Evaluating the Effects of Large Scale Health Interventions in Developing Countries: The Zambian Malaria Initiative

62 Pages Posted: 1 Jun 2010

See all articles by Nava Ashraf

Nava Ashraf

Harvard University - Business School (HBS)

Günther Fink

Harvard University - Department of Population and International Health

David N. Weil

Brown University - Department of Economics; National Bureau of Economic Research (NBER)

Multiple version iconThere are 2 versions of this paper

Date Written: June 1, 2010

Abstract

Since 2003, Zambia has been engaged in a large-scale, centrally coordinated national anti-Malaria campaign which has become a model in sub-Saharan Africa. This paper aims at quantifying the individual and macro level benefits of this campaign, which involved mass distribution of insecticide treated mosquito nets, intermittent preventive treatment for pregnant women, indoor residual spraying, rapid diagnostic tests, and artemisinin-based combination therapy. We discuss the timing and regional coverage of the program, and critically review the available health and program rollout data. To estimate the health benefits associated with the program rollout, we use both population based morbidity measures from the Demographic and Health Surveys and health facility based mortality data as reported in the national Health Management Information System. While we find rather robust correlations between the rollout of bed nets and subsequent improvements in our health measures, the link between regional spraying and individual level health appears rather weak in the data.

Keywords: Malaria, Zambia, Health

JEL Classification: I18

Suggested Citation

Ashraf, Nava and Fink, Günther and Weil, David Nathan, Evaluating the Effects of Large Scale Health Interventions in Developing Countries: The Zambian Malaria Initiative (June 1, 2010). Available at SSRN: https://ssrn.com/abstract=1618863 or http://dx.doi.org/10.2139/ssrn.1618863

Nava Ashraf

Harvard University - Business School (HBS) ( email )

Soldiers Field Road
Morgan 270C
Boston, MA 02163
United States
617-495-5058 (Phone)
617-496-4191 (Fax)

Günther Fink

Harvard University - Department of Population and International Health ( email )

665 Huntington Avenue
Boston, MA 02115
United States

David Nathan Weil (Contact Author)

Brown University - Department of Economics ( email )

Box B
Providence, RI 02912
United States
401-863-1754 (Phone)
401-863-1970 (Fax)

National Bureau of Economic Research (NBER)

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

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