Consumption Smoothing and HIV/AIDS: The Case of Two Communities in South Africa
HIV/AIDS threatens to overstretch the already frail informal safety nets in countries heavily affected by the epidemic, potentially making it difficult for households with HIV-positive members to keep up appropriate consumption levels when experiencing shocks. These households may, in addition, face exclusion from informal insurance networks because of widespread stigmatization. Surprisingly, the resilience of informal networks to HIV-related shocks and their uncertain worth for afflicted households in particular have not been empirically tested to date. Using 3 years of a novel panel data set from two poor South African communities experiencing HIV-related illnesses and deaths, we investigate the ability of households to insure their consumption. We find little evidence that affected households show an extra propensity to consume out of income changes, which indicates that these households can rely on informal insurance to the same degree as their nonaffected peers. However, on the basis of the result that affected as well as nonaffected households adjust their expenditures in reaction to income changes, the benchmark hypothesis of full insurance is rejected for both types of households. This result indicates that informal insurance mechanisms are of limited value in the sample, potentially because they have been eroded by repeated stresses brought about by the HIV epidemic. (c) 2010 by The University of Chicago. All rights reserved.
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- Lundberg, Mattias & Over, Mead & Mujinja, Phare, 2000.
"Sources of financial assistance for households suffering an adult death in Kagera, Tanzania,"
Policy Research Working Paper Series
2508, The World Bank.
- M Lundberg & M Over & P Mujinja, 2000. "Sources of Financial Assistance for Households Suffering an Adult Death in Kagera, Tanzania," South African Journal of Economics, Economic Society of South Africa, vol. 68(5), pages 420-443, December.
- Morduch, J., 1995.
"Income Smoothing and Consumption Smoothing,"
512, Harvard - Institute for International Development.
- Jonathan Morduch, 1995. "Income Smoothing and Consumption Smoothing," Harvard Institute of Economic Research Working Papers 1727, Harvard - Institute of Economic Research.
- J. Fitzgerald & P. Gottschalk & R. Moffitt, "undated".
"An Analysis of Sample Attrition in Panel Data: The Michigan Panel Study of Income Dynamics,"
Institute for Research on Poverty Discussion Papers
1156-98, University of Wisconsin Institute for Research on Poverty.
- John Fitzgerald & Peter Gottschalk & Robert Moffitt, 1998. "An Analysis of Sample Attrition in Panel Data: The Michigan Panel Study of Income Dynamics," Journal of Human Resources, University of Wisconsin Press, vol. 33(2), pages 251-299.
- John Fitzgerald & Peter Gottschalk & Robert Moffitt, 1997. "An Analysis of Sample Attrition in Panel Data: The Michigan Panel Study of Income Dynamics," Boston College Working Papers in Economics 394, Boston College Department of Economics.
- John Fitzgerald & Peter Gottschalk & Robert Moffitt, 1998. "An Analysis of Sample Attrition in Panel Data: The Michigan Panel Study of Income Dynamics," NBER Technical Working Papers 0220, National Bureau of Economic Research, Inc.
- John Fitzgerald & Peter Gottschalk & Robert Moffitt, 1998. "An Analysis of Sample Attrition in Panel Data: The Michigan Panel Study of income Dynamics," Economics Working Paper Archive 379, The Johns Hopkins University,Department of Economics.
- Jalan, Jyotsna & Ravallion, Martin, 1997.
"Are the poor less well-insured? Evidence on vulnerability to income risk in rural China,"
Policy Research Working Paper Series
1863, The World Bank.
- Jalan, Jyotsna & Ravallion, Martin, 1999. "Are the poor less well insured? Evidence on vulnerability to income risk in rural China," Journal of Development Economics, Elsevier, vol. 58(1), pages 61-81, February.
- Marcel Fafchamps & Susan Lund, 2000.
"Risk-Sharing Networks in Rural Philippines,"
Economics Series Working Papers
10, University of Oxford, Department of Economics.
- Bond, Virginia & Chase, Elaine & Aggleton, Peter, 2002. "Stigma, HIV/AIDS and prevention of mother-to-child transmission in Zambia," Evaluation and Program Planning, Elsevier, vol. 25(4), pages 347-356, November.
- Sarah Harrower & John Hoddinott, 2005. "Consumption Smoothing in the Zone Lacustre, Mali," Journal of African Economies, Centre for the Study of African Economies (CSAE), vol. 14(4), pages 489-519, December.
- Stefan Dercon & Pramila Krishnan, 2000. "Vulnerability, seasonality and poverty in Ethiopia," Journal of Development Studies, Taylor & Francis Journals, vol. 36(6), pages 25-53.
- Yamano, Takashi & Jayne, T. S., 2004. "Measuring the Impacts of Working-Age Adult Mortality on Small-Scale Farm Households in Kenya," World Development, Elsevier, vol. 32(1), pages 91-119, January.
- Grimard, Franque, 1997. "Household consumption smoothing through ethnic ties: evidence from Cote d'Ivoire," Journal of Development Economics, Elsevier, vol. 53(2), pages 391-422, August.
- John Shea, 1997.
"Instrument Relevance in Multivariate Linear Models: A Simple Measure,"
The Review of Economics and Statistics,
MIT Press, vol. 79(2), pages 348-352, May.
- John Shea, 1996. "Instrument Relevance in Multivariate Linear Models: A Simple Measure," NBER Technical Working Papers 0193, National Bureau of Economic Research, Inc.
- Bennett, F. J., 1987. "AIDS as a social phenomenon," Social Science & Medicine, Elsevier, vol. 25(6), pages 529-539, January.
- Hans Hoogeveen, 2002. "Evidence on Informal Insurance in Rural Zimabwe," Journal of African Economies, Centre for the Study of African Economies (CSAE), vol. 11(2), pages 249-278, June.
- Robert M. Townsend, 1995. "Consumption Insurance: An Evaluation of Risk-Bearing Systems in Low-Income Economies," Journal of Economic Perspectives, American Economic Association, vol. 9(3), pages 83-102, Summer.
- Martha Ainsworth & Kathleen Beegle & Godlike Koda, 2005. "The Impact of Adult Mortality and Parental Deaths on Primary Schooling in North-Western Tanzania," Journal of Development Studies, Taylor & Francis Journals, vol. 41(3), pages 412-439.
- Sauerborn, R. & Adams, A. & Hien, M., 1996. "Household strategies to cope with the economic costs of illness," Social Science & Medicine, Elsevier, vol. 43(3), pages 291-301, August.
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