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The Impact of the AIDS Pandemic on Health Services in Africa: Evidence from Demographic and Health Surveys

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  • Anne Case

    ()

  • Christina Paxson

Abstract

We document the impact of the AIDS crisis on non-AIDS related health services in fourteen sub-Saharan African countries. Using multiple waves of Demographic and Health Surveys (DHS) for each country, we examine antenatal care, birth deliveries, and rates of immunization for children born between 1988 and 2005. We find deterioration in nearly all of these dimensions of health care over this period. The most recent DHS survey for each country collected data on HIV prevalence, which allows us to examine the association between HIV burden and health care. We find that erosion of health services is highly correlated with increases in AIDS prevalence. Regions of countries that have light AIDS burdens have witnessed small or no declines in health care, using the measures noted above, while those regions currently shouldering the heaviest burdens have seen the largest erosion in treatment for pregnant women and children. Using semi-parametric techniques, we can date the beginning of the divergence in health services between high and low HIV regions to the mid-1990s.

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File URL: http://hdl.handle.net/10.1007/s13524-011-0026-3
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Bibliographic Info

Article provided by Springer in its journal Demography.

Volume (Year): 48 (2011)
Issue (Month): 2 (May)
Pages: 675-697

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Handle: RePEc:spr:demogr:v:48:y:2011:i:2:p:675-697

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Web page: http://www.springer.com/economics/journal/13524

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Related research

Keywords: AIDS; Health services; DHS; Sub-Saharan Africa;

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  1. William Easterly, 2009. "Can the West Save Africa?," Journal of Economic Literature, American Economic Association, vol. 47(2), pages 373-447, June.
  2. Oster Emily, 2010. "Estimating HIV Prevalence and Incidence in Africa from Mortality Data," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 10(1), pages 1-46, September.
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Cited by:
  1. Alsan, Marcella M. & Cutler, David M., 2013. "Girls’ education and HIV risk: Evidence from Uganda," Journal of Health Economics, Elsevier, vol. 32(5), pages 863-872.
  2. William W. Olney, 2011. "Remittances and the Wage Impact of Immigration," Department of Economics Working Papers 2011-13, Department of Economics, Williams College.
  3. 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.
  4. Maureen Lewis & Marijn Verhoeven, 2010. "Financial Crises and Social Spending : The Impact of the 2008-2009 Crisis," World Bank Other Operational Studies 12965, The World Bank.
  5. Marcella M. Alsan & David M. Cutler, 2010. "Why did HIV decline in Uganda?," NBER Working Papers 16171, National Bureau of Economic Research, Inc.

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