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Corruption and Averting AIDS Deaths

Author

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  • Willa Friedman

Abstract

This paper looks at the impact of corruption on the effectiveness of antiretroviral drugs in preventing AIDS deaths and the potential channels that generate this relationship. This is based on a unique panel dataset of countries in sub-Saharan Africa, which combines information on all imported antiretroviral drugs (ARVs) from the World Health Organization's Global Price Reporting Mechanism with measures of corruption and estimates of the HIV prevalence and the number of AIDS deaths in each year and in each country. Countries with higher levels of corruption experience a significantly smaller drop in AIDS deaths as a result of the same quantity of ARVs imported. This is robust to different measures of corruption and to a measure of overall death rates as well as HIV-specific death rates as the outcome. A case-study analysis of the Kenyan experience illustrates one potential mechanism for the observed effect, demonstrating that disproportionately more clinics begin distributing ARVs in areas that are predominantly represented by the new leader's ethnic group.

Suggested Citation

  • Willa Friedman, 2015. "Corruption and Averting AIDS Deaths," Working Papers 395, Center for Global Development.
    • Handle: RePEc:cgd:wpaper:395
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    2. Dincer, Oguzhan & Gillanders, Robert, 2021. "Shelter in place? Depends on the place: Corruption and social distancing in American states," Social Science & Medicine, Elsevier, vol. 269(C).
    3. Idrissa Ouedraogo & Issa Dianda & Iyewumi Titilope Adeyele, 2020. "Institutional Quality and Health Outcomes in Sub-Saharan Africa," Research in Applied Economics, Macrothink Institute, vol. 12(4), pages 22-45, December.
    4. Bandyopadhyay, Sanghamitra & Green, Elliott, 2025. "Explaining ethno-regional favouritism in Sub-Saharan Africa," World Development, Elsevier, vol. 188(C).
    5. Renato L. P. Chaves & Emmanuel B. Raufflet, 2025. "Taking Stock of Ethics and Compliance Programs as Anticorruption Mechanisms: An Integrative Review," Journal of Business Ethics, Springer, vol. 199(4), pages 819-837, July.
    6. Pavlo Blavatskyy, 2021. "Obesity of politicians and corruption in post‐Soviet countries," Economics of Transition and Institutional Change, John Wiley & Sons, vol. 29(2), pages 343-356, April.
    7. Idrissa Ouedraogo & Issa Dianda & Iyewumi Titilope Adeyele, 2025. "Which Institutions Foster Health Capital Accumulation in Sub-Saharan Africa?," Journal of the Knowledge Economy, Springer;Portland International Center for Management of Engineering and Technology (PICMET), vol. 16(4), pages 14215-14240, October.

    More about this item

    Keywords

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    JEL classification:

    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • D73 - Microeconomics - - Analysis of Collective Decision-Making - - - Bureaucracy; Administrative Processes in Public Organizations; Corruption

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