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Exploiting Externalities to Estimate the Long-Term Effects of Early Childhood Deworming

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Abstract

I investigate whether a school-based deworming intervention in Kenya had long-term effects on young children. I exploit positive externalities from the program to estimate impacts on younger children who were not directly treated. Ten years after the intervention, I find large cognitive effects—comparable to between 0.5 and 0.8 years of schooling—for children who were less than one year old when their communities received school-based mass deworming treatment. I find no effect on child height or stunting. I also estimate effects among children whose older siblings received treatment directly; in this subpopulation, cognition effects are nearly twice as large.

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  • Owen Ozier, 2018. "Exploiting Externalities to Estimate the Long-Term Effects of Early Childhood Deworming," American Economic Journal: Applied Economics, American Economic Association, vol. 10(3), pages 235-262, July.
  • Handle: RePEc:aea:aejapp:v:10:y:2018:i:3:p:235-62
    Note: DOI: 10.1257/app.20160183
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    Cited by:

    1. Cilliers, Jacobus & Kasirye, Ibrahim & Leaver, Clare & Serneels, Pieter & Zeitlin, Andrew, 2018. "Pay for locally monitored performance? A welfare analysis for teacher attendance in Ugandan primary schools," Journal of Public Economics, Elsevier, vol. 167(C), pages 69-90.
    2. Richard Akresh & Emilie Bagby & Damien de Walque & Harounan Kazianga, "undated". "Child Labor, Schooling, and Child Ability (Professional Paper)," Mathematica Policy Research Reports bac9373fb1b34111a24aa3147, Mathematica Policy Research.
    3. Kazianga, Harounan & de Walque, Damien & Alderman, Harold, 2014. "School feeding programs, intrahousehold allocation and the nutrition of siblings: Evidence from a randomized trial in rural Burkina Faso," Journal of Development Economics, Elsevier, vol. 106(C), pages 15-34.
    4. Janet Currie & Tom Vogl, 2013. "Early-Life Health and Adult Circumstance in Developing Countries," Annual Review of Economics, Annual Reviews, vol. 5(1), pages 1-36, May.
    5. Amrita Ahuja & Sarah Baird & Joan Hamory Hicks & Michael Kremer & Edward Miguel & Shawn Powers, 2015. "When Should Governments Subsidize Health? The Case of Mass Deworming," The World Bank Economic Review, World Bank, vol. 29(suppl_1), pages 9-24.
    6. Meredith, Jennifer & Robinson, Jonathan & Walker, Sarah & Wydick, Bruce, 2013. "Keeping the doctor away: Experimental evidence on investment in preventative health products," Journal of Development Economics, Elsevier, vol. 105(C), pages 196-210.
    7. Joan Hamory Hicks & Michael Kremer & Edward Miguel, 2015. "The Case for Mass Treatment of Intestinal Helminths in Endemic Areas," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 9(10), pages 1-5, October.
    8. Kevin Croke & Joan Hamory Hicks & Eric Hsu & Michael Kremer & Ricardo Maertens & Edward Miguel & Witold Więcek, 2016. "Meta-Analysis and Public Policy: Reconciling the Evidence on Deworming," NBER Working Papers 22382, National Bureau of Economic Research, Inc.
    9. Joan Hamory & Edward Miguel & Michael W. Walker & Michael Kremer & Sarah J. Baird, 2020. "Twenty Year Economic Impacts of Deworming," NBER Working Papers 27611, National Bureau of Economic Research, Inc.
    10. Owen Ozier, 2021. "Replication Redux: The Reproducibility Crisis and the Case of Deworming [Economics of Mass Deworming Programs]," The World Bank Research Observer, World Bank, vol. 36(1), pages 101-130.
    11. David N. Figlio & Krzysztof Karbownik & Umut Özek, 2023. "Sibling Spillovers May Enhance the Efficacy of Targeted School Policies," NBER Working Papers 31406, National Bureau of Economic Research, Inc.
