Abolishing User Fees, Fertility Choice, and Educational Attainment

Shinsuke Tanaka and Takahiro Ito

No 4-1, IDEC DP2 Series from Hiroshima University, Graduate School for International Development and Cooperation (IDEC)

Abstract: This study examines the effect of abolishing user fees from health services on fertility and educational attainment as a test of the quantity-quality tradeoff model. Exploiting sudden improvements in nutritional status among South African children as an exogenous decline in price of quality investments, we document evidence consistent with the model that parents substitute fertility and increase educational investments. The absence of treatment effects among children not subject to the health policy eliminates channels through heterogeneous preexisting trends or unobserved concurrent changes. Overall, our findings highlight a health policy as a motivating force underlying the demographic transition and economic growth.

Keywords: user fees; fertility; education; South Africa (search for similar items in EconPapers)
JEL-codes: I15 I18 J13 O15 (search for similar items in EconPapers)
Pages: 35 pages
Date: 2014-02
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Related works:
Journal Article: Abolishing user fees, fertility choice, and educational attainment (2018)
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