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Community‐level health programs and child labor: Evidence from Ethiopia

Author

Listed:
  • Alberto Posso
  • Udeni De Silva Perera
  • Ankita Mishra
Abstract
Many developing countries have adopted community‐based primary health‐care programs. A vital component of these programs is health literacy, which teaches households to avoid physical harm. Child labor can often result in physical harm through injury. Our hypothesis is that health literacy programs make households aware of previously unknown costs of child labor (i.e., risks of injury), resulting in a reallocation of labor away from children. Using Ethiopian data, we investigate if exposure to a community‐level health program delivered by Health Extension Workers (HEWs) lowers child labor. We use panel data comprising 5587 observations from 2255 children over four waves of the Young Lives Project. These data are combined with administrative regional‐level data on HEWs over the 2006–2016 period. Our identification strategy exploits variations in the deployment of HEWs across regions and time to investigate a plausibly exogenous effect on child labor. We provide evidence that supports our hypothesis. We posit that the mechanism behind our result is likely behavioral change, and rule out several other potential channels, including public safety net programs and the effect of HEWs on education. Our results point to the role that health programs can play in the fight against child labor.

Suggested Citation

  • Alberto Posso & Udeni De Silva Perera & Ankita Mishra, 2021. "Community‐level health programs and child labor: Evidence from Ethiopia," Health Economics, John Wiley & Sons, Ltd., vol. 30(12), pages 2995-3015, December.
    • Handle: RePEc:wly:hlthec:v:30:y:2021:i:12:p:2995-3015
    DOI: 10.1002/hec.4429
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    References listed on IDEAS

