The Impact of the Aids Pandemic on Health Services in Africa: Evidence from Demographic and Health Surveys

44 Pages Posted: 27 Sep 2012

See all articles by Anne Case

Anne Case

Princeton University - Research Program in Development Studies; National Bureau of Economic Research (NBER)

Christina H. Paxson

Princeton University; National Bureau of Economic Research (NBER)

Date Written: May 2009

Abstract

We document the impact of the AIDS crisis on non-AIDS related health services in fourteen sub-Saharan African countries. Using multiple waves of Demographic and Health Surveys (DHS) for each country, we examine antenatal care, birth deliveries, and rates of immunization for children born between 1988 and 2005. We find deterioration in nearly all of these dimensions of health care over this period. The most recent DHS survey for each country collected data on HIV prevalence, which allows us to examine the association between HIV burden and health care. We find that erosion of health services is highly correlated with increases in AIDS prevalence. Regions of countries that have light AIDS burdens have witnessed small or no declines in health care, using the measures noted above, while those regions currently shouldering the heaviest burdens have seen the largest erosion in treatment for pregnant women and children. Using semi-parametric techniques, we can date the beginning of the divergence in health services between high and low HIV regions to the mid-1990s.

Suggested Citation

Case, Anne and Paxson, Christina H., The Impact of the Aids Pandemic on Health Services in Africa: Evidence from Demographic and Health Surveys (May 2009). NBER Working Paper No. w15000. Available at SSRN: https://ssrn.com/abstract=1408920

Anne Case (Contact Author)

Princeton University - Research Program in Development Studies ( email )

Woodrow Wilson School
345 Wallace Hall
Princeton, NJ 08544
United States
609-258-2177 (Phone)
609-258-5974 (Fax)

National Bureau of Economic Research (NBER)

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Cambridge, MA 02138
United States

Christina H. Paxson

Princeton University ( email )

316 Wallace Hall
Princeton, NJ 08544
United States
609-258-6474 (Phone)
609-258-5974 (Fax)

National Bureau of Economic Research (NBER)

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

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