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Malaria control and infant mortality in Africa

Author

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  • Denis Cogneau

    (PSE - Paris School of Economics, PJSE - Paris Jourdan Sciences Economiques - UP1 - Université Panthéon-Sorbonne - ENS Paris - École normale supérieure - Paris - INRA - Institut National de la Recherche Agronomique - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique, EHESS - École des hautes études en sciences sociales, LEDA-DIAL - Développement, Institutions et Modialisation - LEDa - Laboratoire d'Economie de Dauphine - CNRS - Centre National de la Recherche Scientifique - IRD - Institut de Recherche pour le Développement - Université Paris-Dauphine)

  • Pauline Rossi

    (UvA - University of Amsterdam [Amsterdam], CEPR - Center for Economic Policy Research - CEPR, Institute.Roeterstraat)

Abstract

Has massive distribution of insecticide-treated-nets contributed to the reduction in in- fant mortality in Sub-Saharan Africa over the past 15 years? Using large household surveys collected in 16 countries and exploiting the spatial correlation in distribution campaigns, we estimate the relationship between the diffusion of bednets and the progress in child sur- vival. We find no evidence of a causal link in cities, and no impact either in rural areas with low malaria prevalence. By contrast, in highly malarious rural areas where bednet coverage reached high levels, above 75% of households, infant mortality has been reduced by at least 3 percentage points, which amounts to 25% of the initial mortality. The identified impact is even higher for the children of mothers with no education. It lies at the upper bound found with RCTs, most likely because those were implemented in contexts with lower mortality and/or malaria prevalence

Suggested Citation

  • Denis Cogneau & Pauline Rossi, 2019. "Malaria control and infant mortality in Africa," PSE Working Papers hal-01543033, HAL.
  • Handle: RePEc:hal:psewpa:hal-01543033
    Note: View the original document on HAL open archive server: https://hal-pjse.archives-ouvertes.fr/hal-01543033v2
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    References listed on IDEAS

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    1. United Nations UN, 2015. "The Millennium Development Goals Report 2015," Working Papers id:7097, eSocialSciences.
    2. Bénédicte H. Apouey & Gabriel Picone & Joshua Wilde & Joseph Coleman & Robyn Kibler, 2017. "Paludisme et anémie des enfants en Afrique subsaharienne : effet de la distribution de moustiquaires," Revue économique, Presses de Sciences-Po, vol. 68(2), pages 163-197.
    3. Hoyt Bleakley, 2010. "Malaria Eradication in the Americas: A Retrospective Analysis of Childhood Exposure," American Economic Journal: Applied Economics, American Economic Association, vol. 2(2), pages 1-45, April.
    4. Bénédicte H. Apouey & Gabriel Picone & Joshua Wilde & Joseph Coleman & Robyn Kibler, 2016. "Paludisme et anémie des enfants en Afrique subsaharienne : Effet de la distribution de moustiquaires," Working Papers halshs-01261988, HAL.
    5. Maria Kuecken & Josselin Thuilliez & Marie-Anne Valfort, 2013. "Large-scale health interventions and education: Evidence from Roll Back Malaria in Africa," Documents de travail du Centre d'Economie de la Sorbonne 13075r, Université Panthéon-Sorbonne (Paris 1), Centre d'Economie de la Sorbonne, revised Jun 2015.
    6. Venkataramani, Atheendar S., 2012. "Early life exposure to malaria and cognition in adulthood: Evidence from Mexico," Journal of Health Economics, Elsevier, vol. 31(5), pages 767-780.
    7. United Nations UN, 2015. "The Millennium Development Goals Report 2015," Working Papers id:7222, eSocialSciences.
    8. David Cutler & Winnie Fung & Michael Kremer & Monica Singhal & Tom Vogl, 2010. "Early-Life Malaria Exposure and Adult Outcomes: Evidence from Malaria Eradication in India," American Economic Journal: Applied Economics, American Economic Association, vol. 2(2), pages 72-94, April.
    9. Adrienne M. Lucas, 2010. "Malaria Eradication and Educational Attainment: Evidence from Paraguay and Sri Lanka," American Economic Journal: Applied Economics, American Economic Association, vol. 2(2), pages 46-71, April.
    10. Kudamatsu, Masayuki & Persson, Torsten & Strömberg, David, 2012. "Weather and Infant Mortality in Africa," CEPR Discussion Papers 9222, C.E.P.R. Discussion Papers.
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    Cited by:

    1. Pauline Rossi & Paola Villar, 2017. "Private Health Investments under Competing Risks: Evidence from Malaria Control in Senegal," PSE Working Papers halshs-01634658, HAL.
    2. Joshua Wilde & Bénédicte H. Apouey & Gabriel Picone & Joseph Coleman, 2017. "The Effect of Antimalarial Campaigns on Child Mortality and Fertility in Sub-Saharan Africa," Working Papers 0616, University of South Florida, Department of Economics.

    More about this item

    Keywords

    Africa; Malaria; Foreign aid; Child mortality;

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • J1 - Labor and Demographic Economics - - Demographic Economics
    • O1 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development
    • F35 - International Economics - - International Finance - - - Foreign Aid

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