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The impact of food transfers for people living with HIV/AIDS: Evidence from Zambia

Author

Listed:
  • Tirivayi, J.N.

    (UNU-MERIT)

  • Groot, W.N.J.

    (CAPHRI, Department of Health Services Research, Maastricht University)

Abstract

We estimate the impact of food transfers on diet and consumption expenditures in food insecure households with HIV positive members on antiretroviral therapy. We use primary data collected from 199 beneficiary and 179 non-beneficiary households in Lusaka, Zambia. Propensity score matching estimates show that the food transfers significantly increase dietary diversity and food consumption expenditures. Our results also show that the food transfers increased the proportion of households with optimal dietary diversity and consuming at least five food groups. The results are robust to variation in the propensity score model and matching technique. Sensitivity analysis demonstrates that our results are largely robust to substantial amounts of unobserved selection bias. We discuss the implications of our findings in the context of the growing number of HIV/AIDS treatment, care and support programmes providing food assistance in resource poor settings.

Suggested Citation

  • Tirivayi, J.N. & Groot, W.N.J., 2014. "The impact of food transfers for people living with HIV/AIDS: Evidence from Zambia," MERIT Working Papers 2014-065, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).
  • Handle: RePEc:unm:unumer:2014065
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    References listed on IDEAS

    as
    1. Quisumbing, Agnes R., 2003. "Food Aid and Child Nutrition in Rural Ethiopia," World Development, Elsevier, vol. 31(7), pages 1309-1324, July.
    2. Hidrobo, Melissa & Hoddinott, John & Peterman, Amber & Margolies, Amy & Moreira, Vanessa, 2014. "Cash, food, or vouchers? Evidence from a randomized experiment in northern Ecuador," Journal of Development Economics, Elsevier, vol. 107(C), pages 144-156.
    3. Sebastian Linnemayr, 2010. "Consumption Smoothing and HIV/AIDS: The Case of Two Communities in South Africa," Economic Development and Cultural Change, University of Chicago Press, vol. 58(3), pages 475-506, April.
    4. Daniel O. Gilligan & John Hoddinott, 2007. "Is There Persistence in the Impact of Emergency Food Aid? Evidence on Consumption, Food Security, and Assets in Rural Ethiopia," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 89(2), pages 225-242.
    5. Marco Caliendo & Sabine Kopeinig, 2008. "Some Practical Guidance For The Implementation Of Propensity Score Matching," Journal of Economic Surveys, Wiley Blackwell, vol. 22(1), pages 31-72, February.
    6. Barbara Sianesi, 2004. "An Evaluation of the Swedish System of Active Labor Market Programs in the 1990s," The Review of Economics and Statistics, MIT Press, vol. 86(1), pages 133-155, February.
    7. DiPrete, Thomas A. & Gangl, Markus, 2004. "Assessing bias in the estimation of causal effects: Rosenbaum bounds on matching estimators and instrumental variables estimation with imperfect instruments," Discussion Papers, Research Unit: Labor Market Policy and Employment SP I 2004-101, WZB Berlin Social Science Center.
    8. Takashi Yamano & Harold Alderman & Luc Christiaensen, 2005. "Child Growth, Shocks, and Food Aid in Rural Ethiopia," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 87(2), pages 273-288.
    9. A. Smith, Jeffrey & E. Todd, Petra, 2005. "Does matching overcome LaLonde's critique of nonexperimental estimators?," Journal of Econometrics, Elsevier, vol. 125(1-2), pages 305-353.
    10. Tirivayi, Nyasha & Groot, Wim, 2011. "Health and welfare effects of integrating AIDS treatment with food assistance in resource constrained settings: A systematic review of theory and evidence," Social Science & Medicine, Elsevier, vol. 73(5), pages 685-692, September.
    11. Denis Cogneau & Michael Grimm, 2008. "The Impact of AIDS Mortality on the Distribution of Income in Côte d'Ivoire," Journal of African Economies, Centre for the Study of African Economies, vol. 17(5), pages 688-728, November.
    12. Ahmed, Akhter U. & Quisumbing, Agnes R. & Nasreen, Mahbuba & Hoddinott, John F. & Bryan, Elizabeth, 2009. "Comparing Food and Cash Transfers to the Ultra-Poor in Bangladesh," Research reports 163, International Food Policy Research Institute (IFPRI).
    13. Marco Caliendo & Reinhard Hujer & Stephan L. Thomsen, 2008. "The employment effects of job-creation schemes in Germany: A microeconometric evaluation," Advances in Econometrics, in: Modelling and Evaluating Treatment Effects in Econometrics, pages 381-428, Emerald Group Publishing Limited.
    14. Lentz, Erin C. & Barrett, Christopher B., 2013. "The economics and nutritional impacts of food assistance policies and programs," Food Policy, Elsevier, vol. 42(C), pages 151-163.
    15. John Hoddinott & Susanna Sandström & Joanna Upton, 2018. "The Impact of Cash and Food Transfers: Evidence from a Randomized Intervention in Niger," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 100(4), pages 1032-1049.
    16. Daniel O. Gilligan & John Hoddinott, 2007. "Is There Persistence in the Impact of Emergency Food Aid? Evidence on Consumption, Food Security, and Assets in Rural Ethiopia," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 89(2), pages 225-242.
    17. James J. Heckman & Hidehiko Ichimura & Petra Todd, 1998. "Matching As An Econometric Evaluation Estimator," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 65(2), pages 261-294.
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    Cited by:

    1. Lucas, Adrienne M. & Chidothe, Margaret & Wilson, Nicholas L., 2019. "Effects of adult health interventions at scale on children’s schooling: Evidence from antiretroviral therapy in Zambia," Economics of Education Review, Elsevier, vol. 72(C), pages 107-120.

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    More about this item

    Keywords

    Food assistance; Diet; Consumption expenditures; Household expenditures; HIV; AIDS; Zambia;
    All these keywords.

    JEL classification:

    • D01 - Microeconomics - - General - - - Microeconomic Behavior: Underlying Principles
    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis
    • I31 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General Welfare, Well-Being
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

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