IDEAS home Printed from https://ideas.repec.org/p/nbr/nberwo/22767.html
   My bibliography  Save this paper

Effects of Adult Health Interventions at Scale on Children's Schooling: Evidence from Antiretroviral Therapy in Zambia

Author

Listed:
  • Adrienne M. Lucas
  • Margaret Chidothe
  • Nicholas L. Wilson

Abstract

In 2007, approximately one in five children in Zambia lived with an HIV positive adult. We identify the effect of adult antiretroviral therapy (ART) availability at scale on children’s educational outcomes by combining data on the expansion of ART availability with two national household surveys that include HIV testing. Through a triple difference specification, we find that the availability of ART increased the likelihood that children in households with HIV positive household heads started school on time and were the appropriate grade-for-age. Two mechanisms were likely decreased incidental infections in the household and related care giving duties.

Suggested Citation

  • Adrienne M. Lucas & Margaret Chidothe & Nicholas L. Wilson, 2016. "Effects of Adult Health Interventions at Scale on Children's Schooling: Evidence from Antiretroviral Therapy in Zambia," NBER Working Papers 22767, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:22767
    Note: CH ED EH
    as

    Download full text from publisher

    To our knowledge, this item is not available for download. To find whether it is available, there are three options:
    1. Check below whether another version of this item is available online.
    2. Check on the provider's web page whether it is in fact available.
    3. Perform a search for a similarly titled item that would be available.

    Other versions of this item:

