IDEAS home Printed from https://ideas.repec.org/p/hal/cesptp/halshs-01400833.html
   My bibliography  Save this paper

Does democracy reduce the HIV epidemic? Evidence from Kenya

Author

Listed:
  • Antoine Marsaudon

    (PSE - Paris School of Economics - ENPC - École des Ponts ParisTech - ENS Paris - École normale supérieure - Paris - PSL - Université Paris sciences et lettres - UP1 - Université Paris 1 Panthéon-Sorbonne - CNRS - Centre National de la Recherche Scientifique - EHESS - École des hautes études en sciences sociales - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, PJSE - Paris Jourdan Sciences Economiques - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS Paris - École normale supérieure - Paris - PSL - Université Paris sciences et lettres - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement)

  • Josselin Thuilliez

    (CES - Centre d'économie de la Sorbonne - UP1 - Université Paris 1 Panthéon-Sorbonne - CNRS - Centre National de la Recherche Scientifique)

Abstract

Does democracy help Kenyan citizens to struggle against the HIV epidemic? Yet, very little attention has been devoted to establish whether political regimes react differently to the HIV infection. Using an electoral definition of democracy makes a contribution in understanding which aspects of political rules matter to manage the disease. Using a difference-in-difference design that draws upon pre-existing variations in HIV intensity and cohort's exposure to democracy, we find that a person living under democracy is less likely to have a HIV infection. Further, we present some evidence of ethnic favoritism and gender disparities during periods of non-democracy.

Suggested Citation

  • Antoine Marsaudon & Josselin Thuilliez, 2016. "Does democracy reduce the HIV epidemic? Evidence from Kenya," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) halshs-01400833, HAL.
  • Handle: RePEc:hal:cesptp:halshs-01400833
    Note: View the original document on HAL open archive server: https://halshs.archives-ouvertes.fr/halshs-01400833
    as

    Download full text from publisher

    File URL: https://halshs.archives-ouvertes.fr/halshs-01400833/document
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Michael Ross, 2006. "Is Democracy Good for the Poor?," American Journal of Political Science, John Wiley & Sons, vol. 50(4), pages 860-874, October.
    2. 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.
    3. Andrew Hussey & Alex Nikolsko-Rzhevskyy & Jay Walker, 2014. "AIDing contraception: HIV and recent trends in abortion," Applied Economics, Taylor & Francis Journals, vol. 46(15), pages 1788-1803, May.
    4. William Easterly & Ross Levine, 1997. "Africa's Growth Tragedy: Policies and Ethnic Divisions," The Quarterly Journal of Economics, Oxford University Press, vol. 112(4), pages 1203-1250.
    5. Robin Burgess & Remi Jedwab & Edward Miguel & Ameet Morjaria & Gerard Padró i Miquel, 2015. "The Value of Democracy: Evidence from Road Building in Kenya," American Economic Review, American Economic Association, vol. 105(6), pages 1817-1851, June.
    6. Caudill, Steven B, 1988. "An Advantage of the Linear Probability Model over Probit or Logit," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 50(4), pages 425-427, November.
    7. Claudio Ferraz & Frederico Finan, 2008. "Exposing Corrupt Politicians: The Effects of Brazil's Publicly Released Audits on Electoral Outcomes," The Quarterly Journal of Economics, Oxford University Press, vol. 123(2), pages 703-745.
    8. Franck, Raphaã‹L & Rainer, Ilia, 2012. "Does the Leader's Ethnicity Matter? Ethnic Favoritism, Education, and Health in Sub-Saharan Africa," American Political Science Review, Cambridge University Press, vol. 106(2), pages 294-325, May.
    9. Acemoglu,Daron & Robinson,James A., 2009. "Economic Origins of Dictatorship and Democracy," Cambridge Books, Cambridge University Press, number 9780521671422, May.
    10. Robalino, David A. & Voetberg, Albertus & Picazo, Oscar, 2002. "The macroeconomic impacts of AIDS in Kenya estimating optimal reduction targets for the HIV/AIDS incidence rate," Journal of Policy Modeling, Elsevier, vol. 24(2), pages 195-218, May.
    11. 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.
    12. Elizabeth Zenger, 1993. "Siblings’ neonatal mortality risks and birth spacing in Bangladesh," Demography, Springer;Population Association of America (PAA), vol. 30(3), pages 477-488, August.
    13. Roxana Gutiérrez-Romero, 2010. "The Role of Ethnic Identity and Economic Issues in the 2007 Kenyan Elections," CSAE Working Paper Series 2010-06, Centre for the Study of African Economies, University of Oxford.
    14. Masayuki Kudamatsu, 2012. "Has Democratization Reduced Infant Mortality In Sub-Saharan Africa? Evidence From Micro Data," Journal of the European Economic Association, European Economic Association, vol. 10(6), pages 1294-1317, December.
    15. George Avelino & David S. Brown & Wendy Hunter, 2005. "The Effects of Capital Mobility, Trade Openness, and Democracy on Social Spending in Latin America, 1980–1999," American Journal of Political Science, John Wiley & Sons, vol. 49(3), pages 625-641, July.
    16. Simon Wigley & Arzu Akkoyunlu-Wigley, 2011. "Do electoral institutions have an impact on population health?," Public Choice, Springer, vol. 148(3), pages 595-610, September.
    17. Sikkema, K.J. & Kelly, J.A. & Winett, R.A. & Solomon, L.J. & Cargill, V.A. & Roffman, R.A. & McAuliffe, T.L. & Heckman, T.G. & Anderson, E.A. & Wagstaff, D.A. & Norman, A.D. & Perry, M.J. & Crumble, D, 2000. "Outcomes of a randomized community-level HIV prevention intervention for women living in 18 low-income housing developments," American Journal of Public Health, American Public Health Association, vol. 90(1), pages 57-63.
    Full references (including those not matched with items on IDEAS)

