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Fever and its treatment among the more and less poor in Sub-Saharan Africa

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  • Filmer,Deon P.

Abstract

The author empirically explores the relationship between household poverty and the incidence and treatment of fever--as an indicator of malaria--among children in Sub-Saharan Africa. He uses household Demographic and Health Survey data collected in the 1990s from 22 countries in which malaria is prevalent. The analysis reveals a positive, but weak, association between reported fever and poverty. The geographic association becomes insignificant, however, after controlling for the mother's education. There is some evidence that higher levels of wealth in other households in the cluster in which the household lives are associated with lower levels of reported fever in Eastern and Southern Africa. Poverty and the type of care sought for an episode of fever are significantly associated: wealthier households are substantially more likely to seek care in the modern health sector. In Central and Western Africa those from richer households are more likely to seek care from all types of sources: government hospitals, lower-level public facilities such as health clinics, as well as private sources. In Eastern and Southern Africa the rich are primarily more likely to seek care from private facilities. In both regions there is substantial use of private facilities--use that increases with wealth. Like the incidence of fever, treatment-seeking behavior is strongly associated with the level of wealth in the cluster in which the child lives.

Suggested Citation

  • Filmer,Deon P., 2002. "Fever and its treatment among the more and less poor in Sub-Saharan Africa," Policy Research Working Paper Series 2798, The World Bank.
  • Handle: RePEc:wbk:wbrwps:2798
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    References listed on IDEAS

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    1. Sahn, David E. & Stifel, David C., 2000. "Poverty Comparisons Over Time and Across Countries in Africa," World Development, Elsevier, vol. 28(12), pages 2123-2155, December.
    2. Mwenesi, Halima & Harpham, Trudy & Snow, Robert W., 1995. "Child malaria treatment practices among mothers in Kenya," Social Science & Medicine, Elsevier, vol. 40(9), pages 1271-1277, May.
    3. Strauss, John & Thomas, Duncan, 1996. "Measurement and Mismeasurement of Social Indicators," American Economic Review, American Economic Association, vol. 86(2), pages 30-34, May.
    4. Sindelar, J. & Thomas, D., 1991. "Measurement of Child Health: Maternal Response Bias," Papers 633, Yale - Economic Growth Center.
    5. Deon Filmer & Lant Pritchett, 1999. "The Effect of Household Wealth on Educational Attainment: Evidence from 35 Countries," Population and Development Review, The Population Council, Inc., vol. 25(1), pages 85-120.
    6. McCarthy, F. Desmond & Wolf, Holger & Yi Wu, 2000. "Malaria and growth," Policy Research Working Paper Series 2303, The World Bank.
    7. Mark Montgomery & Michele Gragnolati & Kathleen Burke & Edmundo Paredes, 2000. "Measuring living standards with proxy variables," Demography, Springer;Population Association of America (PAA), vol. 37(2), pages 155-174, May.
    8. John Luke Gallup & Jeffrey D. Sachs, 2000. "The Economic Burden of Malaria," CID Working Papers 52A, Center for International Development at Harvard University.
    9. John Luke Gallup & Jeffrey D. Sachs, 2000. "The Economic Burden of Malaria," CID Working Papers 52, Center for International Development at Harvard University.
    10. McCombie, S. C., 1996. "Treatment seeking for malaria: A review of recent research," Social Science & Medicine, Elsevier, vol. 43(6), pages 933-945, September.
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    Cited by:

    1. Damien De Walque & Deon Filmer, 2013. "Trends and Socioeconomic Gradients in Adult Mortality around the Developing World," Population and Development Review, The Population Council, Inc., vol. 39(1), pages 1-29, March.
    2. Deon Filmer & Kinnon Scott, 2012. "Assessing Asset Indices," Demography, Springer;Population Association of America (PAA), vol. 49(1), pages 359-392, February.
    3. Laxminarayan, Ramanan & Over, Mead & Smith, David L., 2005. "Will a global subsidy of artemisinin-based combination treatment (ACT) for malaria delay the emergence of resistance and save lives?," Policy Research Working Paper Series 3670, The World Bank.
    4. Chowa, Gina & Ansong, David & Masa, Rainier, 2010. "Assets and child well-being in developing countries: A research review," Children and Youth Services Review, Elsevier, vol. 32(11), pages 1508-1519, November.

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