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Early childhood education programs have been found to effectively promote children's social and cognitive development. However, the health impact of these programs is less understood. Using a quasi-experiment of the first universal child care reform in China from 2010, this paper aims to identify whether the preschool reform produces any short-term effects on health-related outcomes of preschoolers (3-6 years old). Specifically, this reform expands access to affordable preschools that provide full-day center-based education, with school meals and essential health services on campus. I exploit the variation in the number of newly established preschools across provinces and implement difference-in-differences and triple-difference strategies. Results confirm the effectiveness of this reform by showing a strong and positive impact on preschool attendance. This paper then documents the benefits to alleviating underweight among preschoolers. Estimates show a larger effect in rural areas, suggesting that the reform narrows rural-urban disparities in education access and undernutrition prevention. I also explore the impact on caregivers' health consciousness and find improved health-seeking behavior when children get sick. [ABSTRACT FROM AUTHOR]

Despite growing public attention to access to preschool education in rural China, there is limited evidence about its potential long-term impacts on child development. Using a nationally representative dataset from China Family Panel Studies, this paper is the first rigorously estimating the long-term effects of preschool attendance on multiple domains of child development in rural China for a sample of 11–15 year olds. Results based on ordinary least squares analysis, county fixed effects, and propensity score matching point to a consistent positive association between preschool attendance and individual social skills, although no association was found between attendance and cognitive skills. Directions for future research and policy recommendations related to early education development in China are discussed. [ABSTRACT FROM AUTHOR]

Grandparents, especially grandmothers, are highly involved in childcare globally. There is a rising interest in studying the relationship between providing care and grandmothers' economic well-being in social science and health literature. However, little is known about how grandmothers' behavior responds to a government's family policy. This paper examines the effects of a large government-led formal childcare expansion on the well-being of working-age grandparents living with their adult children in China. We exploit the variation in program intensity across provinces and years and find that a higher coverage rate of center-based childcare increases the employment of grandmothers. By contrast, grandfathers' employment is not responsive. Further investigation reveals that the effect is stronger among the women who were richer, more educated, lived in urban areas, and paternal grandmothers. We find that the childcare expansion decreases grandmothers' chance of having chronic disease and depression. • Center-based childcare expansion increases the employment of middle-aged women. • Childcare expansion decreases their chance of having chronic disease and depression. • The well-being of women is strongly linked to the demand for grandchild care. [ABSTRACT FROM AUTHOR]