    12. Anett John & Kate Orkin, 2022. "Can Simple Psychological Interventions Increase Preventive Health Investment?," Journal of the European Economic Association, European Economic Association, vol. 20(3), pages 1001-1047.
    13. Greg Fischer & Dean Karlan & Margaret McConnell & Pia Raffler, 2014. "To Charge or Not to Charge: Evidence from a Health Products Experiment in Uganda," Working Papers 1041, Economic Growth Center, Yale University.
    14. Akresh, Richard & Bagby, Emilie & de Walque, Damien & Kazianga, Harounan, 2012. "Child labor, schooling, and child ability," Policy Research Working Paper Series 5965, The World Bank.
    15. Baird, Sarah & Hamory Hicks, Joan & Ozier, Owen, 2020. "Randomized control trial as social observatory: A case study," World Development, Elsevier, vol. 127(C).
    16. Croke,Kevin & Hicks,Joan Hamory & Hsu,Eric & Kremer,Michael Robert & Miguel,Edward A., 2016. "Does mass deworming affect child nutrition ? meta-analysis, cost-effectiveness, and statistical power," Policy Research Working Paper Series 7921, The World Bank.
    17. Pascaline Dupas & Edward Miguel, 2016. "Impacts and Determinants of Health Levels in Low-Income Countries," NBER Working Papers 22235, National Bureau of Economic Research, Inc.
    18. Baldwin, Kate & Bhavnani, Rikhil R., 2013. "Ancillary Experiments: Opportunities and Challenges," WIDER Working Paper Series 024, World Institute for Development Economic Research (UNU-WIDER).
    19. Richard Akresh & Emilie Bagby & Damien de Walque & Harounan Kazianga, "undated". "Child Labor, Schooling, and Child Ability (Presentation)," Mathematica Policy Research Reports 3a260bbbddf24704a8a35fce7, Mathematica Policy Research.
    20. McWay, Ryan & Prabhakar, Pallavi & Ellis, Ayo, 2022. "The Impact of Early Childhood Development Interventions on Children’s Health in Developing Countries: A Systematic Review and Meta-analysis," Discussion Paper Series in Economics 14/2022, Norwegian School of Economics, Department of Economics.
    21. Jakiela,Pamela & Ozier,Owen & Fernald,Lia C. & Knauer,Heather Ashley, 2020. "Big Sisters," Policy Research Working Paper Series 9454, The World Bank.
      • Pamela Jakiela & Owen Ozier & Lia Fernald & Heather Knauer, 2020. "Big Sisters," Working Papers 559, Center for Global Development.
    22. repec:pri:rpdevs:currie_vogl_ar is not listed on IDEAS
    23. Levine, David I. & Riggs, William & Steffen, Kelsey, 2017. "Rapid prototyping a school-based health program in the developing world," Development Engineering, Elsevier, vol. 2(C), pages 68-81.
    24. Cameron, Lisa & Chase, Claire & Haque, Sabrina & Joseph, George & Pinto, Rebekah & Wang, Qiao, 2021. "Childhood stunting and cognitive effects of water and sanitation in Indonesia," Economics & Human Biology, Elsevier, vol. 40(C).
    25. Baldwin Kate & Bhavnani Rikhil R., 2015. "Ancillary Studies of Experiments: Opportunities and Challenges," Journal of Globalization and Development, De Gruyter, vol. 6(1), pages 113-146, June.

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    More about this item

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I21 - Health, Education, and Welfare - - Education - - - Analysis of Education
    • I26 - Health, Education, and Welfare - - Education - - - Returns to Education
    • I28 - Health, Education, and Welfare - - Education - - - Government Policy
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

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    1. Exploiting Externalities to Estimate the Long-Term Effects of Early Childhood Deworming (American Economic Journal: Applied Economics 2018) in ReplicationWiki

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