Aids Treatment and Intrahousehold Resource Allocations: Children's Nutrition and Schooling in Kenya

46 Pages Posted: 20 Nov 2006 Last revised: 20 Jan 2014

See all articles by Joshua Graff Zivin

Joshua Graff Zivin

Columbia University - Department of Health Policy and Management; National Bureau of Economic Research (NBER)

Harsha Thirumurthy

University of Pennsylvania; Center for Health Incentives and Behavioral Economics, University of Pennsylvania; University of Pennsylvania - Population Studies Center

Markus Goldstein

World Bank

Multiple version iconThere are 2 versions of this paper

Date Written: November 2006

Abstract

The provision of life-saving antiretroviral (ARV) treatment has emerged as a key component of the global response to HIV/AIDS, but very little is known about the impact of this intervention on the welfare of children in the households of treated persons. We estimate the impact of ARV treatment on children's schooling and nutrition outcomes using longitudinal household survey data collected in collaboration with a treatment program in western Kenya. We find that children's weekly hours of school attendance increase by over 20 percent within six months after treatment is initiated for the adult household member. For boys in treatment households, these increases closely follow their reduced market labor supply. Similarly, young children's short-term nutritional status--as measured by their weight-for-height Z-score--also improves dramatically. We argue that these treatment effects will be considerably larger when compared to the counterfactual scenario of no ARV treatment. The results provide evidence on how intrahousehold resource allocation is altered in response to significant health improvements. Since the improvements in children's schooling and nutrition at these critical early ages will affect their socio-economic outcomes in adulthood, the widespread provision of ARV treatment is likely to generate significant long-run macroeconomic benefits.

Suggested Citation

Zivin, Joshua Graff and Thirumurthy, Harsha and Goldstein, Markus P., Aids Treatment and Intrahousehold Resource Allocations: Children's Nutrition and Schooling in Kenya (November 2006). NBER Working Paper No. w12689, Available at SSRN: https://ssrn.com/abstract=944178

Joshua Graff Zivin

Columbia University - Department of Health Policy and Management ( email )

600 West 168th Street, 6th Floor
New York, NY 10032
United States

National Bureau of Economic Research (NBER)

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

Harsha Thirumurthy

University of Pennsylvania ( email )

423 Guardian Dr
Philadelphia, PA 19104
United States

Center for Health Incentives and Behavioral Economics, University of Pennsylvania ( email )

Philadelphia, PA 19104
United States

University of Pennsylvania - Population Studies Center ( email )

PA
United States

Markus P. Goldstein (Contact Author)

World Bank ( email )

1818 H Street, N.W.
Washington, DC 20433
United States

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