    References listed on IDEAS

    as
    1. Jane G Fortson, 2011. "Mortality Risk and Human Capital Investment: The Impact of HIV/AIDS in Sub-Saharan Africa," The Review of Economics and Statistics, MIT Press, vol. 93(1), pages 1-15, February.
    2. Adrienne M. Lucas & Nicholas L. Wilson, 2013. "Adult Antiretroviral Therapy and Child Health: Evidence from Scale-Up in Zambia," American Economic Review, American Economic Association, vol. 103(3), pages 456-461, May.
    3. 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.
    4. 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.
    5. Sam Jones & Youdi Schipper & Sara Ruto & Rakesh Rajani, 2014. "Can Your Child Read and Count? Measuring Learning Outcomes in East Africa," Journal of African Economies, Centre for the Study of African Economies, vol. 23(5), pages 643-672.
    6. 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.
    7. Yamano, Takashi & Jayne, T S, 2005. "Working-Age Adult Mortality and Primary School Attendance in Rural Kenya," Economic Development and Cultural Change, University of Chicago Press, vol. 53(3), pages 619-653, April.
    8. Philip Oreopoulos & Marianne E. Page, 2006. "The Intergenerational Effects of Compulsory Schooling," Journal of Labor Economics, University of Chicago Press, vol. 24(4), pages 729-760, October.
    9. Michael Kremer & Edward Miguel & Rebecca Thornton, 2009. "Incentives to Learn," The Review of Economics and Statistics, MIT Press, vol. 91(3), pages 437-456, August.
    10. Harsha Thirumurthy & Joshua Graff Zivin & Markus Goldstein, 2008. "The Economic Impact of AIDS Treatment: Labor Supply in Western Kenya," Journal of Human Resources, University of Wisconsin Press, vol. 43(3), pages 511-552.
    11. David Evans & Edward Miguel, 2007. "Orphans and schooling in africa: a longitudinal analysis," Demography, Springer;Population Association of America (PAA), vol. 44(1), pages 35-57, February.
    12. James Habyarimana & Bekezela Mbakile & Cristian Pop-Eleches, 2010. "The Impact of HIV/AIDS and ARV Treatment on Worker Absenteeism: Implications for African Firms," Journal of Human Resources, University of Wisconsin Press, vol. 45(4), pages 809-839.
    13. Bicego, George & Rutstein, Shea & Johnson, Kiersten, 2003. "Dimensions of the emerging orphan crisis in sub-Saharan Africa," Social Science & Medicine, Elsevier, vol. 56(6), pages 1235-1247, March.
    14. James Levinsohn & Zoë M. McLaren & Olive Shisana & Khangelani Zuma, 2013. "HIV Status and Labor Market Participation in South Africa," The Review of Economics and Statistics, MIT Press, vol. 95(1), pages 98-108, March.
    15. Pitt, Mark M & Rosenzweig, Mark R, 1990. "Estimating the Intrahousehold Incidence of Illness: Child Health and Gender-Inequality in the Allocation of Time," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 31(4), pages 969-980, November.
    16. Adrienne M. Lucas & Nicholas L. Wilson, 2018. "Can At-Scale Drug Provision Improve the Health of the Targeted in Sub-Saharan Africa?," American Journal of Health Economics, University of Chicago Press, vol. 4(3), pages 358-382, Summer.
    17. Jane Fortson, 2008. "The gradient in sub-saharan Africa: Socioeconomic status and HIV/AIDS," Demography, Springer;Population Association of America (PAA), vol. 45(2), pages 303-322, May.
    18. John Curry & Esther Wiegers & Alessandra Garbero & Shannon Stokes & John Hourihan, 2006. "Gender, HIV/AIDS and Rural Livelihoods: Micro-Level Investigations in Three African Countries," WIDER Working Paper Series RP2006-110, World Institute for Development Economic Research (UNU-WIDER).
    19. Friedman, Willa Helterline, 2018. "Antiretroviral drug access and behavior change," Journal of Development Economics, Elsevier, vol. 135(C), pages 392-411.
    20. repec:mpr:mprres:6928 is not listed on IDEAS
    21. Tirivayi, J.N. & Groot, W.N.J., 2014. "The impact of food transfers for people living with HIV/AIDS: Evidence from Zambia," MERIT Working Papers 2014-065, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).
    22. Adrienne M. Lucas & Isaac M. Mbiti, 2012. "Does Free Primary Education Narrow Gender Differences in Schooling? Evidence from Kenya -super-†," Journal of African Economies, Centre for the Study of African Economies, vol. 21(5), pages -722, November.
    23. Glewwe, Paul & Miguel, Edward A., 2008. "The Impact of Child Health and Nutrition on Education in Less Developed Countries," Handbook of Development Economics, in: T. Paul Schultz & John A. Strauss (ed.), Handbook of Development Economics, edition 1, volume 4, chapter 56, pages 3561-3606, Elsevier.
    24. Andrew Dillon, 2013. "Child Labour and Schooling Responses to Production and Health Shocks in Northern Mali-super- †," Journal of African Economies, Centre for the Study of African Economies, vol. 22(2), pages 276-299, March.
    25. Ainsworth, Martha & Filmer, Deon, 2006. "Inequalities in children's schooling: AIDS, orphanhood, poverty, and gender," World Development, Elsevier, vol. 34(6), pages 1099-1128, June.
    Full references (including those not matched with items on IDEAS)

    Citations

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


    Cited by:

