primary beneficiaries of food aid as male and female aid recipients tend to invest aid receipts in male household members these results are consistent with a theory in which additional resources are allocated to members of the household whose market returns are higher or those who engage in activities that expend higher levels of energy for high asset households female household members benefit if the aid recipient is a female women in low asset households appear to be adversely affected by aid receipts and evidence suggests that women with little bargaining power suffer the most the results suggest that aid receipts are useful in mitigating fluctuations in adult bmi over a short time period

poverty and survival a recent literature highlights the uncertainty concerning whether economic growth has any causal protective effect on health and survival but equal rates of growth often deliver unequal rates of poverty reduction and absolute deprivation is more clearly relevant using state level panel data for india we contribute the first estimates of the impact of changes in poverty on infant survival we identify a significant within state relationship which persists conditional upon state income indicating the size of survival gains from redistribution in favour of households below the poverty line the poverty elasticity declines over time after 1981 it is invariant to controlling for income inequality but diminished upon controlling for education fertility and state health expenditure and eliminated once we introduce controls for omitted trends

targeting of food aid in rural ethiopia chronic need or inertia abstract this paper quantifies the factors underlying the allocations of food aid by the ethiopian government together with local and international non governmental organizations ngos both across rural regions and to households within regions we focus on reduced form specifications in which as little structure as possible is put on the decision rules because so little is known about these rules and their implementation nationally representative rural household data from ethiopia collected in 1996 are used the paper determines the extent to which food aid both free distribution and food for work is targeted to poor households and communities we also demonstrate that food aid allocations display a large degree of spatial continuity over time and are concentrated in areas that at least during the time of the survey are not the poorest the paper attempts to disentangle two competing explanations for the apparent spatial rigidity of food aid allocations that the recipient areas are chronically needy or that needs shift geographically from 1 year to the next but that fixed costs in setting up operations and in the process of identifying needs lead to a degree of inertia in the location of food aid programs over time we conclude that the evidence best fits the inertia explanation

contract choice in modern agriculture cash rent versus cropshare e conomists have expended enormous effort examining the rationale for various contractual arrangements in agriculture particularly sharecropping while economists have made considerable theoretical efforts to understand agricultural contracts few empirical studies have been undertaken the dearth of empirical analyses of agricultural contracts is particularly striking for modern western agriculture this is an important omission not only because the existing empirical work tends to focus on the question of efficiency but also because the theoretical models tend to examine contracts that bear little resemblance to those found in the united states today

does food aid really have disincentive effects new evidence from sub saharan africa summary limited empirical evidence exists either to refute or confirm the pervasive belief that food aid has significant disincentive effects on recipient food production using household level data from rural ethiopia we demonstrate that while simple descriptive statistics appear consistent with the disincentive effects hypothesis once one controls properly for the endogeneity of food aid receipt no empirical support remains for the hypothesis that food aid creates disincentive effects among recipient households the macro economic evidence yields similar findings applying vector autoregression methods to national level data controlling for possible confounding variables we find that food aid has no disincentive effect on food production

social protection 2 0 exploring issues evidence and debates in a globalizing world abstract this paper reviews the growing literature on social protection while not new the concept evolved remarkably in recent years it is approached from a multitude of perspectives and intersects with broader bodies of literature particularly around public policy pro poor growth rights humanitarian strategies and aid effectiveness as well as feeding into specific programmatic issues e g conditionality targeting and transfer selection this blend of challenges and approaches has often made debates elusive and polarized the paper examines the evolution and definitions of social protection and unbundles critical policy institutional and implementation quandaries taken together these considerations shape a set of context specific models of social protection the paper s five core conclusions may help chart future directions for social protection research and practice

income and health in tanzania an instrumental variable approach there is a substantial debate over the direction of the causal relation between income and health this is important for our understanding of the health production process and for the policy debate over improving healthcare we instrument income with rainfall measurements by matching satellite information on timing and positioning of 21 rainfall stations to longitudinal data 1991 94 of over 4 000 individuals in 51 villages in tanzania a 10 increase in income reduces the number of illnesses by 0 02 we also find that a 10 increase in income implies an increase of about 0 1 vaccinations of children under six

how responsive is body weight to transitory income changes evidence from rural tanzania we use time series of rainfall to estimate the response of body weight to transitory changes in household income in rural tanzania we find that the response of body weight to income changes is positive on average but that the impact is highest for female children and lower for adults for female children a ten percent increase in household income implies an increase in body weight by about 0 4 kg in contrast the body weight of adolescents and young adults is virtually invariant to income changes

child growth shocks and food aid in rural ethiopia this brief summarizes the results of a gender impact evaluation study entitled child growth shocks and food aid in rural ethiopia conducted between 1995 and 1996 in ethiopia the study observed the impact of food aid on child growth and shocks in communities on the child level food aid has a positive significant impact on the growth in height of children the total amount of food aid appears on average to be sufficient to offset the negative effects of plot damage on child growth given the fact there remains a massive amount of child stunting there must be large amounts of mis targeting of aid girls seem to be more resilient to shocks than boys

