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The Effect of Antimalarial Campaigns on Child Mortality and Fertility in Sub-Saharan Africa

Author

Listed:
  • Joshua Wilde

    () (Department of Economics, University of South Florida)

  • Bénédicte H. Apouey

    () (Paris School of Economics)

  • Gabriel Picone

    () (Department of Economics, University of South Florida)

  • Joseph Coleman

    () (Department of Economics, University of South Florida)

Abstract

We examine to what extent recent declines in mortality and fertility in sub-Saharan Africa can be attributed to insecticide-treated bed nets (ITNs). Exploiting the rapid increase in ITNs during the mid-2000s, we employ a difference-in-differences estimation strategy to identify the causal effect of ITNs on mortality and fertility. We show that ITNs reduced all-cause child mortality, but surprisingly increased total fertility rates in spite of reduced desire for children and increased contraceptive use. We explain this paradox by showing evidence for an unexpected increase in fecundity and sexual activity due to the better health environment after the ITN distribution.

Suggested Citation

  • 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.
  • Handle: RePEc:usf:wpaper:0616
    as

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    File URL: http://economics.usf.edu/PDF/Mort_Fert_Malaria.pdf
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    References listed on IDEAS

    as
    1. Quamrul H. Ashraf & David N. Weil & Joshua Wilde, 2013. "The Effect of Fertility Reduction on Economic Growth," Population and Development Review, The Population Council, Inc., vol. 39(1), pages 97-130, March.
    2. Vikram Pathania, 2014. "The Impact of Malaria Control on Infant Mortality in Kenya," Economic Development and Cultural Change, University of Chicago Press, vol. 62(3), pages 459-487.
    3. 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.
    4. Wilde, Joshua & Apouey, Bénédicte H. & Jung, Toni, 2017. "The effect of ambient temperature shocks during conception and early pregnancy on later life outcomes," European Economic Review, Elsevier, vol. 97(C), pages 87-107.
    5. Quamrul H. Ashraf & Ashley Lester & David N. Weil, 2009. "When Does Improving Health Raise GDP?," NBER Chapters,in: NBER Macroeconomics Annual 2008, Volume 23, pages 157-204 National Bureau of Economic Research, Inc.
    6. Wilson, Nicholas, 2015. "Child mortality risk and fertility: Evidence from prevention of mother-to-child transmission of HIV," Journal of Development Economics, Elsevier, vol. 116(C), pages 74-88.
    7. Matthias Doepke, 2005. "Child mortality and fertility decline: Does the Barro-Becker model fit the facts?," Journal of Population Economics, Springer;European Society for Population Economics, vol. 18(2), pages 337-366, June.
    8. 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.
    9. Denis Cogneau & Pauline Rossi, 2017. "Malaria Control and Infant Mortality in Africa," PSE Working Papers hal-01543033, HAL.
    10. 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.
    11. repec:bla:popdev:v:43:y:2017:i::p:237-263 is not listed on IDEAS
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    More about this item

    Keywords

    Malaria; Bed nets; Child mortality; Fertility; Sub-Saharan Africa;

    JEL classification:

    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • O10 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - General

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