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Medication Against Conflict

Author

Listed:
  • Berlanda, Andrea
  • Cervellati, Matteo
  • Esposito, Elena
  • Rohner, Dominic
  • Sunde, Uwe

Abstract

This paper investigates the consequences of the successful expansion of anti-retroviral therapy (ART) to combat the HIV/AIDS pandemic on social violence and conflict in Africa. Identification is based on exogenous variation in the scope for treatment and global variation in drug prices. We find that the ART expansion significantly reduced the number of violent events in African countries and sub-national regions. The effect is not explained by general improvements in economic prosperity, but related to health improvements, greater approval of government policy, and increased trust in political institutions. Counterfactual simulations illustrate the quantitative relevance of the results.

Suggested Citation

  • Berlanda, Andrea & Cervellati, Matteo & Esposito, Elena & Rohner, Dominic & Sunde, Uwe, 2022. "Medication Against Conflict," CEPR Discussion Papers 17125, C.E.P.R. Discussion Papers.
    • Handle: RePEc:cpr:ceprdp:17125
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    as
    1. Nicolas Berman & Mathieu Couttenier & Raphael Soubeyran, 2021. "Fertile Ground for Conflict," Journal of the European Economic Association, European Economic Association, vol. 19(1), pages 82-127.
    2. Yann Algan & Sergei Guriev & Elias Papaioannou & Evgenia Passari, 2017. "The European Trust Crisis and the Rise of Populism," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 48(2 (Fall)), pages 309-400.
    3. Francesco Caselli & Massimo Morelli & Dominic Rohner, 2015. "The Geography of Interstate Resource Wars," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 130(1), pages 267-315.
    4. 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.
    5. Clément de Chaisemartin & Xavier D'Haultfœuille, 2020. "Two-Way Fixed Effects Estimators with Heterogeneous Treatment Effects," American Economic Review, American Economic Association, vol. 110(9), pages 2964-2996, September.
    6. Dominic Rohner & Mathias Thoenig, 2021. "The Elusive Peace Dividend of Development Policy: From War Traps to Macro Complementarities," Annual Review of Economics, Annual Reviews, vol. 13(1), pages 111-131, August.
    7. Khemani,Stuti, 2020. "An Opportunity to Build Legitimacy and Trust in Public Institutions in the Time of COVID-19," Research and Policy Briefs 148256, The World Bank.
    8. Maurice J. G. Bun & Teresa D. Harrison, 2019. "OLS and IV estimation of regression models including endogenous interaction terms," Econometric Reviews, Taylor & Francis Journals, vol. 38(7), pages 814-827, August.
    9. Eli Berman & Jacob N. Shapiro & Joseph H. Felter, 2011. "Can Hearts and Minds Be Bought? The Economics of Counterinsurgency in Iraq," Journal of Political Economy, University of Chicago Press, vol. 119(4), pages 766-819.
    10. repec:hal:spmain:info:hdl:2441/2i9jel1usb85nr2j7tejsaldfu is not listed on IDEAS
    11. Nathan Nunn & Nancy Qian, 2014. "US Food Aid and Civil Conflict," American Economic Review, American Economic Association, vol. 104(6), pages 1630-1666, June.
    12. Baranov, Victoria & Bennett, Daniel & Kohler, Hans-Peter, 2015. "The indirect impact of antiretroviral therapy: Mortality risk, mental health, and HIV-negative labor supply," Journal of Health Economics, Elsevier, vol. 44(C), pages 195-211.
    13. Victoria Baranov & Hans-Peter Kohler, 2018. "The Impact of AIDS Treatment on Savings and Human Capital Investment in Malawi," American Economic Journal: Applied Economics, American Economic Association, vol. 10(1), pages 266-306, January.
    14. Feng Gao & Elizabeth Bailes & David L. Robertson & Yalu Chen & Cynthia M. Rodenburg & Scott F. Michael & Larry B. Cummins & Larry O. Arthur & Martine Peeters & George M. Shaw & Paul M. Sharp & Beatric, 1999. "Origin of HIV-1 in the chimpanzee Pan troglodytes troglodytes," Nature, Nature, vol. 397(6718), pages 436-441, February.
    15. Michael D. König & Dominic Rohner & Mathias Thoenig & Fabrizio Zilibotti, 2017. "Networks in Conflict: Theory and Evidence From the Great War of Africa," Econometrica, Econometric Society, vol. 85, pages 1093-1132, July.
