IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v127y2015icp108-115.html
   My bibliography  Save this article

The effect of increased primary schooling on adult women's HIV status in Malawi and Uganda: Universal Primary Education as a natural experiment

Author

Listed:
  • Behrman, Julia Andrea

Abstract

This paper explores the causal relationship between primary schooling and adult HIV status in Malawi and Uganda, two East African countries with some of the highest HIV infection rates in the world. Using data from the 2010 Malawi Demographic Health Survey and the 2011 Uganda AIDS Indicator Survey, the paper takes advantage of a natural experiment, the implementation of Universal Primary Education policies in the mid 1990s. An instrumented regression discontinuity approach is used to model the relationship between increased primary schooling and adult women's HIV status. Results indicate that a one-year increase in schooling decreases the probability of an adult woman testing positive for HIV by 0.06 (p < 0.01) in Malawi and by 0.03 (p < 0.05) in Uganda. These results are robust to a variety of model specifications. In a series of supplementary analyses a number of potential pathways through which such effects may occur are explored. Findings indicate increased primary schooling positively affects women's literacy and spousal schooling attainment in Malawi and age of marriage and current household wealth in Uganda. However primary schooling has no effect on recent (adult) sexual behavior.

Suggested Citation

  • Behrman, Julia Andrea, 2015. "The effect of increased primary schooling on adult women's HIV status in Malawi and Uganda: Universal Primary Education as a natural experiment," Social Science & Medicine, Elsevier, vol. 127(C), pages 108-115.
    • Handle: RePEc:eee:socmed:v:127:y:2015:i:c:p:108-115
    DOI: 10.1016/j.socscimed.2014.06.034
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S027795361400402X
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2014.06.034?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Osili, Una Okonkwo & Long, Bridget Terry, 2008. "Does female schooling reduce fertility? Evidence from Nigeria," Journal of Development Economics, Elsevier, vol. 87(1), pages 57-75, August.
    2. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769.
    3. Stock, James H & Wright, Jonathan H & Yogo, Motohiro, 2002. "A Survey of Weak Instruments and Weak Identification in Generalized Method of Moments," Journal of Business & Economic Statistics, American Statistical Association, vol. 20(4), pages 518-529, October.
    4. Pascaline Dupas, 2011. "Do Teenagers Respond to HIV Risk Information? Evidence from a Field Experiment in Kenya," American Economic Journal: Applied Economics, American Economic Association, vol. 3(1), pages 1-34, January.
    5. de Walque, Damien, 2007. "How does the impact of an HIV/AIDS information campaign vary with educational attainment? Evidence from rural Uganda," Journal of Development Economics, Elsevier, vol. 84(2), pages 686-714, November.
    6. 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.
    7. World Bank, 2009. "Abolishing School Fees in Africa : Lessons from Ethiopia, Ghana, Kenya, Malawi, and Mozambique," World Bank Publications - Books, The World Bank Group, number 2617.
    8. Deininger, Klaus, 2003. "Does cost of schooling affect enrollment by the poor? Universal primary education in Uganda," Economics of Education Review, Elsevier, vol. 22(3), pages 291-305, June.
    9. Louise Grogan, 2009. "Universal Primary Education and School Entry in Uganda," Journal of African Economies, Centre for the Study of African Economies, vol. 18(2), pages 183-211, March.
    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. Ninja Ritter Klejnstrup & Joel Silas Lincoln, 2018. "Formal education, malaria preventive behaviour, and children’s malarial status in Tanzania," WIDER Working Paper Series 009, World Institute for Development Economic Research (UNU-WIDER).
    2. David E. Bloom & Michael Kuhn & Klaus Prettner, 2022. "Modern Infectious Diseases: Macroeconomic Impacts and Policy Responses," Journal of Economic Literature, American Economic Association, vol. 60(1), pages 85-131, March.
    3. Pragya Bhuwania & Kate Huh & Jody Heymann, 2023. "Impact of Tuition‐Free Education Policy on Child Marriage and Early Childbearing: Does Secondary Matter More?," Population and Development Review, The Population Council, Inc., vol. 49(1), pages 43-70, March.
