[go: up one dir, main page]
IDEAS home Printed from https://ideas.repec.org/p/hal/psewpa/halshs-01634658.html
   My bibliography  Save this paper

Private Health Investments under Competing Risks: Evidence from Malaria Control in Senegal

Author

Listed:
  • Pauline Rossi

    (UvA - University of Amsterdam [Amsterdam] = Universiteit van Amsterdam)

  • Paola Villar

    (INED - Institut national d'études démographiques, PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, PJSE - Paris Jourdan Sciences Economiques - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - INRA - Institut National de la Recherche Agronomique - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique)

Abstract
This study exploits the introduction of high subsidies for anti-malaria products in Senegal in 2009 to investigate if malaria prevents parents to invest in child health. Building upon the seminal paper of Dow et al. (1999), we develop a simple model of health investments under competing mortality risks, in which people allocate expenses to equalize lifetime across all causes of death. We predict that private health investments to fight malaria as well as other diseases should increase in response to anti-malaria public interventions. To test this prediction, we use original panel data from a Senegalese household survey combined with geographical information on malaria prevalence. Our strategy is to compare the evolution of child health expenditures before and after anti-malaria interventions, between malarious and non-malarious regions of Senegal. We find that health expenditures in malarious regions catch up with non-malarious regions, at the extensive and intensive margins, and both in level and in composition. The same result holds for parental health-seeking behavior in case of other diseases like diarrhea. We provide evidence that these patterns cannot be explained by differential trends in total income or access to healthcare or child morbidity between malarious and non-malarious regions. Our results suggest that behavioral responses to anti-malaria campaigns magnify their impact on all-cause mortality for children.

Suggested Citation

  • Pauline Rossi & Paola Villar, 2017. "Private Health Investments under Competing Risks: Evidence from Malaria Control in Senegal," PSE Working Papers halshs-01634658, HAL.
    • Handle: RePEc:hal:psewpa:halshs-01634658
    Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-01634658v1
    as