    16. Eoin McGuirk & Marshall Burke, 2020. "The Economic Origins of Conflict in Africa," Journal of Political Economy, University of Chicago Press, vol. 128(10), pages 3940-3997.
    17. Treb Allen & Costas Arkolakis, 2014. "Trade and the Topography of the Spatial Economy," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 129(3), pages 1085-1140.
    18. repec:cup:apsrev:v:113:y:2019:i:03:p:860-867_00 is not listed on IDEAS
    19. Lechler, Marie & Sunde, Uwe, 2019. "Individual Life Horizon Influences Attitudes Toward Democracy," American Political Science Review, Cambridge University Press, vol. 113(3), pages 860-867, August.
    20. Oeindrila Dube & Juan F. Vargas, 2013. "Commodity Price Shocks and Civil Conflict: Evidence from Colombia," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 80(4), pages 1384-1421.
    21. Alberto Abadie & Alexis Diamond & Jens Hainmueller, 2015. "Comparative Politics and the Synthetic Control Method," American Journal of Political Science, John Wiley & Sons, vol. 59(2), pages 495-510, February.
    22. 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.
    23. Clément de Chaisemartin & Xavier D’Haultfœuille, 2023. "Two-way fixed effects and differences-in-differences with heterogeneous treatment effects: a survey," The Econometrics Journal, Royal Economic Society, vol. 26(3), pages 1-30.
    24. Timothy G. Conley & Christian B. Hansen & Peter E. Rossi, 2012. "Plausibly Exogenous," The Review of Economics and Statistics, MIT Press, vol. 94(1), pages 260-272, February.
    25. Samuel Bazzi & Christopher Blattman, 2014. "Economic Shocks and Conflict: Evidence from Commodity Prices," American Economic Journal: Macroeconomics, American Economic Association, vol. 6(4), pages 1-38, October.
    26. Nicolas Berman & Mathieu Couttenier & Dominic Rohner & Mathias Thoenig, 2017. "This Mine Is Mine! How Minerals Fuel Conflicts in Africa," American Economic Review, American Economic Association, vol. 107(6), pages 1564-1610, June.
    27. Tompsett, Anna, 2020. "The Lazarus drug: the impact of antiretroviral therapy on economic growth," Journal of Development Economics, Elsevier, vol. 143(C).
    28. de Ree, Joppe & Nillesen, Eleonora, 2009. "Aiding violence or peace? The impact of foreign aid on the risk of civil conflict in sub-Saharan Africa," Journal of Development Economics, Elsevier, vol. 88(2), pages 301-313, March.
    29. Thiemo Fetzer, 2020. "Can Workfare Programs Moderate Conflict? Evidence from India," Journal of the European Economic Association, European Economic Association, vol. 18(6), pages 3337-3375.
    30. Idean Salehyan & Cullen S. Hendrix & Jesse Hamner & Christina Case & Christopher Linebarger & Emily Stull & Jennifer Williams, 2012. "Social Conflict in Africa: A New Database," International Interactions, Taylor & Francis Journals, vol. 38(4), pages 503-511, September.
    31. Joan Esteban & Laura Mayoral & Debraj Ray, 2012. "Ethnicity and Conflict: An Empirical Study," American Economic Review, American Economic Association, vol. 102(4), pages 1310-1342, June.
    32. Melissa Dell & Benjamin F. Jones & Benjamin A. Olken, 2014. "What Do We Learn from the Weather? The New Climate-Economy Literature," Journal of Economic Literature, American Economic Association, vol. 52(3), pages 740-798, September.
    33. Marshall Burke & Solomon M. Hsiang & Edward Miguel, 2015. "Climate and Conflict," Annual Review of Economics, Annual Reviews, vol. 7(1), pages 577-617, August.
    34. Matteo Cervellati & Uwe Sunde & Simona Valmori, 2017. "Pathogens, Weather Shocks and Civil Conflicts," Economic Journal, Royal Economic Society, vol. 127(607), pages 2581-2616, December.
    35. Da Costa, Shaun, 2023. "Estimating the welfare gains from anti-retroviral therapy in Sub-Saharan Africa," Journal of Health Economics, Elsevier, vol. 90(C).
    36. Christopher Claassen, 2020. "Does Public Support Help Democracy Survive?," American Journal of Political Science, John Wiley & Sons, vol. 64(1), pages 118-134, January.
