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Analysis of economic and educational spillover effects in PEPFAR countries

Author

Listed:
  • William Crown
  • Dhwani Hariharan
  • Jennifer Kates
  • Gary Gaumer
  • Monica Jordan
  • Clare Hurley
  • Yiqun Luan
  • Allyala Nandakumar

Abstract

The United States President’s Emergency Plan for AIDS Relief (PEPFAR) has been credited with saving millions lives and helping to change the trajectory of the global human immunodeficiency virus (HIV) epidemic. This study assesses whether PEPFAR has had impacts beyond health by examining changes in five economic and educational outcomes in PEPFAR countries: the gross domestic product (GDP) per capita growth rate; the share of girls and share of boys, respectively, who are out of school; and female and male employment rates. We constructed a panel data set for 157 low- and middle-income countries between 1990 and 2018 to estimate the macroeconomic impacts of PEPFAR. Our PEPFAR group included 90 countries that had received PEPFAR support over the period. Our comparison group included 67 low- and middle-income countries that had not received any PEPFAR support or had received minimal PEPFAR support (

Suggested Citation

  • William Crown & Dhwani Hariharan & Jennifer Kates & Gary Gaumer & Monica Jordan & Clare Hurley & Yiqun Luan & Allyala Nandakumar, 2023. "Analysis of economic and educational spillover effects in PEPFAR countries," PLOS ONE, Public Library of Science, vol. 18(12), pages 1-16, December.
  • Handle: RePEc:plo:pone00:0289909
    DOI: 10.1371/journal.pone.0289909
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    References listed on IDEAS

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    1. Ashesh Rambachan & Jonathan Roth, 2023. "A More Credible Approach to Parallel Trends," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 90(5), pages 2555-2591.
    2. World Bank, 2020. "Human Capital Project," World Bank Publications - Reports 33671, The World Bank Group.
    3. Bloom, David E. & Kuhn, Michael & Prettner, Klaus, 2018. "Health and Economic Growth," IZA Discussion Papers 11939, IZA Network @ LISER.
    4. David E. Bloom & Alex Khoury & Vadim Kufenko & Klaus Prettner, 2021. "Spurring Economic Growth through Human Development: Research Results and Guidance for Policymakers," Population and Development Review, The Population Council, Inc., vol. 47(2), pages 377-409, June.
    5. Stephen Resch & Eline Korenromp & John Stover & Matthew Blakley & Carleigh Krubiner & Kira Thorien & Robert Hecht & Rifat Atun, 2011. "Economic Returns to Investment in AIDS Treatment in Low and Middle Income Countries," PLOS ONE, Public Library of Science, vol. 6(10), pages 1-9, October.
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