    Download full text from publisher

    File URL: https://shs.hal.science/halshs-01634658v1/document
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Jane G Fortson, 2011. "Mortality Risk and Human Capital Investment: The Impact of HIV/AIDS in Sub-Saharan Africa," The Review of Economics and Statistics, MIT Press, vol. 93(1), pages 1-15, February.
    2. Oster, Emily, 2012. "HIV and sexual behavior change: Why not Africa?," Journal of Health Economics, Elsevier, vol. 31(1), pages 35-49.
    3. Aurélia Lépine & Alexis Le Nestour, 2013. "The Determinants of Health Care Utilisation in Rural Senegal," Journal of African Economies, Centre for the Study of African Economies, vol. 22(1), pages 163-186, January.
    4. Chang, Fwu-Ranq, 2005. "A theory of health investment under competing mortality risks," Journal of Health Economics, Elsevier, vol. 24(3), pages 449-463, May.
    5. Armand, Alex & Carneiro, Pedro & Locatelli, Andrea & Mihreteab, Selam & Keating, Joseph, 2017. "Do public health interventions crowd out private health investments? Malaria control policies in Eritrea," Labour Economics, Elsevier, vol. 45(C), pages 107-115.
    6. repec:mpr:mprres:6928 is not listed on IDEAS
    7. Denis Cogneau & Pauline Rossi, 2019. "Malaria control and infant mortality in Africa," Working Papers hal-01543033, HAL.
    8. Kimin Kim & Myoung-jae Lee, 2019. "Difference in differences in reverse," Empirical Economics, Springer, vol. 57(3), pages 705-725, September.
    9. Pascaline Dupas, 2014. "Short‐Run Subsidies and Long‐Run Adoption of New Health Products: Evidence From a Field Experiment," Econometrica, Econometric Society, vol. 82(1), pages 197-228, January.
    10. Joseph P. Romano & Michael Wolf, 2005. "Stepwise Multiple Testing as Formalized Data Snooping," Econometrica, Econometric Society, vol. 73(4), pages 1237-1282, July.
    11. Alessandro Cigno, 1998. "Fertility decisions when infant survival is endogenous," Journal of Population Economics, Springer;European Society for Population Economics, vol. 11(1), pages 21-28.
    12. Victoria Baranov & Hans-Peter Kohler, 2018. "The Impact of AIDS Treatment on Savings and Human Capital Investment in Malawi," American Economic Journal: Applied Economics, American Economic Association, vol. 10(1), pages 266-306, January.
    13. Joseph P. Romano & Michael Wolf, 2005. "Exact and Approximate Stepdown Methods for Multiple Hypothesis Testing," Journal of the American Statistical Association, American Statistical Association, vol. 100, pages 94-108, March.
    14. Seema Jayachandran & Adriana Lleras-Muney, 2009. "Life Expectancy and Human Capital Investments: Evidence from Maternal Mortality Declines," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(1), pages 349-397.
    15. Philippe Devreyer & Abla Safir & Momar B. Sylla & Sylvie Lambert, 2008. "Pauvreté et Structure Familiale: Pourquoi une nouvelle enquête ?," PSE-Ecole d'économie de Paris (Postprint) halshs-00824780, HAL.
    16. Lucas, Adrienne M. & Chidothe, Margaret & Wilson, Nicholas L., 2019. "Effects of adult health interventions at scale on children’s schooling: Evidence from antiretroviral therapy in Zambia," Economics of Education Review, Elsevier, vol. 72(C), pages 107-120.
    17. Susan Godlonton & Alister Munthali & Rebecca Thornton, 2016. "Responding to Risk: Circumcision, Information, and HIV Prevention," The Review of Economics and Statistics, MIT Press, vol. 98(2), pages 333-349, May.
    18. Adrienne M. Lucas, 2010. "Malaria Eradication and Educational Attainment: Evidence from Paraguay and Sri Lanka," American Economic Journal: Applied Economics, American Economic Association, vol. 2(2), pages 46-71, April.
    19. Conley, T. G., 1999. "GMM estimation with cross sectional dependence," Journal of Econometrics, Elsevier, vol. 92(1), pages 1-45, September.
    20. Douglas Almond & Bhashkar Mazumder, 2013. "Fetal Origins and Parental Responses," Annual Review of Economics, Annual Reviews, vol. 5(1), pages 37-56, May.
    21. Daniel Bennett, 2012. "Does Clean Water Make You Dirty?: Water Supply and Sanitation in the Philippines," Journal of Human Resources, University of Wisconsin Press, vol. 47(1), pages 146-173.
    22. repec:dau:papers:123456789/10922 is not listed on IDEAS
    23. Pascaline Dupas, 2009. "What Matters (and What Does Not) in Households' Decision to Invest in Malaria Prevention?," American Economic Review, American Economic Association, vol. 99(2), pages 224-230, May.
    24. S. Bhatt & D. J. Weiss & E. Cameron & D. Bisanzio & B. Mappin & U. Dalrymple & K. E. Battle & C. L. Moyes & A. Henry & P. A. Eckhoff & E. A. Wenger & O. Briët & M. A. Penny & T. A. Smith & A. Bennett , 2015. "The effect of malaria control on Plasmodium falciparum in Africa between 2000 and 2015," Nature, Nature, vol. 526(7572), pages 207-211, October.
    25. Tomas J. Philipson & William H. Dow & Xavier Sala-i-Martin, 1999. "Longevity Complementarities under Competing Risks," American Economic Review, American Economic Association, vol. 89(5), pages 1358-1371, December.
    26. Hoyt Bleakley, 2010. "Malaria Eradication in the Americas: A Retrospective Analysis of Childhood Exposure," American Economic Journal: Applied Economics, American Economic Association, vol. 2(2), pages 1-45, April.
    27. Pascaline Dupas, 2011. "Health Behavior in Developing Countries," Annual Review of Economics, Annual Reviews, vol. 3(1), pages 425-449, September.
    28. David Cutler & Winnie Fung & Michael Kremer & Monica Singhal & Tom Vogl, 2010. "Early-Life Malaria Exposure and Adult Outcomes: Evidence from Malaria Eradication in India," American Economic Journal: Applied Economics, American Economic Association, vol. 2(2), pages 72-94, April.
    29. Onwujekwe, Obinna & Chima, Reginald & Okonkwo, Paul, 2000. "Economic burden of malaria illness on households versus that of all other illness episodes: a study in five malaria holo-endemic Nigerian communities," Health Policy, Elsevier, vol. 54(2), pages 143-159, November.
    30. Jeffrey Sachs & Pia Malaney, 2002. "The economic and social burden of malaria," Nature, Nature, vol. 415(6872), pages 680-685, February.
    Full references (including those not matched with items on IDEAS)

    Citations

    Blog mentions

    As found by EconAcademics.org, the blog aggregator for Economics research:
    1. Chris Sampson’s journal round-up for 5th October 2020
      by Chris Sampson in The Academic Health Economists' Blog on 2020-10-05 11:00:05

