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Role of malaria control in improving child health in mainland Tanzania: Evidence from a rapid policy scale-up

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  • Gansey, Romeo J.

Abstract

Malaria control is a major policy concern in Sub-Saharan Africa, where the disease imposes a high burden on child health. Between 2004 and 2010, in mainland Tanzania, malaria control interventions have experienced a rapid scale-up evidenced by a sharp increase of the budget devoted to malaria control, rising from less than $10 million to nearly $140 million. However, the extent to which these interventions have improved child health remains an open policy question. I exploit the timing of the fast scale-up of the malaria control program, along with the variation in malaria endemicity across the country due to climate, to evaluate the impact of malaria control interventions on child health with a difference-in-difference approach. My estimates suggest that, on average, malaria control interventions have helped avert approximately 17.9 deaths for every 1000 live births. In relative terms, they have contributed to 57.7 percent of the reduction in under-five mortality between 2004 and 2010. These interventions have also improved other measures of child health, such as anemia and stunting, reducing the odds of these conditions by 52 and 35 percent, respectively. Calculations suggest that it costs at most 4100 US dollars to save a child through the program. Finally, the malaria control program passes the test of a positive net present value with a value of a statistical life as low as 4600 US dollars for discount rates ranging from 10 to 20 percent.

Suggested Citation

  • Gansey, Romeo J., 2020. "Role of malaria control in improving child health in mainland Tanzania: Evidence from a rapid policy scale-up," World Development, Elsevier, vol. 125(C).
  • Handle: RePEc:eee:wdevel:v:125:y:2020:i:c:s0305750x19303420
    DOI: 10.1016/j.worlddev.2019.104694
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    1. Mark R. Rosenzweig & Kenneth I. Wolpin, 1988. "Heterogeneity, Intrafamily Distribution, and Child Health," Journal of Human Resources, University of Wisconsin Press, vol. 23(4), pages 437-461.
    2. Paul D. Allison, 1996. "Fixed-Effects Partial Likelihood for Repeated Events," Sociological Methods & Research, , vol. 25(2), pages 207-222, November.
    3. John Strauss & Duncan Thomas, 1998. "Health, Nutrition, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 36(2), pages 766-817, June.
    4. Jere R. Behrman & John Hoddinott & John A. Maluccio & Reynaldo Martorell, 2009. "Brains versus Brawn: Labor Market Returns to Intellectual and Health Human Capital in a Poor Developing Country," Middlebury College Working Paper Series 0907, Middlebury College, Department of Economics.
    5. Van den Berg, Gerard J., 2001. "Duration models: specification, identification and multiple durations," Handbook of Econometrics, in: J.J. Heckman & E.E. Leamer (ed.), Handbook of Econometrics, edition 1, volume 5, chapter 55, pages 3381-3460, Elsevier.
    6. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769.
    7. Mario Cleves & William W. Gould & Roberto G. Gutierrez & Yulia Marchenko, 2010. "An Introduction to Survival Analysis Using Stata," Stata Press books, StataCorp LP, edition 3, number saus3, March.
    8. James Trussell & Charles Hammerslough, 1983. "A hazards-Model analysis of the covariates of infant and child mortality in Sri Lanka," Demography, Springer;Population Association of America (PAA), vol. 20(1), pages 1-26, February.
    9. Behrman, Jere R. & Deolalikar, Anil B., 1988. "Health and nutrition," Handbook of Development Economics, in: Hollis Chenery & T.N. Srinivasan (ed.), Handbook of Development Economics, edition 1, volume 1, chapter 14, pages 631-711, Elsevier.
    10. Rosenzweig, Mark R & Schultz, T Paul, 1983. "Estimating a Household Production Function: Heterogeneity, the Demand for Health Inputs, and Their Effects on Birth Weight," Journal of Political Economy, University of Chicago Press, vol. 91(5), pages 723-746, October.
    11. James Vaupel & Kenneth Manton & Eric Stallard, 1979. "The impact of heterogeneity in individual frailty on the dynamics of mortality," Demography, Springer;Population Association of America (PAA), vol. 16(3), pages 439-454, August.
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