IDEAS home Printed from https://ideas.repec.org/p/nbr/nberwo/18226.html
   My bibliography  Save this paper

Prevention of Mother-to-Child Transmission of HIV and Reproductive Behavior in Zambia

Author

Listed:
  • Nicholas Wilson

Abstract

Prevention of mother-to-child transmission of HIV (PMTCT) is the single most effective HIV prevention intervention in practice today. Nonetheless, little reliable empirical evidence exists on the behavioral effects of PMTCT. This paper documents the rapid expansion of access to PMTCT in Zambia during the period 2000-2007 and provides some of the first evidence on the change in reproductive behavior associated with PMTCT scale-up. The results of a primarily descriptive analysis suggest that PMTCT may have generated increases in knowledge about PMTCT and MTCT, large reductions in child mortality and pregnancy rates, and smaller changes in breastfeeding rates. However, additional research is required to address the potential endogeneity of PMTCT availability.

Suggested Citation

  • Nicholas Wilson, 2012. "Prevention of Mother-to-Child Transmission of HIV and Reproductive Behavior in Zambia," NBER Working Papers 18226, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:18226
    Note: EH
    as

    Download full text from publisher

    File URL: http://www.nber.org/papers/w18226.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Rodrigo R. Soares, 2005. "Mortality Reductions, Educational Attainment, and Fertility Choice," American Economic Review, American Economic Association, vol. 95(3), pages 580-601, June.
    2. David Canning, 2006. "The Economics of HIV/AIDS in Low-Income Countries: The Case for Prevention," Journal of Economic Perspectives, American Economic Association, vol. 20(3), pages 121-142, Summer.
    3. Luis Angeles, 2010. "Demographic transitions: analyzing the effects of mortality on fertility," Journal of Population Economics, Springer;European Society for Population Economics, vol. 23(1), pages 99-120, January.
    4. Cooper, Diane & Harries, Jane & Myer, Landon & Orner, Phyllis & Bracken, Hillary, 2007. ""Life is still going on": Reproductive intentions among HIV-positive women and men in South Africa," Social Science & Medicine, Elsevier, vol. 65(2), pages 274-283, July.
    5. Kalemli-Ozcan, Sebnem & Turan, Belgi, 2011. "HIV and fertility revisited," Journal of Development Economics, Elsevier, vol. 96(1), pages 61-65, September.
    6. repec:mpr:mprres:7082 is not listed on IDEAS
    7. 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.
    8. Matthias Doepke, 2005. "Child mortality and fertility decline: Does the Barro-Becker model fit the facts?," Journal of Population Economics, Springer;European Society for Population Economics, vol. 18(2), pages 337-366, June.
    9. Gary S. Becker & H. Gregg Lewis, 1974. "Interaction between Quantity and Quality of Children," NBER Chapters, in: Economics of the Family: Marriage, Children, and Human Capital, pages 81-90, National Bureau of Economic Research, Inc.
    10. Barro, Robert J & Becker, Gary S, 1989. "Fertility Choice in a Model of Economic Growth," Econometrica, Econometric Society, vol. 57(2), pages 481-501, March.
    11. Ben-Porath, Yoram, 1976. "Fertility Response to Child Mortality: Micro Data from Israel," Journal of Political Economy, University of Chicago Press, vol. 84(4), pages 163-178, August.
    12. Wolpin, Kenneth I, 1984. "An Estimable Dynamic Stochastic Model of Fertility and Child Mortality," Journal of Political Economy, University of Chicago Press, vol. 92(5), pages 852-874, October.
    13. Jane G. Fortson, 2009. "HIV/AIDS and Fertility," American Economic Journal: Applied Economics, American Economic Association, vol. 1(3), pages 170-194, July.
    14. Günther Fink & Sebastian Linnemayr, 2013. "HIV Does Matter for Fertility: Human Capital, Mortality and Family Size," PGDA Working Papers 10913, Program on the Global Demography of Aging.
    Full references (including those not matched with items on IDEAS)