food aid targeting in ethiopia a study of who needs it and who gets it abstract the need for systematic empirical analysis of food aid targeting and impacts is overwhelming especially given the large numbers of people concerned and volume of funds allocated to the problem of feeding ethiopia s food insecure this research examines the efficiency of food aid targeting in rural ethiopia based on empirical evidence from a nationally representative survey of 4166 farm households a key finding of the study is that there is no significant association between household food insecurity vulnerability and food aid receipts a result of high errors of exclusion and inclusion at both the wereda and household levels four factors are identified as causes of the high level of targeting error 1 the primary beneficiaries of food aid programs are found to be households at the extremes in terms of food availability those with the least and those with the most food available 2 a disproportionate number of female and aged heads of households received food aid irrespective of their food needs 3 an inability of the food aid system to reach households outside of the historically deficit areas and 4 a disproportionate concentration of food aid in the region of tigray

product warranties and double moral hazard this article explores a model of warranties in which moral hazard problems play a key role the goal is to understand the important characteristics of warranties including their provision of incomplete insurance and the relationship between product quality and coverage we analyze a model in which buyers and sellers take actions that affect a product s performance since these actions are not cooperatively determined an incentives problem arises we characterize the optimal warranty contract and undertake comparative statics to determine the predicted correlation of warranty coverage and product quality

food subsidies and poverty alleviation this paper formulates the problem of the optimal pattern of food subsidies in a general setting where the objective is to minimize a class of poverty indices within the framework of the mo dern public finance theory taking explicit account of the budget con straint and preferences and technologies the authors derive rules fo r retargetting food subsidies to reduce poverty many operational rul es of thumb appear as special cases of the general results the analy sis thus provides not only the microfoundations of these operational rules but also their appropriate generalizations when the conditions under which they arise are not fulfilled copyright 1988 by royal economic society

the economics and nutritional impacts of food assistance policies and programs recent evidence on malnutrition and poverty raise important questions on the role of food assistance policies and programs in this review article we examine evidence on the economic and nutritional impacts of international food assistance programs faps and policies the returns on investments in faps are on average high but depend considerably on the targeting and cost structures as well as on food quality and role of complementary activities we disaggregate findings into four classes of recipients returns to faps are highest for children under two but faps oriented towards early childhood interventions are less well funded than are interventions aimed at school age children or at the broader largely adult population even though available evidence indicates that these latter classes of interventions offer considerably lower average returns in economic health and nutrition terms nonetheless fap effectiveness in achieving any of several objectives varies with a range of key factors including targeting additionality seasonality timeliness incentive effects social acceptability and political economy considerations

how accurate is food for work self targeting in the presence of imperfect factor markets evidence from ethiopia effective targeting of transfers is a key issue in public policy to combat poverty much faith is presently placed in self targeting mechanisms such as public employment schemes supported by food for work transfers where targeting errors have been observed these are usually attributed to mismanagement of key operational details such as the project s wage rate using a unique data set from rural ethiopia we demonstrate that targeting errors may also have structural causes in some low income countries we hypothesise that imperfect factor markets generate a predictable dispersion across households in reservation wage rates that breaks down the unconditionally positive relation between income and shadow wages on which the theory of self targeting public employment programmes rests our results confirm that the inaccuracy of ffw targeting stems from the fact that in rural ethiopia higher income households are endowed with more labour per unit of land or animal due to poor factor markets in land and liv

an analysis of sample attrition in panel data the michigan panel study of income dynamics by 1989 the michigan panel study on income dynamics psid had experienced approximately 50 percent sample loss from cumulative attrition from its initial 1968 membership we study the effect of this attrition on the unconditional distributions of several socioeconomic variables and on the estimates of several sets of regression coefficients we provide a statistical framework for conducting tests for attrition bias that draws a sharp distinction between selection on unobservables and on observables and that shows that weighted least squares can generate consistent parameter estimates when selection is based on observables even when they are endogenous our empirical analysis shows that attrition is highly selective and is concentrated among lower socioeconomic status individuals we also show that attrition is concentrated among those with more unstable earnings marriage and migration histories nevertheless we find that these variables explain very little of the attrition in the sample and that the selection that occurs is moderated by regression to the mean effects from selection on transitory components that fade over time consequently despite the large amount of attrition we find no strong evidence that attrition has seriously distorted the representativeness of the psid through 1989 and considerable evidence that its cross sectional representativeness has remained roughly intact

a theory of competition among pressure groups for political influence this paper presents a theory of competition among pressure groups for political influence political equilibrium depends on the efficiency of each group in producing pressure the effect of additional pressure on their influence the number of persons in different groups and the deadweight cost of taxes and subsidies an increase in deadweight costs discourages pressure by subsidized groups and encourages pressure by taxpayers this analysis unifies the view that governments correct market failures with the view that they favor the politically powerful both are produced by the competition for political favors