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. David E. Bloom & Michael Kuhn & Klaus Prettner, 2022. "Modern Infectious Diseases: Macroeconomic Impacts and Policy Responses," Journal of Economic Literature, American Economic Association, vol. 60(1), pages 85-131, March.
    2. Li, Li & Xiao, Yun, 2023. "Beyond boiling: The effect of in utero exposure to treated tap water on childhood health," Journal of Environmental Economics and Management, Elsevier, vol. 119(C).
    3. Fabre, Anaïs, 2022. "Robustness of Two-Way Fixed Effects Estimators to Heterogeneous Treatment Effects," TSE Working Papers 22-1362, Toulouse School of Economics (TSE), revised Jun 2023.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. David E. Bloom & Michael Kuhn & Klaus Prettner, 2022. "Modern Infectious Diseases: Macroeconomic Impacts and Policy Responses," Journal of Economic Literature, American Economic Association, vol. 60(1), pages 85-131, March.
    2. Cervellati, Matteo & Esposito, Elena & Sunde, Uwe & Yuan, Song, 2022. "Malaria and Chinese economic activities in Africa," Journal of Development Economics, Elsevier, vol. 154(C).
    3. David E. BLOOM & Michael KUHN & Klaus PRETTNER, 2017. "Africa’s Prospects for Enjoying a Demographic Dividend," JODE - Journal of Demographic Economics, Cambridge University Press, vol. 83(1), pages 63-76, March.
    4. Vitantonio Mariella, 2023. "Landownership concentration and human capital accumulation in post-unification Italy," Journal of Population Economics, Springer;European Society for Population Economics, vol. 36(3), pages 1695-1764, July.
    5. Tom S. Vogl, 2012. "Education and Health in Developing Economies," Working Papers 1453, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    6. Sonia R. Bhalotra & Alberto Diaz-Cayeros & Grant Miller & Alfonso Miranda & Atheendar S. Venkataramani, 2017. "Urban Water Disinfection and Mortality Decline in Developing Countries," NBER Working Papers 23239, National Bureau of Economic Research, Inc.
    7. Weil, David N., 2014. "Health and Economic Growth," Handbook of Economic Growth, in: Philippe Aghion & Steven Durlauf (ed.), Handbook of Economic Growth, edition 1, volume 2, chapter 3, pages 623-682, Elsevier.
    8. Fink, Günther & Venkataramani, Atheendar S. & Zanolini, Arianna, 2021. "Early life adversity, biological adaptation, and human capital: evidence from an interrupted malaria control program in Zambia," Journal of Health Economics, Elsevier, vol. 80(C).
    9. Milusheva, Sveta, 2020. "Managing the spread of disease with mobile phone data," Journal of Development Economics, Elsevier, vol. 147(C).
    10. repec:pri:rpdevs:vogl_ed_health_review is not listed on IDEAS
    11. Pan, Yao & Singhal, Saurabh, 2019. "Agricultural extension, intra-household allocation and malaria," Journal of Development Economics, Elsevier, vol. 139(C), pages 157-170.
    12. Gabriel Picone & Robyn Kibler & Bénédicte H. Apouey, 2017. "Malaria Prevalence, Indoor Residual Spraying, and Insecticide Treated Net Usage in Sub-Saharan Africa," Journal of African Development, African Finance and Economic Association (AFEA), vol. 19(2), pages 19-32.
    13. David E. Bloom & Michael Kuhn & Klaus Prettner, 2016. "Africa’s Prospects for Enjoying a Demographic Dividend," VID Working Papers 1604, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna.
    14. Bhalotra, Sonia R. & Karlsson, Martin & Nilsson, Therese, 2015. "Infant Health and Longevity: Evidence from a Historical Trial in Sweden," IZA Discussion Papers 8969, Institute of Labor Economics (IZA).
    15. Cirera, Laia & Castelló, Judit Vall & Brew, Joe & Saúte, Francisco & Sicuri, Elisa, 2022. "The impact of a malaria elimination initiative on school outcomes: Evidence from Southern Mozambique," Economics & Human Biology, Elsevier, vol. 44(C).
    16. Samantha Rawlings, 2012. "Gender, race, and heterogeneous scarring and selection effects of epidemic malaria on human capital," Economics Discussion Papers em-dp2012-01, Department of Economics, University of Reading.
    17. Bhalotra, Sonia & Karlsson, Martin & Nilsson, Therese, 2014. "Life Expectancy and Mother-Baby Interventions. Evidence from A Historical Trial," Ruhr Economic Papers 504, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    18. Armand, Alex & Carneiro, Pedro & Locatelli, Andrea & Mihreteab, Selam & Keating, Joseph, 2017. "Do public health interventions crowd out private health investments? Malaria control policies in Eritrea," Labour Economics, Elsevier, vol. 45(C), pages 107-115.
    19. Luke Chicoine & Emily Lyons & Alexia Sahue, 2021. "The impact of HIV/AIDS on human capital investment in Sub‐Saharan Africa: New evidence," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 36(6), pages 842-852, September.
    20. Bhalotra, Sonia R. & Venkataramani, Atheendar, 2011. "The Captain of the Men of Death and His Shadow: Long-Run Impacts of Early Life Pneumonia Exposure," IZA Discussion Papers 6041, Institute of Labor Economics (IZA).
    21. Aditya Goenka & Lin Liu, 2020. "Infectious diseases, human capital and economic growth," Economic Theory, Springer;Society for the Advancement of Economic Theory (SAET), vol. 70(1), pages 1-47, July.

    More about this item

    Keywords

    Health expenses; Malaria; Africa; Human capital; Competing risks;
    All these keywords.

    JEL classification:

    • D1 - Microeconomics - - Household Behavior
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I1 - Health, Education, and Welfare - - Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:hal:psewpa:halshs-01634658. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: CCSD (email available below). General contact details of provider: https://hal.archives-ouvertes.fr/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.