IDEAS home Printed from
MyIDEAS: Log in (now much improved!) to save this paper

The Impact of Subsidized Antimalarials on Treatment Seeking Behavior

Listed author(s):
  • Jacqueline Fiore


    (Department of Economics, Tulane University)

Registered author(s):

    I investigate the effect of the first multi-country antimalarial subsidy on the type and source of treatment taken for children under five years of age reporting a fever. I use nationally representative, cross-sectional survey data from sixteen malaria endemic African countries over a ten year period. My research design exploits the within country variation in malaria treatment subsidies. Artemisinin-based Combination Therapies (ACTs) are the recommended first line treatment for uncomplicated malaria. Overall, the ACTs subsidy achieved two of its main objectives. Among children reporting a fever, countries offering subsidized ACTs showed a statistically significant 8.1 percentage point increase in ACTs taken from private sector outlets compared to countries not participating in the subsidy. To complement these results, the ACTs subsidy was associated with a decrease of 10.7 percentage points in children taking lesser effective antimalarial monotherapies from any source for participating countries. However, the effect of the ACTs subsidy was not consistent among the four countries participating in the subsidy. Uganda showed the desired response with the greatest magnitude to the subsidy whereas no significant effect was observed in Ghana. The mixed results among countries participating in the ACTs subsidy may be due to differences in ACTs availability, price, market share, and supporting interventions.

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.

    File URL:
    File Function: First Version, September 2017
    Download Restriction: no

    Paper provided by Tulane University, Department of Economics in its series Working Papers with number 1717.

    in new window

    Date of creation: Sep 2017
    Handle: RePEc:tul:wpaper:1717
    Contact details of provider: Postal:
    206 Tilton Hall, New Orleans, LA 70118

    Phone: (504) 865-5321
    Fax: (504) 865-5869
    Web page:

    More information through EDIRC

    References listed on IDEAS
    Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:

    in new window

    1. Jessica Cohen & Pascaline Dupas & Simone Schaner, 2015. "Price Subsidies, Diagnostic Tests, and Targeting of Malaria Treatment: Evidence from a Randomized Controlled Trial," American Economic Review, American Economic Association, vol. 105(2), pages 609-645, February.
    2. Marianne Bertrand & Esther Duflo & Sendhil Mullainathan, 2004. "How Much Should We Trust Differences-In-Differences Estimates?," The Quarterly Journal of Economics, Oxford University Press, vol. 119(1), pages 249-275.
    3. A. Colin Cameron & Douglas L. Miller, 2015. "A Practitioner’s Guide to Cluster-Robust Inference," Journal of Human Resources, University of Wisconsin Press, vol. 50(2), pages 317-372.
    Full references (including those not matched with items on IDEAS)

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    When requesting a correction, please mention this item's handle: RePEc:tul:wpaper:1717. 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: (Rodrigo Aranda Balcazar)

    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 references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link 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 profile, as there may be some citations waiting for confirmation.

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

    This information is provided to you by IDEAS at the Research Division of the Federal Reserve Bank of St. Louis using RePEc data.