    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. Nicholas Wilson, 2011. "Fertility Responses to Prevention of Mother-to-Child Transmission of HIV," Department of Economics Working Papers 2011-11, Department of Economics, Williams College, revised Sep 2011.
    2. William W. Olney, 2015. "Remittances and the Wage Impact of Immigration," Journal of Human Resources, University of Wisconsin Press, vol. 50(3), pages 694-727.
    3. 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.
    4. Luca GORI & Enrico LUPI & Piero MANFREDI & Mauro SODINI, 2020. "A Contribution to the Theory of Economic Development and the Demographic Transition: Fertility Reversal under the HIV Epidemic," JODE - Journal of Demographic Economics, Cambridge University Press, vol. 86(2), pages 125-155, June.
    5. Belgi Turan, 2020. "Life expectancy and economic development: Evidence from microdata," Review of Development Economics, Wiley Blackwell, vol. 24(3), pages 949-972, August.
    6. Wang, Ruixin, 2015. "Essays on development economics and public economics," Other publications TiSEM e1779514-5b71-4726-925b-2, Tilburg University, School of Economics and Management.
    7. Sebnem Kalemli-Ozcan, 2012. "AIDS, “reversal” of the demographic transition and economic development: evidence from Africa," Journal of Population Economics, Springer;European Society for Population Economics, vol. 25(3), pages 871-897, July.
    8. Yoo-Mi Chin & Nicholas Wilson, 2018. "Disease risk and fertility: evidence from the HIV/AIDS pandemic," Journal of Population Economics, Springer;European Society for Population Economics, vol. 31(2), pages 429-451, April.
    9. Dierk Herzer & Holger Strulik & Sebastian Vollmer, 2012. "The long-run determinants of fertility: one century of demographic change 1900–1999," Journal of Economic Growth, Springer, vol. 17(4), pages 357-385, December.
    10. Sunde, Uwe & Cervellati, Matteo, 2007. "Human Capital, Mortality and Fertility: A Unified Theory of the Economic and Demographic Transition," CEPR Discussion Papers 6384, C.E.P.R. Discussion Papers.
    11. William Lord & Peter Rangazas, 2006. "Fertility and development: the roles of schooling and family production," Journal of Economic Growth, Springer, vol. 11(3), pages 229-261, September.
    12. Dick Durevall & Annika Lindskog, 2016. "Adult Mortality, AIDS, and Fertility in Rural Malawi," The Developing Economies, Institute of Developing Economies, vol. 54(3), pages 215-242, September.
    13. Dick Durevall & Annika Lindskog, 2011. "Uncovering the impact of the HIV epidemic on fertility in Sub-Saharan Africa: the case of Malawi," Journal of Population Economics, Springer;European Society for Population Economics, vol. 24(2), pages 629-655, April.
    14. Gby Atee & Aparajita Dasgupta & Sneha Lamba, 2024. "The Effect of COVID-19 on Fertility in India: Evidence from the National Family Health Survey," Working Papers 115, Ashoka University, Department of Economics.
    15. Yao, Yao, 2016. "Fertility and HIV risk in Africa," Working Paper Series 19501, Victoria University of Wellington, School of Economics and Finance.
    16. Mevlude Akbulut-Yuksel & Belgi Turan, 2013. "Left behind: intergenerational transmission of human capital in the midst of HIV/AIDS," Journal of Population Economics, Springer;European Society for Population Economics, vol. 26(4), pages 1523-1547, October.
    17. Larry E. Jones & Alice Schoonbroodt & Michèle Tertilt, 2010. "Fertility Theories: Can They Explain the Negative Fertility-Income Relationship?," NBER Chapters, in: Demography and the Economy, pages 43-100, National Bureau of Economic Research, Inc.
    18. Cuberes, David & Tamura, Robert, 2014. "Equilibrium and Optimal Fertility with Increasing Returns to Population and Endogenous Fertility," MPRA Paper 57063, University Library of Munich, Germany.
    19. Moshe Hazan, 2012. "Life expectancy and schooling: new insights from cross-country data," Journal of Population Economics, Springer;European Society for Population Economics, vol. 25(4), pages 1237-1248, October.
    20. Papagni, Erasmo, 2018. "Fertility Transitions in Developing Countries: Convergence, Timing, and Causes," GLO Discussion Paper Series 248, Global Labor Organization (GLO).

    More about this item

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

    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:nbr:nberwo:18226. 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: the person in charge (email available below). General contact details of provider: https://edirc.repec.org/data/nberrus.html .

    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.