information sharing in a contest game with group identity abstract in this paper we study a private information contest game with two stages in stage 1 players simultaneously choose whether to announce their group identity and in stage 2 each player simultaneously plays a within group lottery contest and an across group contest players information sharing incentives are analyzed and all symmetric equilibria of the game are fully characterized our results show that 1 full disclosure by both types is always one of the equilibria 2 full concealment by both types can be supported as an equilibrium information strategy when the relative magnitude of high and low valuations is large and when such a relative magnitude is small there is an equilibrium in which the high type randomizes and the low type fully conceals

political connections and social networks in targeted transfer programs evidence from rural ethiopia abstractdespite increasingly large scale social protection programs in africa we have limited evidence on the local political economy of their allocation we investigate community based processes for food aid allocation and the role of political and social networks using the case of ethiopia in the aftermath of a serious drought in 2002 local political authorities are in charge of food transfers in terms of free food aid or food for work programs we find that although targeting is clearly imperfect free food aid is responsive to need as well as targeted to households with less access to support from relatives or friends we also find a strong correlation with political connections households with close associates in official positions have more than a 12 higher probability of obtaining free food than households that are not well connected this effect is large someone without political connections has the same probability of getting food aid as someone more than twice as rich but with these conne

us food aid and civil conflict we study the effect of us food aid on conflict in recipient countries our analysis exploits time variation in food aid shipments due to changes in us wheat production and cross sectional variation in a country s tendency to receive any us food aid according to our estimates an increase in us food aid increases the incidence and duration of civil conflicts but has no robust effect on interstate conflicts or the onset of civil conflicts we also provide suggestive evidence that the effects are most pronounced in countries with a recent history of civil conflict jel d74 f35 o17 o19 q11 q18 we are unable to determine whether our aid helps or hinders one or more parties to the conflict it is clear that the losses particularly looted assets constitutes a serious barrier to the efficient and effective provision of assistance and can contribute to the war economy this raises a serious challenge for the humanitarian community can humanitarians be accused of fueling or prolonging the conflict in these two countries medecins sans frontieres amsterdam 1

literacy and intrahousehold externalities abstract the size of the intrahousehold externality created when a literate household member provides literacy services to illiterate members is estimated in this paper using a model of children s height for age in papua new guinea this externality appears to be large these results support the use of a new measure of literacy developed by basu and foster 1998 to take account of the gains when illiterates live in households where at least one person is literate regional rankings change when the new measure of literacy is used suggesting that policies guided by the usual measure of adult literacy may overlook an important pathway for human development

civil war crop failure and child stunting in rwanda economic shocks at birth have lasting effects on children s health several years after the shock the authors calculate height for age z scores for children under age five using data from a rwandan nationally representative household survey conducted in 1992 they exploit district and time variation in crop failure and civil conflict to measure the impact of exogenous shocks that children experience at birth on their height several years later they find that boys and girls born after the shock in regions experiencing civil conflict are both negatively affected with height for age z scores 0 30 and 0 72 standard deviations lower respectively conversely only girls are negatively affected by crop failure with these girls exhibiting 0 41 standard deviation lower height for age z scores and the impact is worse for girls in poor households results are robust to using sibling difference estimators household level production and rainfall shocks as alternative measures of crop failure

commodity price shocks and child outcomes the 1990 cocoa crisis in cote d ivoire abstract we look at the drastic cut of the administered cocoa producer price in 1990 cote d ivoire and study to which extent cocoa producers children suffered from this severe aggregate shock in terms of school enrollment labor height stature and morbidity using precrisis 1985 88 and postcrisis 1993 data we propose a difference in difference strategy to identify the causal effect of the cocoa shock on child outcomes whereby we compare children of cocoa producing households and children of other farmers living in the same district or the same village this causal effect is shown to be rather strong for the four child outcomes we examine hence human capital investments are definitely procyclical in this context we also provide evidence of gender bias against young girls with respect to education and health care we finally argue that the difference in difference variations can be interpreted as private income effects likely to derive from tight liquidity constraints

evaluating the effects of optimally distributed public programs child health and family planning interventions this paper develops and tests an optimizing model determining the distribution of family planning and health subsidies across heterogeneous households and assesses the biases in cross area estimates of the health effects of such subsidies due to public resource optimization the model incorporates both health externalities and the endogenous response of the size of the recipient population to program subsidies longitudinal data describing child health and publicly provided family planning and health programs in 20 barrios in laguna province in the philippines are used to estimate the effects of such programs on child health and the relationships between the distribution of the programs and preprogram health levels the impact of a program on a particular childs health status is viewed as dependent upon the childs length of exposure to the program a basic feature of the model is the presence of health externalities which is shown to be sufficient along with plausible features of household behavior to make selective subsidization of fertility control either alone or in combination with health investment subsidies pareto efficient the model suggests that subsidization of fertility control is likely to be pareto efficient in the presence of health or human capital externalities when human capital and family size are gross substitutes and or when any per child human capital subsidies may substitute for direct subsidies to health investment and an equalizing distribution of the subsidies the highest family planning subsidies to the lowest health recipient households is efficient when both health and family planning subsidies are used fertility control subsidies minimize the subsidy burden for donors and are highest when total subsidy expenditures per child are greatest