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Demography

, Volume 52, Issue 5, pp 1671–1700 | Cite as

Can Disease-Specific Funding Harm Health? in the Shadow of HIV/AIDS Service Expansion

  • Nicholas WilsonEmail author
Article

Abstract

This article examines the effect of introducing a new HIV/AIDS service—prevention of mother-to-child transmission of HIV (PMTCT)—on overall quality of prenatal and postnatal care. My results suggest that local PMTCT introduction in Zambia may have actually increased all-cause child mortality in the short term. There is some evidence that vaccinations may have declined in the short term in association with local PMTCT introduction, suggesting that the new service may have partly crowded out existing pediatric health services.

Keywords

Child mortality HIV/AIDS PMTCT Public finance Zambia 

Notes

Acknowledgments

I would like to thank Eran Bendavid, Marianne Bitler, Alfredo Burlando, Raluca Buzdugan, Christopher Carpenter, Joseph Cummins, Carlos Dobkin, William Dow, Pascaline Dupas, Frederico Finan, Gunther Fink, Emmanuela Gakidou, Paul Gertler, Erick Gong, Laura Guay, Gianmarco Leon, Ethan Ligon, Jeremy Magruder, Zoe McClaren, Sandra McCoy, Edward Miguel, Christopher Murray, Nancy Padian, Bei Qin, Jonathan Robinson, David Sahn, Lucie Schmidt, T. Paul Schultz, Manisha Shah, Lara Shore-Sheppard, Jeffrey Stringer, Anand Swamy, Harsha Thirumurthy, Waly Wane, Tara Watson, David Weil; two anonymous referees; and seminar participants at the NBER Africa Project Zanzibar Conference; the 6th Annual PopPov Conference on Population, Reproductive Health, and Economic Development in Accra, Ghana; the University of California, Berkeley; the University of California, Irvine; the University of California, Santa Cruz; the University of Oregon; the University of Washington; and Williams College for many excellent comments. Madeleine Watson and Wentao Xiong provided superb research assistance. The NBER Africa Project provided generous financial and institutional support. This research would not be possible without the assistance of Kunyima Banda and the Network of Zambian People Living with HIV/AIDS (NZP+). All errors are my own. The findings, interpretations, and conclusions expressed in this article are those of the author and do not necessarily represent the views of the aforementioned individuals or the agencies that employ them.

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Copyright information

© Population Association of America 2015

Authors and Affiliations

  1. 1.Department of EconomicsReed CollegePortlandUSA

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