IDEAS home Printed from https://ideas.repec.org/p/bro/econwp/2010-9.html
   My bibliography  Save this paper

Evaluating the Effects of Large Scale Health Interventions in Developing Countries: The Zambian Malaria Initiative

Author

Listed:

Abstract

Since 2003, Zambia has been engaged in a large-scale, centrally coordinated national anti- Malaria campaign which has become a model in sub-Saharan Africa. This paper aims at quantifying the individual and macro level benefits of this campaign, which involved mass distribution of insecticide treated mosquito nets, intermittent preventive treatment for pregnant women, indoor residual spraying, rapid diagnostic tests, and artemisinin-based combination therapy. We discuss the timing and regional coverage of the program, and critically review the available health and program rollout data. To estimate the health benefits associated with the program rollout, we use both population based morbidity measures from the Demographic and Health Surveys and health facility based mortality data as reported in the national Health Management Information System. While we find rather robust correlations between the rollout of bed nets and subsequent improvements in our health measures, the link between regional spraying and individual level health appears rather weak in the data.

Suggested Citation

  • Nava Ashraf & G¸nther Fink & David N. Weil, 2010. "Evaluating the Effects of Large Scale Health Interventions in Developing Countries: The Zambian Malaria Initiative," Working Papers 2010-9, Brown University, Department of Economics.
    • Handle: RePEc:bro:econwp:2010-9
    as

    Download full text from publisher

    File URL: https://economics.brown.edu/sites/g/files/dprerj726/files/papers/2010-9_paper.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Adrienne M. Lucas, 2013. "The Impact of Malaria Eradication on Fertility," Economic Development and Cultural Change, University of Chicago Press, vol. 61(3), pages 607-631.
    2. 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.
    3. Hoyt Bleakley, 2007. "Disease and Development: Evidence from Hookworm Eradication in the American South," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 73-117.
    4. 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.
    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. Ashraf, Fink and Weil - Evaluating the Effects of Large Scale Health Interventions
      by Liam Delaney in Geary Behaviour Centre on 2010-08-18 02:37:00

    Citations

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


    Cited by:

    1. Rodolfo E. Manuelli, 2011. "Disease and Development: The Role of Human Capital," 2011 Meeting Papers 605, Society for Economic Dynamics.
    2. Michael A. Clemens & Gabriel Demombynes, 2011. "When does rigorous impact evaluation make a difference? The case of the Millennium Villages," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 3(3), pages 305-339, September.
    3. Rodolfo Manuelli & Emircan Yurdagul, 2021. "AIDS, Human Capital and Development," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 42, pages 178-193, October.
    4. Nicholas Wilson, 2015. "Can Disease-Specific Funding Harm Health? in the Shadow of HIV/AIDS Service Expansion," Demography, Springer;Population Association of America (PAA), vol. 52(5), pages 1671-1700, October.
    5. Portner, Claus C & Beegle, Kathleen & Christiaensen, Luc, 2011. "Family planning and fertility : estimating program effects using cross-sectional data," Policy Research Working Paper Series 5812, The World Bank.
    6. Fink, Günther & Masiye, Felix, 2015. "Health and agricultural productivity: Evidence from Zambia," Journal of Health Economics, Elsevier, vol. 42(C), pages 151-164.
    7. 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.
    8. Jeremy Barofsky & Claire Chase & Tobenna Anekwe & Farshad Farzadfar, 2011. "The Economic Effects of Malaria Eradication: Evidence from an Intervention in Uganda," PGDA Working Papers 7011, Program on the Global Demography of Aging.
    9. Maria Kuecken & Josselin Thuilliez & Marie-Anne Valfort, 2013. "Large-scale health interventions and education: Evidence from Roll Back Malaria in Africa," Documents de travail du Centre d'Economie de la Sorbonne 13075r, Université Panthéon-Sorbonne (Paris 1), Centre d'Economie de la Sorbonne, revised Jun 2015.
    10. Yoonyoung Cho & David Robalino & Samantha Watson, 2016. "Supporting self-employment and small-scale entrepreneurship: potential programs to improve livelihoods for vulnerable workers," IZA Journal of Labor Policy, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 5(1), pages 1-26, December.
    11. Demombynes, Gabriel & Trommlerova, Sofia Karina, 2012. "What has driven the decline of infant mortality in Kenya ?," Policy Research Working Paper Series 6057, The World Bank.
    12. 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.
    13. Demombynes, Gabriel & Trommlerová, Sofia Karina, 2016. "What has driven the decline of infant mortality in Kenya in the 2000s?," Economics & Human Biology, Elsevier, vol. 21(C), pages 17-32.
    14. Wilson, Nicholas, 2015. "Child mortality risk and fertility: Evidence from prevention of mother-to-child transmission of HIV," Journal of Development Economics, Elsevier, vol. 116(C), pages 74-88.
    15. 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).

