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Aid Externalities: Evidence from PEPFAR in Africa

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  • Lee, Melissa M.
  • Izama, Melina Platas

Abstract

Do targeted aid programs have unintended consequences outside of the target issue area? We investigate this question with an examination of one of the largest targeted aid programs in the world: the President’s Emergency Plan for AIDS Relief (PEPFAR). Critics of PEPFAR worry that a targeted program focusing on single diseases has a negative externality, in which the influx of massive amounts of target aid damages broader public health systems in countries that receive PEPFAR funds. Using a difference-in-differences identification strategy, we find statistical evidence that supports critics of targeted aid.

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  • Lee, Melissa M. & Izama, Melina Platas, 2015. "Aid Externalities: Evidence from PEPFAR in Africa," World Development, Elsevier, vol. 67(C), pages 281-294.
    • Handle: RePEc:eee:wdevel:v:67:y:2015:i:c:p:281-294
    DOI: 10.1016/j.worlddev.2014.10.001
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    1. Michael Ross, 2006. "Is Democracy Good for the Poor?," American Journal of Political Science, John Wiley & Sons, vol. 50(4), pages 860-874, October.
    2. Pritchett, Lant & Beatty, Amanda, 2012. "The Negative Consequences of Overambitious Curricula in Developing Countries," Working Paper Series rwp12-035, Harvard University, John F. Kennedy School of Government.
    3. repec:unu:wpaper:wp2012-68 is not listed on IDEAS
    4. Manuela Angelucci & Giacomo De Giorgi, 2009. "Indirect Effects of an Aid Program: How Do Cash Transfers Affect Ineligibles' Consumption?," American Economic Review, American Economic Association, vol. 99(1), pages 486-508, March.
    5. Stefan Leiderer, 2012. "Fungibility and the Choice of Aid Modalities," WIDER Working Paper Series wp-2012-068, World Institute for Development Economic Research (UNU-WIDER).
    6. Jane G. Fortson, "undated". "HIV/AIDS and Fertility," Mathematica Policy Research Reports 38387ebd1f044714b4a5ab70e, Mathematica Policy Research.
    7. Barrett, Christopher B., 2006. "Food aid's intended and unintended consequences," ESA Working Papers 289062, Food and Agriculture Organization of the United Nations, Agricultural Development Economics Division (ESA).
    8. Chinhui Juhn & Sebnem Kalemli-Ozcan & Belgi Turan, 2013. "HIV and fertility in Africa: first evidence from population-based surveys," Journal of Population Economics, Springer;European Society for Population Economics, vol. 26(3), pages 835-853, July.
    9. Rainer Thiele & Peter Nunnenkamp & Axel Dreher, 2007. "Do Donors Target Aid in Line with the Millennium Development Goals? A Sector Perspective of Aid Allocation," Review of World Economics (Weltwirtschaftliches Archiv), Springer;Institut für Weltwirtschaft (Kiel Institute for the World Economy), vol. 143(4), pages 596-630, December.
    10. Lant Pritchett and Amanda Beatty, 2012. "The Negative Consequences of Overambitious Curricula in Developing Countries - Working Paper 293," Working Papers 293, Center for Global Development.
    11. Lant Pritchett & Lawrence H. Summers, 1996. "Wealthier is Healthier," Journal of Human Resources, University of Wisconsin Press, vol. 31(4), pages 841-868.
    12. Masayuki Kudamatsu, 2012. "Has Democratization Reduced Infant Mortality In Sub-Saharan Africa? Evidence From Micro Data," Journal of the European Economic Association, European Economic Association, vol. 10(6), pages 1294-1317, December.
    13. Easterly, William & Williamson, Claudia R., 2011. "Rhetoric versus Reality: The Best and Worst of Aid Agency Practices," World Development, Elsevier, vol. 39(11), pages 1930-1949.
    14. Peter Okwero & Ajay Tandon & Susan Sparkes & Julie McLaughlin & Johannes G. Hoogeveen, 2010. "Fiscal Space for Health in Uganda," World Bank Publications - Books, The World Bank Group, number 5949.
    15. Marianne Bertrand & Esther Duflo & Sendhil Mullainathan, 2004. "How Much Should We Trust Differences-In-Differences Estimates?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 119(1), pages 249-275.
    16. Timothy Besley & Masayuki Kudamatsu, 2006. "Health and Democracy," American Economic Review, American Economic Association, vol. 96(2), pages 313-318, May.
    17. George Mavrotas & Bazoumana Ouattara, 2007. "Aid Modalities and Budgetary Response: Panel Data Evidence," Review of World Economics (Weltwirtschaftliches Archiv), Springer;Institut für Weltwirtschaft (Kiel Institute for the World Economy), vol. 143(4), pages 720-741, December.
    18. Barrera-Osorio, Felipe & Bertrand, Marianne & L. Linden, Leigh & Perez-Calle, Francisco, 2008. "Conditional cash transfers in education : design features, peer and sibling effects evidence from a randomized experiment in Colombia," Policy Research Working Paper Series 4580, The World Bank.
    19. William Easterly, 2009. "Can the West Save Africa?," Journal of Economic Literature, American Economic Association, vol. 47(2), pages 373-447, June.
    20. Mr. Tito Cordella & Mr. Giovanni Dell'Ariccia, 2003. "Budget Support Versus Project Aid," IMF Working Papers 2003/088, International Monetary Fund.
    21. Leiderer, Stefan, 2012. "Fungibility and the Choice of Aid Modalities," WIDER Working Paper Series 068, World Institute for Development Economic Research (UNU-WIDER).
    22. World Bank, 2013. "World Development Indicators 2013," World Bank Publications - Books, The World Bank Group, number 13191.
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    Cited by:

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    2. Yiyeon Kim, 2021. "The geographic scope of conflict and HIV," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(6), pages 2313-2322, November.
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    4. Yiyeon Kim, 2019. "The effectiveness of PEPFAR's funding for women and children with HIV/AIDS," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 896-916, January.

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