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Malaria eradication and economic outcomes in sub-Saharan Africa: Evidence from Uganda

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  • Barofsky, Jeremy
  • Anekwe, Tobenna D.
  • Chase, Claire

Abstract

This study evaluates the economic consequences of a 1959–1960 malaria eradication campaign in southwestern Uganda. The effort constitutes a rare, large-scale, and well-documented attempt to eliminate malaria in sub-Saharan Africa and produced an immediate disease reduction. We use this quasi-experimental health shock to identify long-term changes in educational and economic outcomes. Comparing the treatment district to a similar synthetic control, we find malaria eradication raised educational attainment by about a half year for both males and females, increased primary school completion among females and generated an almost 40% rise in the likelihood of male wage employment.

Suggested Citation

  • Barofsky, Jeremy & Anekwe, Tobenna D. & Chase, Claire, 2015. "Malaria eradication and economic outcomes in sub-Saharan Africa: Evidence from Uganda," Journal of Health Economics, Elsevier, vol. 44(C), pages 118-136.
  • Handle: RePEc:eee:jhecon:v:44:y:2015:i:c:p:118-136
    DOI: 10.1016/j.jhealeco.2015.08.002
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    1. Daron Acemoglu & Simon Johnson, 2007. "Disease and Development: The Effect of Life Expectancy on Economic Growth," Journal of Political Economy, University of Chicago Press, vol. 115(6), pages 925-985, December.
    2. Nava Ashraf & Günther Fink & David N. Weil, 2014. "Evaluating the Effects of Large-Scale Health Interventions in Developing Countries: The Zambian Malaria Initiative," NBER Chapters, in: African Successes, Volume II: Human Capital, pages 13-57, National Bureau of Economic Research, Inc.
    3. Anonymous, 1950. "World Health Organization," International Organization, Cambridge University Press, vol. 4(3), pages 501-505, August.
    4. Sharon Maccini & Dean Yang, 2009. "Under the Weather: Health, Schooling, and Economic Consequences of Early-Life Rainfall," American Economic Review, American Economic Association, vol. 99(3), pages 1006-1026, June.
    5. Maria Kuecken & Josselin Thuilliez & Marie-Anne Valfort, 2013. "Does malaria control impact education? A study of the Global Fund in Africa," Documents de travail du Centre d'Economie de la Sorbonne 13075, Université Panthéon-Sorbonne (Paris 1), Centre d'Economie de la Sorbonne.
    6. George Psacharopoulos & Harry Anthony Patrinos, 2004. "Returns to investment in education: a further update," Education Economics, Taylor & Francis Journals, vol. 12(2), pages 111-134.
    7. Alberto Abadie & Javier Gardeazabal, 2003. "The Economic Costs of Conflict: A Case Study of the Basque Country," American Economic Review, American Economic Association, vol. 93(1), pages 113-132, March.
    8. Anonymous, 1950. "World Health Organization," International Organization, Cambridge University Press, vol. 4(4), pages 683-686, November.
    9. Alan I. Barreca, 2010. "The Long-Term Economic Impact of In Utero and Postnatal Exposure to Malaria," Journal of Human Resources, University of Wisconsin Press, vol. 45(4), pages 865-892.
    10. Jacob A. Mincer, 1974. "Schooling, Experience, and Earnings," NBER Books, National Bureau of Economic Research, Inc, number minc74-1, June.
    11. Hong, Sok Chul, 2011. "Malaria and Economic Productivity: A Longitudinal Analysis of the American Case," The Journal of Economic History, Cambridge University Press, vol. 71(3), pages 654-671, September.
    12. Bloom, David E. & Canning, David & Sevilla, Jaypee, 2004. "The Effect of Health on Economic Growth: A Production Function Approach," World Development, Elsevier, vol. 32(1), pages 1-13, January.
    13. Psacharopoulos, George, 1994. "Returns to investment in education: A global update," World Development, Elsevier, vol. 22(9), pages 1325-1343, September.
    14. Lant Pritchett & Lawrence H. Summers, 1996. "Wealthier is Healthier," Journal of Human Resources, University of Wisconsin Press, vol. 31(4), pages 841-868.
    15. Anonymous, 1950. "World Health Organization," International Organization, Cambridge University Press, vol. 4(1), pages 144-145, February.
    16. Hoyt Bleakley, 2010. "Health, Human Capital, and Development," Annual Review of Economics, Annual Reviews, vol. 2(1), pages 283-310, September.
    17. Venkataramani, Atheendar S., 2012. "Early life exposure to malaria and cognition in adulthood: Evidence from Mexico," Journal of Health Economics, Elsevier, vol. 31(5), pages 767-780.
    18. Simon I Hay & Carlos A Guerra & Peter W Gething & Anand P Patil & Andrew J Tatem & Abdisalan M Noor & Caroline W Kabaria & Bui H Manh & Iqbal R F Elyazar & Simon Brooker & David L Smith & Rana A Moyee, 2009. "A World Malaria Map: Plasmodium falciparum Endemicity in 2007," PLOS Medicine, Public Library of Science, vol. 6(3), pages 1-17, March.
    19. McCarthy, F. Desmond & Wolf, Holger & Yi Wu, 2000. "Malaria and growth," Policy Research Working Paper Series 2303, The World Bank.
    20. Hong, Sok Chul, 2013. "Malaria: An early indicator of later disease and work level," Journal of Health Economics, Elsevier, vol. 32(3), pages 612-632.
    21. Anonymous, 1950. "World Health Organization," International Organization, Cambridge University Press, vol. 4(2), pages 327-330, May.
    22. 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.
    23. Jacob A. Mincer, 1974. "Schooling and Earnings," NBER Chapters, in: Schooling, Experience, and Earnings, pages 41-63, National Bureau of Economic Research, Inc.
    24. 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.
    25. Abadie, Alberto & Diamond, Alexis & Hainmueller, Jens, 2010. "Synthetic Control Methods for Comparative Case Studies: Estimating the Effect of California’s Tobacco Control Program," Journal of the American Statistical Association, American Statistical Association, vol. 105(490), pages 493-505.
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    More about this item

    Keywords

    Malaria; Malaria eradication; Human capital; Economic development; Uganda;
    All these keywords.

    JEL classification:

    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I21 - Health, Education, and Welfare - - Education - - - Analysis of Education
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration
    • O18 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Urban, Rural, Regional, and Transportation Analysis; Housing; Infrastructure

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