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    1. Clément de Chaisemartin & Xavier D'Haultfœuille, 2020. "Two-Way Fixed Effects Estimators with Heterogeneous Treatment Effects," American Economic Review, American Economic Association, vol. 110(9), pages 2964-2996, September.
    2. Owen O'Donnell & Furio C. Rosati & Eddy van Doorslaer, 2005. "Health effects of child work: Evidence from rural Vietnam," Journal of Population Economics, Springer;European Society for Population Economics, vol. 18(3), pages 437-467, September.
    3. John Fitzgerald & Peter Gottschalk & Robert Moffitt, 1998. "An Analysis of Sample Attrition in Panel Data: The Michigan Panel Study of Income Dynamics," Journal of Human Resources, University of Wisconsin Press, vol. 33(2), pages 251-299.
    4. Netsanet Fetene & Erika Linnander & Binyam Fekadu & Hibret Alemu & Halima Omer & Maureen Canavan & Janna Smith & Peter Berman & Elizabeth Bradley, 2016. "The Ethiopian Health Extension Program and Variation in Health Systems Performance: What Matters?," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-19, May.
    5. Huihui Wang & Roman Tesfaye & Gandham N.V. Ramana & Chala Tesfaye Chekagn, 2016. "Ethiopia Health Extension Program," World Bank Publications - Books, The World Bank Group, number 24119.
    6. C de Chaisemartin & X D’HaultfŒuille, 2018. "Fuzzy Differences-in-Differences," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 85(2), pages 999-1028.
    7. Basu, Kaushik & Van, Pham Hoang, 1998. "The Economics of Child Labor," American Economic Review, American Economic Association, vol. 88(3), pages 412-427, June.
    8. Helfand, Steven M. & Sielawa, Vilma H. & Singhania, Deepak, 2019. "A matter of time: An impact evaluation of the Brazilian National Land Credit Program," Journal of Development Economics, Elsevier, vol. 141(C).
    9. Zemzem Shigute & Christoph Strupat & Francesco Burchi & Getnet Alemu & Arjun S. Bedi, 2020. "Linking Social Protection Schemes: The Joint Effects of a Public Works and a Health Insurance Programme in Ethiopia," Journal of Development Studies, Taylor & Francis Journals, vol. 56(2), pages 431-448, February.
    10. Young, Alwyn, 2019. "Channeling Fisher: randomization tests and the statistical insignificance of seemingly significant experimental results," LSE Research Online Documents on Economics 101401, London School of Economics and Political Science, LSE Library.
    11. McGavock, Tamara, 2021. "Here waits the bride? The effect of Ethiopia's child marriage law," Journal of Development Economics, Elsevier, vol. 149(C).
    12. Wolff, François-Charles & Maliki, 2008. "Evidence on the impact of child labor on child health in Indonesia, 1993-2000," Economics & Human Biology, Elsevier, vol. 6(1), pages 143-169, March.
    13. Alberto Posso, 2019. "The health consequences of hazardous and nonhazardous child labor," Review of Development Economics, Wiley Blackwell, vol. 23(2), pages 619-639, May.
    14. Eric V. Edmonds & Nina Pavcnik, 2005. "Child Labor in the Global Economy," Journal of Economic Perspectives, American Economic Association, vol. 19(1), pages 199-220, Winter.
    15. Kathleen Beegle & Rajeev Dehejia & Roberta Gatti, 2009. "Why Should We Care About Child Labor?: The Education, Labor Market, and Health Consequences of Child Labor," Journal of Human Resources, University of Wisconsin Press, vol. 44(4).
    16. de Chaisemartin, Clement & D'Haultfoeuille, Xavier, 2014. "Fuzzy Changes-in Changes," CAGE Online Working Paper Series 184, Competitive Advantage in the Global Economy (CAGE).
    17. John Fitzgerald & Peter Gottschalk & Robert Moffitt, 1998. "An Analysis of the Impact of Sample Attrition on the Second Generation of Respondents in the Michigan Panel Study of Income Dynamics," Journal of Human Resources, University of Wisconsin Press, vol. 33(2), pages 300-344.
    18. Bai, Jie & Wang, Yukun, 2020. "Returns to work, child labor and schooling: The income vs. price effects," Journal of Development Economics, Elsevier, vol. 145(C).
    19. Roggero, P. & Mangiaterra, V. & Bustreo, F. & Rosati, F., 2007. "The health impact of child labor in developing countries: Evidence from cross-country data," American Journal of Public Health, American Public Health Association, vol. 97(2), pages 271-275.
    20. Justin Wolfers, 2006. "Did Unilateral Divorce Laws Raise Divorce Rates? A Reconciliation and New Results," American Economic Review, American Economic Association, vol. 96(5), pages 1802-1820, December.
    21. Ravallion, Martin & Wodon, Quentin, 2000. "Does Child Labour Displace Schooling? Evidence on Behavioural Responses to an Enrollment Subsidy," Economic Journal, Royal Economic Society, vol. 110(462), pages 158-175, March.
    22. Beuermann, Diether W. & Pecha, Camilo J., 2020. "The effect of eliminating health user fees on adult health and labor supply in Jamaica," Journal of Health Economics, Elsevier, vol. 73(C).
    23. Alwyn Young, 2019. "Channeling Fisher: Randomization Tests and the Statistical Insignificance of Seemingly Significant Experimental Results," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 134(2), pages 557-598.
    24. Abraha Woldemichael & Amirhossein Takian & Ali Akbari Sari & Alireza Olyaeemanesh, 2019. "Availability and inequality in accessibility of health centre-based primary healthcare in Ethiopia," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-16, March.
    25. Beegle, Kathleen & Dehejia, Rajeev H. & Gatti, Roberta, 2006. "Child labor and agricultural shocks," Journal of Development Economics, Elsevier, vol. 81(1), pages 80-96, October.
    26. Simon Feeny & Alberto Posso & Ahmed Skali & Amalendu Jyotishi & Shyam Nath & P. K. Viswanathan, 2021. "Child labor and psychosocial wellbeing: Findings from India," Health Economics, John Wiley & Sons, Ltd., vol. 30(4), pages 876-902, April.
    27. Alam, Shamma Adeeb, 2015. "Parental health shocks, child labor and educational outcomes: Evidence from Tanzania," Journal of Health Economics, Elsevier, vol. 44(C), pages 161-175.
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