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Malaria and protective behaviours: is there a malaria trap?

Author

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  • Jean-Claude Berthélemy

    (CES - Centre d'économie de la Sorbonne - UP1 - Université Paris 1 Panthéon-Sorbonne - CNRS - Centre National de la Recherche Scientifique, FERDI - Fondation pour les Etudes et Recherches sur le Développement International)

  • Josselin Thuilliez

    (CES - Centre d'économie de la Sorbonne - UP1 - Université Paris 1 Panthéon-Sorbonne - CNRS - Centre National de la Recherche Scientifique, FERDI - Fondation pour les Etudes et Recherches sur le Développement International)

  • Ogobara Doumbo

    (DEAP - Département d'épidémiologie des affections parasitaires - Université de Bamako - Malaria Research and Training Center (MRTC) - Facultés de Médecine, de Pharmacie et d'Odonto-Stomatologie - CNRS - Centre National de la Recherche Scientifique)

  • Jean Gaudart

    (SESSTIM - U912 INSERM - Aix Marseille Univ - IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale - IRD - Institut de Recherche pour le Développement - AMU - Aix Marseille Université - INSERM - Institut National de la Santé et de la Recherche Médicale)

Abstract

BackgroundIn spite of massive efforts to generalize efficient prevention, such as insecticide-treated mosquito nets (ITN) or long-lasting insecticidal nets (LLINs), malaria remains prevalent in many countries and ITN/LLINs are still only used to a limited extent.MethodsThis study proposes a new model for malaria economic analysis by combining economic epidemiology tools with the literature on poverty traps. A theoretical model of rational protective behaviour in response to malaria is designed, which includes endogenous externalities and disease characteristics. Survey data available for Uganda provide empirical support to the theory of prevalence-elastic protection behaviours, once endogeneity issues related to epidemiology and poverty are solved.ResultsTwo important conclusions emerge from the model. First, agents increase their protective behaviour when malaria is more prevalent in a society. This is consistent with the literature on "prevalence-elastic behaviour". Second, a 'malaria trap' defined as the result of malaria reinforcing poverty while poverty reduces the ability to deal with malaria can theoretically exist and the conditions of existence of the malaria trap are identified.ConclusionsThese results suggest the possible existence of malaria traps, which provides policy implications. Notably, providing ITN/LLINs at subsidized prices is not sufficient. To be efficient an ITN/LLINs dissemination campaigns should include incentive of the very poor for using ITN/LLINs.

Suggested Citation

  • Jean-Claude Berthélemy & Josselin Thuilliez & Ogobara Doumbo & Jean Gaudart, 2013. "Malaria and protective behaviours: is there a malaria trap?," Post-Print inserm-00838508, HAL.
  • Handle: RePEc:hal:journl:inserm-00838508
    DOI: 10.1186/1475-2875-12-200
    Note: View the original document on HAL open archive server: https://www.hal.inserm.fr/inserm-00838508
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    1. Eric Maskin & Célestin Monga & Josselin Thuilliez & Jean-Claude Berthélemy, 2019. "The economics of malaria control in an age of declining aid," Nature Communications, Nature, vol. 10(1), pages 1-5, December.
    2. Jean-Claude Berthélemy & Josselin Thuilliez, 2014. "The economics of malaria in Africa," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) hal-01045213, HAL.
    3. Berthélemy, Jean-Claude & Gaudart, Jean & Thuilliez, Josselin, 2015. "Prevention or treatment? The case of malaria," Economics Letters, Elsevier, vol. 131(C), pages 16-19.
    4. Jean-Claude Berthélemy & Victor Doubliez & Josselin Thuilliez, 2015. "Prevention or treatment? The introduction of a new antimalarial drug in Angola," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) halshs-01244406, HAL.
    5. Jean-Claude Berthelemy & Josselin Thuilliez, 2014. "The economics of malaria in Africa," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) hal-01045213, HAL.
    6. Gabriel Picone & Robyn Kibler & Bénédicte H. Apouey, 2017. "Malaria Prevalence, Indoor Residual Spraying, and Insecticide Treated Net Usage in Sub-Saharan Africa," Journal of African Development, African Finance and Economic Association (AFEA), vol. 19(2), pages 19-32.
    7. Saurabh Singhal & Yao Pan, 2015. "Income and Malaria: Evidence from an agricultural intervention in Uganda," WIDER Working Paper Series 092, World Institute for Development Economic Research (UNU-WIDER).
    8. Yao Pan & Saurabh Singhal, 2015. "Income and malaria: Evidence from an agricultural intervention in Uganda," WIDER Working Paper Series wp-2015-092, World Institute for Development Economic Research (UNU-WIDER).
    9. Pan, Yao & Singhal, Saurabh, 2019. "Agricultural extension, intra-household allocation and malaria," Journal of Development Economics, Elsevier, vol. 139(C), pages 157-170.

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    Keywords

    Protective behaviours; Poverty; Economic epidemiology; Malaria; ITN;
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