    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. James Fenske & Igor Zurimendi, 2017. "Oil and ethnic inequality in Nigeria," Journal of Economic Growth, Springer, vol. 22(4), pages 397-420, December.
    2. Daron Acemoglu & Suresh Naidu & Pascual Restrepo & James A. Robinson, 2013. "Democracy, Redistribution and Inequality," NBER Working Papers 19746, National Bureau of Economic Research, Inc.
    3. Laurent-Lucchetti, Jérémy & Rohner, Dominic & Thoenig, Mathias, 2019. "Ethnic Conflicts and the Informational Dividend of Democracy," CEPR Discussion Papers 14182, C.E.P.R. Discussion Papers.
    4. Robin Burgess & Remi Jedwab & Edward Miguel & Ameet Morjaria & Gerard Padró i Miquel, 2015. "The Value of Democracy: Evidence from Road Building in Kenya," American Economic Review, American Economic Association, vol. 105(6), pages 1817-1851, June.
    5. De Luca, Giacomo & Hodler, Roland & Raschky, Paul A. & Valsecchi, Michele, 2018. "Ethnic favoritism: An axiom of politics?," Journal of Development Economics, Elsevier, vol. 132(C), pages 115-129.
    6. Bluhm, Richard & Thomsson, Kaj, 2020. "Holding on? Ethnic divisions, political institutions and the duration of economic declines," Journal of Development Economics, Elsevier, vol. 144(C).
    7. Joseph Flavian Gomes, 2020. "The health costs of ethnic distance: evidence from sub-Saharan Africa," Journal of Economic Growth, Springer, vol. 25(2), pages 195-226, June.
    8. Pierre André & Paul Maarek & Fatoumata Tapo, 2018. "Ethnic Favoritism: Winner Takes All or Power Sharing? Evidence from school constructions in Benin," THEMA Working Papers 2018-03, THEMA (THéorie Economique, Modélisation et Applications), Université de Cergy-Pontoise.
    9. Stelios Michalopoulos & Elias Papaioannou, 2020. "Historical Legacies and African Development," Journal of Economic Literature, American Economic Association, vol. 58(1), pages 53-128, March.
    10. Masayuki Kudamatsu, 2012. "Has Democratization Reduced Infant Mortality In Sub-Saharan Africa? Evidence From Micro Data," Journal of the European Economic Association, European Economic Association, vol. 10(6), pages 1294-1317, December.
    11. Valentino Larcinese, 2011. "Enfranchisement and Representation: Italy 1909-1913," STICERD - Economic Organisation and Public Policy Discussion Papers Series 032, Suntory and Toyota International Centres for Economics and Related Disciplines, LSE.
    12. van der Windt, Peter & Vandoros, Sotiris, 2017. "Democracy and health: Evidence from within-country heterogeneity in the Congo," Social Science & Medicine, Elsevier, vol. 194(C), pages 10-16.
    13. Roland Hodler, 2018. "The Political Economics Of The Arab Spring," Economic Inquiry, Western Economic Association International, vol. 56(2), pages 821-836, April.
    14. Sugata Ghosh & Anirban Mitra, 2019. "Ethnic Identities, Public Spending and Political Regimes," Studies in Economics 1909, School of Economics, University of Kent.
    15. Devarajan, Shantayanan & Khemani, Stuti & Walton, Michael, 2011. "Civil Society, Public Action and Accountability in Africa," Working Paper Series rwp11-036, Harvard University, John F. Kennedy School of Government.
    16. Arcangelo Dimico, 2017. "Size Matters: The Effect of the Size of Ethnic Groups on Development," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 79(3), pages 291-318, June.
    17. Batinti, Alberto & Costa-Font, Joan & Hatton, Timothy J., 2019. "Voting Up? The Effects of Democracy and Franchise Extension on Human Stature," IZA Discussion Papers 12389, Institute of Labor Economics (IZA).
    18. John A Doces, 2020. "Democracy, consumption, and growth in sub-Saharan Africa," International Area Studies Review, Center for International Area Studies, Hankuk University of Foreign Studies, vol. 23(1), pages 28-48, March.
    19. Isaksson, Ann-Sofie & Bigsten, Arne, 2014. "Clientelism and ethnic divisions," Working Papers in Economics 598, University of Gothenburg, Department of Economics.

    More about this item

    Keywords

    Institution; Democracy; HIV; Health; Kenya;
    All these keywords.

    JEL classification:

    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration
    • O38 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Government Policy
    • P51 - Economic Systems - - Comparative Economic Systems - - - Comparative Analysis of Economic Systems

    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:hal:cesptp:halshs-01400833. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: . General contact details of provider: https://hal.archives-ouvertes.fr/ .

    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: CCSD (email available below). General contact details of provider: https://hal.archives-ouvertes.fr/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.