    4. Behrman, Jere R. & Xiong, Yanyan & Zhang, Junsen, 2015. "Cross-sectional schooling-health associations misrepresented causal schooling effects on adult health and health-related behaviors: Evidence from the Chinese Adults Twins Survey," Social Science & Medicine, Elsevier, vol. 127(C), pages 190-197.
    5. Weitzman, Abigail, 2017. "The effects of women's education on maternal health: Evidence from Peru," Social Science & Medicine, Elsevier, vol. 180(C), pages 1-9.
    6. Marta Favara & Alan Sanchez, 2017. "Psychosocial competencies and risky behaviours in Peru," IZA Journal of Labor & Development, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 6(1), pages 1-40, December.
    7. Makate, Marshall & Makate, Clifton, 2016. "The causal effect of increased primary schooling on child mortality in Malawi: Universal primary education as a natural experiment," Social Science & Medicine, Elsevier, vol. 168(C), pages 72-83.
    8. Jangsaeng Kim & Miyang Jun, 2022. "Money, a Drain of Educational Opportunity: A Microregional Study of School Dropouts in Mpigi, Uganda," Sustainability, MDPI, vol. 14(10), pages 1-15, May.
    9. Sakai Yoko & Masuda Kazuya, 2020. "Secondary education and international labor mobility: evidence from the natural experiment in the Philippines," IZA Journal of Development and Migration, Sciendo & Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 11(1), pages 1-22, January.
    10. Tsai, Alexander C. & Venkataramani, Atheendar S., 2015. "The causal effect of education on HIV stigma in Uganda: Evidence from a natural experiment," Social Science & Medicine, Elsevier, vol. 142(C), pages 37-46.
    11. Byaro, Mwoya & Mpeta, Daniel, 2021. "Secondary Education and its Effects on Child Health: Empirical Evidence from Sub-Saharan Africa," African Journal of Economic Review, African Journal of Economic Review, vol. 9(2), April.
    12. Bhandari, Aarushi & Burroway, Rebekah, 2023. "Hold the phone! A cross-national analysis of Women's education, mobile phones, and HIV infections in low- and middle-income countries, 1990–2018," Social Science & Medicine, Elsevier, vol. 334(C).
    13. Ibrahim Kasirye, 2016. "HIV/AIDS Sero-prevalence and Socio-economic Status: Evidence from Uganda," African Development Review, African Development Bank, vol. 28(3), pages 304-318, September.
    14. Naomi Duke & Ross Macmillan, 2016. "Schooling, skills, and self-rated health: A test of conventional wisdom on the relationship between educational attainment and health," Working Papers 087, "Carlo F. Dondena" Centre for Research on Social Dynamics (DONDENA), Università Commerciale Luigi Bocconi.
    15. Dursun, Bahadır & Cesur, Resul & Mocan, Naci, 2018. "The Impact of Education on Health Outcomes and Behaviors in a Middle-Income, Low-Education Country," Economics & Human Biology, Elsevier, vol. 31(C), pages 94-114.
    16. Yiyeon Kim, 2021. "The geographic scope of conflict and HIV," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(6), pages 2313-2322, November.
    17. Lijia Guo & Jiashun Huang & You Zhang, 2019. "Education Development in China: Education Return, Quality, and Equity," Sustainability, MDPI, vol. 11(13), pages 1-20, July.
    18. Frederik Wild & David Stadelmann, 2024. "Heterogeneous Effects of Women's Schooling on Fertility, Literacy and Work: Evidence from Burundi's Free Primary Education Policy," Journal of African Economies, Centre for the Study of African Economies, vol. 33(1), pages 67-91.
    19. Durevall, Dick & Lindskog, Annika & George, Gavin, 2015. "Education and HIV incidence among young women: causation or selection?," Working Papers in Economics 638, University of Gothenburg, Department of Economics.
    20. Jessica E. Taaffe & Andrew F. Longosz & David Wilson, 2017. "Themed Issue: Cash Transfers and Microfinance," Development Policy Review, Overseas Development Institute, vol. 35(5), pages 601-619, September.
    21. Makate, Marshall & Nyamuranga, Chamunorwa, 2024. "Changing the mindsets? Education and the intergenerational spread of tolerance for physical violence against women in Zimbabwe," Economics & Human Biology, Elsevier, vol. 52(C).
    22. Sana Khan & Gianna Claudia Giannelli & Lucia Ferrone, 2024. "Can Maternal Education Enhance Children's Dietary Diversity and Nutritional Outcomes? Evidence from 2003 Education Reform in Kenya," Working Papers - Economics wp2024_12.rdf, Universita' degli Studi di Firenze, Dipartimento di Scienze per l'Economia e l'Impresa.