    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. Elizabeth Kaletski & Nishith Prakash, 2017. "Can Elected Minority Representatives Affect Health Worker Visits? Evidence from India," Review of Development Economics, Wiley Blackwell, vol. 21(1), pages 67-102, February.
    2. 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.
    3. Mohammad Mainul Hoque & Elizabeth M. King & Claudio E. Montenegro & Peter F. Orazem, 2019. "Revisiting the relationship between longevity and lifetime education: global evidence from 919 surveys," Journal of Population Economics, Springer;European Society for Population Economics, vol. 32(2), pages 551-589, April.
    4. 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).
    5. 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.
    6. Mohammad Mainul Hoque & Elizabeth King & Claudio E. Montenegro & Peter F. Orazem, 2020. "Life Expentancy at Birth and Lifetime Education and Earnings," Working Papers wp499, University of Chile, Department of Economics.
    7. 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.
    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. Hoque,Mohammad Mainul & King,Elizabeth M. & Montenegro,Claudio E. & Orazem,Peter F., 2017. "Longevity and lifetime education : global evidence from 919 surveys," Policy Research Working Paper Series 8175, The World Bank.
    10. Veras, Henrique, 2022. "Wrong place, wrong time: The long-run effects of in-utero exposure to malaria on educational attainment," Economics & Human Biology, Elsevier, vol. 44(C).
    11. Kaletski, Elizabeth & Prakash, Nishith, 2016. "Does Political Reservation for Minorities Affect Child Labor? Evidence from India," World Development, Elsevier, vol. 87(C), pages 50-69.
    12. 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..
    13. Luke Chicoine, 2021. "Free Primary Education, Fertility, and Women’s Access to the Labor Market: Evidence from Ethiopia," The World Bank Economic Review, World Bank, vol. 35(2), pages 480-498.
    14. Flückiger, Matthias & Ludwig, Markus, 2020. "Malaria suitability, urbanization and subnational development in sub-Saharan Africa," Journal of Urban Economics, Elsevier, vol. 120(C).
    15. Tafesse, W.;, 2018. "The effect of mandatory iodine fortification on cognitive test scores in rural India," Health, Econometrics and Data Group (HEDG) Working Papers 18/10, HEDG, c/o Department of Economics, University of York.
    16. Barreca, Alan I. & Fishback, Price V. & Kantor, Shawn, 2012. "Agricultural policy, migration, and malaria in the United States in the 1930s," Explorations in Economic History, Elsevier, vol. 49(4), pages 381-398.
    17. repec:pri:rpdevs:vogl_ed_health_review is not listed on IDEAS
    18. Chicoine, Luke, 2019. "Schooling with learning: The effect of free primary education and mother tongue instruction reforms in Ethiopia," Economics of Education Review, Elsevier, vol. 69(C), pages 94-107.
    19. Chicoine, Luke, 2016. "Identifying National Level Education Reforms in Developing Settings: An Application to Ethiopia," IZA Discussion Papers 9916, Institute of Labor Economics (IZA).
    20. Schiman, Jeffrey C. & Kaestner, Robert & Lo Sasso, Anthony T., 2019. "Infant mortality and adult wellbeing: Evidence from wartime Britain," Labour Economics, Elsevier, vol. 60(C), pages 12-29.
    21. Chen, Simiao & Kuhn, Michael & Prettner, Klaus & Bloom, David E. & Wang, Chen, 2021. "Macro-level efficiency of health expenditure: Estimates for 15 major economies," Social Science & Medicine, Elsevier, vol. 287(C).

    More about this item

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    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:bro:econwp:2010-9. 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: Brown Economics Webmaster (email available below). General contact details of provider: .

    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.