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The economic impacts of house screening against malaria transmission: Experimental evidence from eastern Zambia

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  • Chisanga, Brian
  • Bulte, Erwin
  • Kassie, Menale
  • Mutero, Clifford
  • Masaninga, Freddie
  • Sangoro, Onyango Peter

Abstract

Malaria imposes an economic burden for human populations in many African countries, and this burden may be reduced through house screening initiatives. We use a randomized controlled trial to measure the economic impacts of house screening against malaria infection. We use a sample of 800 households from 89 villages in rural and peri-urban Zambia to collect baseline data in August 2019 and endline data in August 2020. The main outcome variables are (self-reported) malaria prevalence rates, labor supply, and income, and consider individual and household-level outcomes. House screening reduces malaria prevalence, the number of sick days due to malaria, and the number of malaria episodes. Impacts on adults are more pronounced than on children. In terms of economic impacts, house screening increases labor supply and (household) income. We find particularly large effects on labor supply for women household members. A cost-benefit analysis, based on estimated benefits and measured costs, suggests that the private benefits of house screening exceed the costs. While not all houses are suitable for house screening, we conclude that screening is a promising and cost-effective approach to reduce malaria infections.

Suggested Citation

  • Chisanga, Brian & Bulte, Erwin & Kassie, Menale & Mutero, Clifford & Masaninga, Freddie & Sangoro, Onyango Peter, 2023. "The economic impacts of house screening against malaria transmission: Experimental evidence from eastern Zambia," Social Science & Medicine, Elsevier, vol. 321(C).
  • Handle: RePEc:eee:socmed:v:321:y:2023:i:c:s0277953623001351
    DOI: 10.1016/j.socscimed.2023.115778
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    References listed on IDEAS

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    1. 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.
    2. Pinder, Margaret & Bradley, John & Jawara, Musa & Affara, Muna & Conteh, Lesong & Correa, Simon & Jeffries, David & Jones, Caroline & Kandeh, Balla & Knudsen, Jakob & Olatunji, Yekini & Sicuri, Elisa , 2021. "Improved housing versus usual practice for additional protection against clinical malaria in The Gambia (RooPfs): a household-randomised controlled trial," LSE Research Online Documents on Economics 110170, London School of Economics and Political Science, LSE Library.
    3. Wendy J. Ungar & Peter C. Coyte & The Pharmacy Medication Monitoring Program Advisory Board, 2000. "Measuring productivity loss days in asthma patients," Health Economics, John Wiley & Sons, Ltd., vol. 9(1), pages 37-46, January.
    4. Hoyt Bleakley, 2003. "Disease and Development: Evidence from the American South," Journal of the European Economic Association, MIT Press, vol. 1(2-3), pages 376-386, 04/05.
    5. Fink, Günther & Masiye, Felix, 2015. "Health and agricultural productivity: Evidence from Zambia," Journal of Health Economics, Elsevier, vol. 42(C), pages 151-164.
    6. Kok Pim Kua & Shaun Wen Huey Lee, 2021. "Randomized trials of housing interventions to prevent malaria and Aedes-transmitted diseases: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-23, January.
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    More about this item

    Keywords

    Malaria; House screening; Socio-economic impacts; Labor supply; Africa;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • O18 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Urban, Rural, Regional, and Transportation Analysis; Housing; Infrastructure

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