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Estimating the welfare gains from antiretroviral therapy in Sub-Saharan Africa

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  • Shaun Da Costa

Abstract

Since the start of the century, many countries in Sub-Saharan Africa have experienced large gains in life expectancy and average consumption levels. Around the same time, an unprecedented international eort has taken place to combat HIV/AIDS mortality with the expansion of anti-retroviral therapy (ART) across many of the hardest hit countries. These drugs have been shown to halt the progression of HIV and onset of AIDS. In this paper, I estimate the impact of ART on average welfare over time in 42 countries using the equivalent consumption approach. I decompose the change in welfare to isolate the relative contribution of ART-driven improvements in life expectancy and consumption. Overall, the results indicate that ART has played a key role in improving welfare in many SSA countries, accounting for around one fth of total welfare growth in SSA between 2000 and 2017. In those countries most aected by HIV/AIDS, this gure rises to almost half. Moreover, the estimates suggest that average welfare in some countries would have declined over time in the absence of the ART expansion

Suggested Citation

  • Shaun Da Costa, 2021. "Estimating the welfare gains from antiretroviral therapy in Sub-Saharan Africa," Working Papers 2101, Herman Deleeck Centre for Social Policy, University of Antwerp.
  • Handle: RePEc:hdl:wpaper:2101
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    1. Viscusi, W. Kip & Masterman, Clayton J., 2017. "Income Elasticities and Global Values of a Statistical Life," Journal of Benefit-Cost Analysis, Cambridge University Press, vol. 8(2), pages 226-250, July.
    2. Arthur, W B, 1981. "The Economics of Risks to Life," American Economic Review, American Economic Association, vol. 71(1), pages 54-64, March.
    3. Gary S. Becker & Tomas J. Philipson & Rodrigo R. Soares, 2005. "The Quantity and Quality of Life and the Evolution of World Inequality," American Economic Review, American Economic Association, vol. 95(1), pages 277-291, March.
    4. Soares, Rodrigo R., 2007. "Health and the evolution of welfare across Brazilian municipalities," Journal of Development Economics, Elsevier, vol. 84(2), pages 590-608, November.
    5. Atkeson, Andrew & Ogaki, Masao, 1996. "Wealth-varying intertemporal elasticities of substitution: Evidence from panel and aggregate data," Journal of Monetary Economics, Elsevier, vol. 38(3), pages 507-534, December.
    6. Charles I. Jones & Peter J. Klenow, 2016. "Beyond GDP? Welfare across Countries and Time," American Economic Review, American Economic Association, vol. 106(9), pages 2426-2457, September.
    7. Gianmarco León & Edward Miguel, 2017. "Risky Transportation Choices and the Value of a Statistical Life," American Economic Journal: Applied Economics, American Economic Association, vol. 9(1), pages 202-228, January.
    8. Dani Rodrik, 2018. "An African Growth Miracle?," Journal of African Economies, Centre for the Study of African Economies, vol. 27(1), pages 10-27.
    9. Victoria Baranov & Hans-Peter Kohler, 2018. "The Impact of AIDS Treatment on Savings and Human Capital Investment in Malawi," American Economic Journal: Applied Economics, American Economic Association, vol. 10(1), pages 266-306, January.
    10. Robert E. Hall & Charles I. Jones, 2007. "The Value of Life and the Rise in Health Spending," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 39-72.
    11. Marc Fleurbaey & Guillaume Gaulier, 2009. "International Comparisons of Living Standards by Equivalent Incomes," Scandinavian Journal of Economics, Wiley Blackwell, vol. 111(3), pages 597-624, September.
    12. Dan Usher, 1973. "The Measurement of Economic Growth," Working Paper 145, Economics Department, Queen's University.
    13. Masao Ogaki & Jonathan D. Ostry & Carmen M. Reinhart, 1996. "Saving Behavior in Low- and Middle-Income Developing Countries: A Comparison," IMF Staff Papers, Palgrave Macmillan, vol. 43(1), pages 38-71, March.
    14. Havranek, Tomas & Horvath, Roman & Irsova, Zuzana & Rusnak, Marek, 2015. "Cross-country heterogeneity in intertemporal substitution," Journal of International Economics, Elsevier, vol. 96(1), pages 100-118.
    15. Masterman, Clayton J. & Viscusi, W. Kip, 2018. "The Income Elasticity of Global Values of a Statistical Life: Stated Preference Evidence," Journal of Benefit-Cost Analysis, Cambridge University Press, vol. 9(3), pages 407-434, October.
    16. Lamontagne, Erik & Over, Mead & Stover, John, 2019. "The economic returns of ending the AIDS epidemic as a public health threat," Health Policy, Elsevier, vol. 123(1), pages 104-108.
    17. Rosen, Sherwin, 1988. "The Value of Changes in Life Expectancy," Journal of Risk and Uncertainty, Springer, vol. 1(3), pages 285-304, September.
    18. Masao Ogaki & Jonathan D. Ostry & Carmen M. Reinhart, 1996. "Saving Behavior in Low- and Middle-Income Developing Countries: A Comparison," IMF Staff Papers, Palgrave Macmillan, vol. 43(1), pages 38-71, March.
    19. Browning, Martin & Hansen, Lars Peter & Heckman, James J., 1999. "Micro data and general equilibrium models," Handbook of Macroeconomics, in: J. B. Taylor & M. Woodford (ed.), Handbook of Macroeconomics, edition 1, volume 1, chapter 8, pages 543-633, Elsevier.
    20. Tompsett, Anna, 2020. "The Lazarus drug: the impact of antiretroviral therapy on economic growth," Journal of Development Economics, Elsevier, vol. 143(C).
    21. Julia Fimpel & Michael Stolpe, 2010. "The welfare costs of HIV/AIDS in Eastern Europe: an empirical assessment using the economic value-of-life approach," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(3), pages 305-322, June.
    22. Dan Usher, 1973. "An Imputation to the Measure of Economic Growth for Changes in Life Expectancy," NBER Chapters, in: The Measurement of Economic and Social Performance, pages 193-232, National Bureau of Economic Research, Inc.
    23. Hall, Robert E, 1988. "Intertemporal Substitution in Consumption," Journal of Political Economy, University of Chicago Press, vol. 96(2), pages 339-357, April.
    24. Erik Lamontagne & Mead Over & John Stover, 2019. "The economic returns of ending the AIDS epidemic as a public health threat," Post-Print hal-01994510, HAL.
    25. Stephen Resch & Eline Korenromp & John Stover & Matthew Blakley & Carleigh Krubiner & Kira Thorien & Robert Hecht & Rifat Atun, 2011. "Economic Returns to Investment in AIDS Treatment in Low and Middle Income Countries," PLOS ONE, Public Library of Science, vol. 6(10), pages 1-9, October.
    26. Robinson, Lisa A. & Hammitt, James K. & O’Keeffe, Lucy, 2019. "Valuing Mortality Risk Reductions in Global Benefit-Cost Analysis," Journal of Benefit-Cost Analysis, Cambridge University Press, vol. 10(S1), pages 15-50, April.
    27. Grégory Ponthière, 2004. "Incorporating changes in life expectancy into economic growth rates: an application to Belgium, 1867-1997," CREPP Working Papers 0403, Centre de Recherche en Economie Publique et de la Population (CREPP) (Research Center on Public and Population Economics) HEC-Management School, University of Liège.
    28. León, Gianmarco & Miguel, Edward, 2017. "Risky Transportation Choices and the Value of a Statistical Life," Department of Economics, Working Paper Series qt4657g58g, Department of Economics, Institute for Business and Economic Research, UC Berkeley.
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