    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. Julia Behrman, 2015. "Does Schooling Affect Women’s Desired Fertility? Evidence From Malawi, Uganda, and Ethiopia," Demography, Springer;Population Association of America (PAA), vol. 52(3), pages 787-809, June.
    2. Tsai, Alexander C. & Venkataramani, Atheendar S., 2015. "The causal effect of education on HIV stigma in Uganda: Evidence from a natural experiment," Social Science & Medicine, Elsevier, vol. 142(C), pages 37-46.
    3. Frederik Wild & David Stadelmann, 2024. "Heterogeneous Effects of Women's Schooling on Fertility, Literacy and Work: Evidence from Burundi's Free Primary Education Policy," Journal of African Economies, Centre for the Study of African Economies, vol. 33(1), pages 67-91.
    4. Keats, Anthony, 2018. "Women's schooling, fertility, and child health outcomes: Evidence from Uganda's free primary education program," Journal of Development Economics, Elsevier, vol. 135(C), pages 142-159.
    5. Valente, Christine, 2019. "Primary education expansion and quality of schooling," Economics of Education Review, Elsevier, vol. 73(C).
    6. Atuhurra, Julius F., 2016. "Does community involvement affect teacher effort? Assessing learning impacts of Free Primary Education in Kenya," International Journal of Educational Development, Elsevier, vol. 49(C), pages 234-246.
    7. Marshall Makate, 2016. "Education Policy and Under-Five Survival in Uganda: Evidence from the Demographic and Health Surveys," Social Sciences, MDPI, vol. 5(4), pages 1-17, October.
    8. Moshoeshoe,Ramaele Elias, 2020. "Long-Term Effects of Free Primary Education on Educational Achievement : Evidence from Lesotho," Policy Research Working Paper Series 9404, The World Bank.
    9. Makate, Marshall & Makate, Clifton, 2016. "The causal effect of increased primary schooling on child mortality in Malawi: Universal primary education as a natural experiment," Social Science & Medicine, Elsevier, vol. 168(C), pages 72-83.
    10. Baland, Jean-Marie & Aldashev, Gani, 2012. "Awareness and AIDS: A Political Economy Perspective," CEPR Discussion Papers 8908, C.E.P.R. Discussion Papers.
    11. Filmer, Deon, 2023. "Long-lived consequences of rapid scale-up? The case of free primary education in six Sub-Saharan African countries," International Journal of Educational Development, Elsevier, vol. 102(C).
    12. Brudevold-Newman, Andrew, 2021. "Expanding access to secondary education: Evidence from a fee reduction and capacity expansion policy in kenya," Economics of Education Review, Elsevier, vol. 83(C).
    13. Siameh, Celestine O., 2020. "The Impact of Education Reforms on Household Adult Welfare Outcomes in Ethiopia: The 1994 Free Primary Education (FPE) Reform," 2020 Annual Meeting, July 26-28, Kansas City, Missouri 304567, Agricultural and Applied Economics Association.
    14. Andalón, Mabel & Williams, Jenny & Grossman, Michael, 2014. "Empowering Women: The Effect of Schooling on Young Women's Knowledge and Use of Contraception," IZA Discussion Papers 7900, Institute of Labor Economics (IZA).
    15. Esther Duflo & Pascaline Dupas & Michael Kremer, 2015. "Education, HIV, and Early Fertility: Experimental Evidence from Kenya," American Economic Review, American Economic Association, vol. 105(9), pages 2757-2797, September.
    16. Chicoine, Luke, 2019. "Schooling with learning: The effect of free primary education and mother tongue instruction reforms in Ethiopia," Economics of Education Review, Elsevier, vol. 69(C), pages 94-107.
    17. Chicoine, Luke, 2016. "Identifying National Level Education Reforms in Developing Settings: An Application to Ethiopia," IZA Discussion Papers 9916, Institute of Labor Economics (IZA).
    18. Pragya Bhuwania & Kate Huh & Jody Heymann, 2023. "Impact of Tuition‐Free Education Policy on Child Marriage and Early Childbearing: Does Secondary Matter More?," Population and Development Review, The Population Council, Inc., vol. 49(1), pages 43-70, March.
    19. Alston Lee J. & Mueller Bernardo, 2018. "Priests, Conflicts and Property Rights: the Impacts on Tenancy and Land Use in Brazil," Man and the Economy, De Gruyter, vol. 5(1), pages 1-26, June.
    20. Yao Yao, 2022. "Fertility and HIV Risk in Africa," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 45, pages 109-133, July.

    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:eee:socmed:v:127:y:2015:i:c:p:108-115. 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: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    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.