The Impact of the AIDS Pandemic on Health Services in Africa: Evidence from Demographic and Health Surveys |
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Authors: | Anne Case Christina Paxson |
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Institution: | Princeton University, Princeton, NJ, USA. accase@princeton.edu |
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Abstract: | We document the impact of the AIDS crisis on non-AIDS-related health services in 14 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 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 the largest in regions that
have developed the highest rates of HIV. 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 shouldering the heaviest burdens have seen the largest
erosion in non-HIV-related health services for pregnant women and children. Using semiparametric techniques, we can date the
beginning of the divergence in the use of antenatal care and in children’s immunizations between high- and low-HIV regions
to the mid-1990s. |
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