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The impact of the AIDS pandemic on health services in Africa: Evidence from Demographic Health Surveys

Author

Listed:
  • Anne Case

    (Princeton University)

  • Christina Paxson

    (Princeton University)

Abstract

We document the impact of the AIDS crisis on non-AIDS related health services in fourteen sub-Saharan African countries. Using multiple waves of Demographic and Health Surveys (DHS) for each country, we examine antenatal care, birth deliveries, and rates of immunization for children born between 1988 and 2005. We find deterioration in nearly all of these dimensions of health care over this period. The most recent DHS survey for each country collected data on HIV prevalence, which allows us to examine the association between HIV burden and health care. We find that erosion of health services is highly correlated with increases in AIDS prevalence. Regions of countries that have light AIDS burdens have witnessed small or no declines in health care, using the measures noted above, while those regions currently shouldering the heaviest burdens have seen the largest erosion in treatment for pregnant women and children. Using semi-parametric techniques, we can date the beginning of the divergence in health services between high and low HIV regions to the mid-1990s.

Suggested Citation

  • Anne Case & Christina Paxson, 2009. "The impact of the AIDS pandemic on health services in Africa: Evidence from Demographic Health Surveys," Working Papers 1139, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    • Handle: RePEc:pri:rpdevs:case%20paxson%20the%20impact%20of%20the%20aids%20pandemic%20march%206.pdf
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    Citations

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    Cited by:

    1. Alsan, Marcella M. & Cutler, David M., 2013. "Girls’ education and HIV risk: Evidence from Uganda," Journal of Health Economics, Elsevier, vol. 32(5), pages 863-872.
    2. van Dalen, H.P. & Micevska Scharf, M., 2011. "Reproductive Health Aid : A Delicate Balancing Act," Other publications TiSEM 0af5adbf-3e57-42ac-b9b0-6, Tilburg University, School of Economics and Management.
    3. Ruben Castro & Jere Behrman & Hans-Peter Kohler, 2015. "Perception of HIV risk and the quantity and quality of children: the case of rural Malawi," Journal of Population Economics, Springer;European Society for Population Economics, vol. 28(1), pages 113-132, January.
    4. Marcella M. Alsan & David M. Cutler, 2010. "Why did HIV decline in Uganda?," NBER Working Papers 16171, National Bureau of Economic Research, Inc.
    5. Maureen Lewis & Marijn Verhoeven, 2010. "Financial Crises and Social Spending : The Impact of the 2008-2009 Crisis," World Bank Publications - Reports 12965, The World Bank Group.

    More about this item

    Keywords

    AIDS; Africa; children; health care;
    All these keywords.

    JEL classification:

    • I00 - Health, Education, and Welfare - - General - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • C01 - Mathematical and Quantitative Methods - - General - - - Econometrics

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