Do Public Health Interventions Crowd Out Private Health Investments? Malaria Control Policies in Eritrea

92 Pages Posted: 20 Apr 2016

See all articles by Pedro Manuel Carneiro

Pedro Manuel Carneiro

University College London - Department of Economics; IZA Institute of Labor Economics

Alex Armand

University of Navarra

Andrea Locatelli

Bank of Italy - Research Department

Selam Mihreteab

National Malaria Control Commission

Joseph Keating

Tulane University - School of Public Health and Tropical Medicine

Multiple version iconThere are 3 versions of this paper

Date Written: May 15, 2015

Abstract

It is often argued that engaging in indoor residual spraying in areas with high coverage of mosquito bed nets may discourage net ownership and use. This is just a case of a public program having perverse incentives. This paper analyzes new data from a randomized control trial conducted in Eritrea, which surprisingly shows the opposite: indoor residual spraying encouraged net acquisition and use. The evidence points to the role of imperfect information. The introduction of indoor residual spraying may have made the problem of malaria more salient, leading to a change in beliefs about its importance and to an increase in private health investments.

Keywords: Health Service Management and Delivery, Public Health Promotion, Cholera, Health Care Services Industry, Disease Control & Prevention, Malaria, Communicable Diseases, Leprosy, Health Economics & Finance

Suggested Citation

Carneiro, Pedro Manuel and Armand, Alex and Locatelli, Andrea and Mihreteab, Selam and Keating, Joseph, Do Public Health Interventions Crowd Out Private Health Investments? Malaria Control Policies in Eritrea (May 15, 2015). World Bank Policy Research Working Paper No. 7268, Available at SSRN: https://ssrn.com/abstract=2606842

Pedro Manuel Carneiro (Contact Author)

University College London - Department of Economics ( email )

Gower Street
London WC1E 6BT, WC1E 6BT
United Kingdom

IZA Institute of Labor Economics

P.O. Box 7240
Bonn, D-53072
Germany

Alex Armand

University of Navarra ( email )

Camino del Cerro del Aguila, 3
Pamplona, Navarra 31080
Spain

HOME PAGE: http://alexarmand.org

Andrea Locatelli

Bank of Italy - Research Department ( email )

Via Nazionale 91
00184 Roma
Italy

Selam Mihreteab

National Malaria Control Commission

Nigeria

Joseph Keating

Tulane University - School of Public Health and Tropical Medicine

New Orleans, LA 70112
United States

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