    37. Matteo Cervellati & Uwe Sunde & Simona Valmori, 2017. "Pathogens, Weather Shocks and Civil Conflicts," Economic Journal, Royal Economic Society, vol. 127(607), pages 2581-2616, December.
    38. Daron Acemoglu & Leopoldo Fergusson & Simon Johnson, 2020. "Population and Conflict," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 87(4), pages 1565-1604.
    39. Timothy Besley & Torsten Persson, 2011. "The Logic of Political Violence," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 126(3), pages 1411-1445.
    40. Francesco Caselli, 2012. "The Geography of Inter-State Resource Wars," 2012 Meeting Papers 1174, Society for Economic Dynamics.
    41. Athey, Susan & Imbens, Guido W., 2022. "Design-based analysis in Difference-In-Differences settings with staggered adoption," Journal of Econometrics, Elsevier, vol. 226(1), pages 62-79.
    42. Rena M. Conti & Ernst R. Berndt, 2014. "Specialty drug prices and utilization after loss of U.S. patent exclusivity, 2001-2007," NBER Working Papers 20016, National Bureau of Economic Research, Inc.
    43. repec:hal:spmain:info:hdl:2441/1divsbu8t888r9vqektjbmlqoa is not listed on IDEAS
    44. Alberto Abadie, 2021. "Using Synthetic Controls: Feasibility, Data Requirements, and Methodological Aspects," Journal of Economic Literature, American Economic Association, vol. 59(2), pages 391-425, June.
    45. Ole Theisen & Nils Gleditsch & Halvard Buhaug, 2013. "Is climate change a driver of armed conflict?," Climatic Change, Springer, vol. 117(3), pages 613-625, April.
    46. Blattman, Christopher & Annan, Jeannie, 2016. "Can Employment Reduce Lawlessness and Rebellion? A Field Experiment with High-Risk Men in a Fragile State," American Political Science Review, Cambridge University Press, vol. 110(1), pages 1-17, February.
    47. Matteo Cervellati & Uwe Sunde & Simona Valmori, 2017. "Pathogens, Weather Shocks and Civil Conflicts," Economic Journal, Royal Economic Society, vol. 127(607), pages 2581-2616, December.
    48. Matteo Cervellati & Elena Esposito & Uwe Sunde, 2022. "Epidemic Shocks and Civil Violence: Evidence from Malaria Outbreaks in Africa," The Review of Economics and Statistics, MIT Press, vol. 104(4), pages 780-796, October.
    49. Edward Miguel & Shanker Satyanath & Ernest Sergenti, 2004. "Economic Shocks and Civil Conflict: An Instrumental Variables Approach," Journal of Political Economy, University of Chicago Press, vol. 112(4), pages 725-753, August.
    50. Benjamin Crost & Joseph Felter & Patrick Johnston, 2014. "Aid under Fire: Development Projects and Civil Conflict," American Economic Review, American Economic Association, vol. 104(6), pages 1833-1856, June.
    51. Savun, Burcu & Tirone, Daniel C., 2012. "Exogenous Shocks, Foreign Aid, and Civil War," International Organization, Cambridge University Press, vol. 66(3), pages 363-393, July.
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    Cited by:

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    2. Francesco Amodio & Leonardo Baccini & Giorgio Chiovelli & Michele Di Maio, 2024. "Trade liberalization, economic activity and political violence in the Global South: evidence from PTAs," Economic Policy, CEPR, CESifo, Sciences Po;CES;MSH, vol. 39(118), pages 275-322.
    3. De Luca, Giacomo Davide & Lin, Xi, 2024. "The role of health and health systems in promoting social capital, political participation and peace: A narrative review," Health Policy, Elsevier, vol. 141(C).
    4. Federico Maggio & Dominic Rohner & Alessandro Saia, 2024. "The Democracy Dividend: ˗How Early Exposure to Democracy Shapes Health Outcomes˗," CESifo Working Paper Series 11307, CESifo.

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    More about this item

    Keywords

    Hiv; Conflict; Social violence; Art expansion; Trust; Africa; Health intervention; Domestic violence;
    All these keywords.

    JEL classification:

    • C36 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Instrumental Variables (IV) Estimation
    • D47 - Microeconomics - - Market Structure, Pricing, and Design - - - Market Design
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • O10 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - General

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