    1. Rossi, Pauline & Villar, Paola, 2020. "Private health investments under competing risks: Evidence from malaria control in Senegal," Journal of Health Economics, Elsevier, vol. 73(C).
    2. Adrienne M. Lucas & Nicholas L. Wilson, 2018. "Can At-Scale Drug Provision Improve the Health of the Targeted in Sub-Saharan Africa?," American Journal of Health Economics, MIT Press, vol. 4(3), pages 358-382, Summer.
    3. Luke Chicoine & Emily Lyons & Alexia Sahue, 2021. "The impact of HIV/AIDS on human capital investment in Sub‐Saharan Africa: New evidence," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 36(6), pages 842-852, September.
    4. Herrera-Almanza, Catalina & Rosales-Rueda, Maria F., 2023. "Community-based health programs and child vaccinations: Evidence from Madagascar," World Development, Elsevier, vol. 170(C).
    5. Bennell, Paul, 2021. "The educational attainment of orphans in high HIV countries in sub-Saharan Africa: An update," International Journal of Educational Development, Elsevier, vol. 82(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. Luke Chicoine & Emily Lyons & Alexia Sahue, 2021. "The impact of HIV/AIDS on human capital investment in Sub‐Saharan Africa: New evidence," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 36(6), pages 842-852, September.
    2. Chicoine, Luke, 2012. "AIDS mortality and its effect on the labor market: Evidence from South Africa," Journal of Development Economics, Elsevier, vol. 98(2), pages 256-269.
    3. Mette Ejrnæs & Esteban García-Miralles & Mette Gørtz & Petter Lundborg, 2023. "When death was postponed: the effect of hiv medication on work, savings and marriage," Working Papers 2317, Banco de España.
    4. Friedman, Willa Helterline, 2018. "Antiretroviral drug access and behavior change," Journal of Development Economics, Elsevier, vol. 135(C), pages 392-411.
    5. 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.
    6. Zivin, Joshua Graff & Thirumurthy, Harsha & Goldstein, Markus, 2009. "AIDS treatment and intrahousehold resource allocation: Children's nutrition and schooling in Kenya," Journal of Public Economics, Elsevier, vol. 93(7-8), pages 1008-1015, August.
    7. Adrienne M. Lucas & Nicholas L. Wilson, 2018. "Can At-Scale Drug Provision Improve the Health of the Targeted in Sub-Saharan Africa?," American Journal of Health Economics, University of Chicago Press, vol. 4(3), pages 358-382, Summer.
    8. 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.
    9. Jean-Noël Senne, 2014. "Death and schooling decisions over the short and long run in rural Madagascar," Journal of Population Economics, Springer;European Society for Population Economics, vol. 27(2), pages 497-528, April.
    10. Aleksandra Jakubowski & Katherine Snyman & Dalsone Kwarisiima & Norton Sang & Rachel Burger & Laura Balzer & Tamara Clark & Gabriel Chamie & Starley Shade & Craig Cohen & Elizabeth Bukusi & Edwin Char, 2018. "High CD4 counts associated with better economic outcomes for HIV-positive adults and their HIV-negative household members in the SEARCH Trial," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-18, June.
    11. Tompsett, Anna, 2020. "The Lazarus drug: the impact of antiretroviral therapy on economic growth," Journal of Development Economics, Elsevier, vol. 143(C).
    12. Kathleen Beegle & Joachim De Weerdt & Stefan Dercon, 2006. "Orphanhood and the Long-Run Impact on Children," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 88(5), pages 1266-1272.
    13. 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..
    14. Belgi Turan, 2020. "Life expectancy and economic development: Evidence from microdata," Review of Development Economics, Wiley Blackwell, vol. 24(3), pages 949-972, August.
    15. Tirivayi, Nyasha & Groot, Wim, 2018. "Does integrating AIDS treatment with food assistance affect labor supply? Evidence from Zambia," Economics & Human Biology, Elsevier, vol. 28(C), pages 79-91.
    16. Marinescu, Ioana, 2014. "HIV, wages, and the skill premium," Journal of Health Economics, Elsevier, vol. 37(C), pages 181-197.
    17. Ha, Wei & Salama, Peter & Gwavuya, Stanley, 2015. "The impact of orphanhood on education attendance: evidence from Zimbabwe," International Journal of Educational Development, Elsevier, vol. 40(C), pages 59-70.
    18. repec:pri:rpdevs:vogl_ed_health_review is not listed on IDEAS
    19. Christopher Ksoll, 2007. "Family Networks and Orphan Caretaking in Tanzania," Economics Series Working Papers 361, University of Oxford, Department of Economics.
    20. De Vreyer, Philippe & Nilsson, Björn, 2019. "When solidarity fails: Heterogeneous effects on children from adult deaths in Senegalese households," World Development, Elsevier, vol. 114(C), pages 73-94.
    21. Lauren Gaydosh, 2015. "Childhood Risk of Parental Absence in Tanzania," Demography, Springer;Population Association of America (PAA), vol. 52(4), pages 1121-1146, August.

    More about this item

    JEL classification:

    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • 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
    • O18 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Urban, Rural, Regional, and Transportation Analysis; Housing; Infrastructure

    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:22767. 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.