Private Health Investments Under Competing Risks: Evidence from Malaria Control in Senegal

Working Paper: CEPR ID: DP14705

Authors: Pauline Rossi; Paola Villar

Abstract: This study exploits the introduction of high subsidies for anti-malaria products in Senegal in 2009 to investigate whether malaria prevents parents from investing in child health. A simple model of health investments under competing mortality risks predicts that privateexpenses to fight malaria and other diseases should increase in response to anti-malaria public interventions. We test and validate this prediction using original panel data from a household expenditure survey combined with geographical information on malaria prevalence. We find that health expenditures in malarious regions catch up with non-malarious regions. The same result holds for parental health-seeking behavior against other diseases like diarrhea. These patterns cannot be explained by differential trends between regions. Our results suggest that behavioral responses to anti-malaria campaigns magnify their impact on all-cause mortality for children.

Keywords: health expenses; malaria; africa; human capital; competing risks

JEL Codes: D1; H51; I1; J13; O15


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
increase in health expenditures (H51)parental health-seeking behavior against other diseases (I12)
antimalaria campaigns (I32)parental health-seeking behavior against other diseases (I12)
increase in health expenditures (H51)all-cause mortality for children (I12)
antimalaria campaigns (I32)increase in health expenditures (H51)

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