Adult Antiretroviral Therapy and Child Health: Evidence from Scale-up in Zambia
Author(s) -
Adrienne Lucas,
Nicholas Wilson
Publication year - 2013
Publication title -
the american economic review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 16.936
H-Index - 297
eISSN - 1944-7981
pISSN - 0002-8282
DOI - 10.1257/aer.103.3.456
Subject(s) - antiretroviral therapy , incidence (geometry) , medicine , developing country , demography , human immunodeficiency virus (hiv) , adult male , scale (ratio) , pediatrics , environmental health , gerontology , economics , economic growth , geography , viral load , sociology , immunology , physics , optics , cartography
One in five Zambian children lives with an HIV/AIDS-infected adult. We estimate the effect that the availability of adult antiretroviral therapy (ART) has on the health of such children. Using a triple difference specification, we find that adult access to ART resulted in increased weight-for-age and decreased incidence of stunting among children younger than 60 months who resided with an infected father or other infected adult in an intact household. Because the increased availability of adult ART in sub-Saharan Africa has multigenerational effects, cost-effectiveness estimates restricted to direct recipients understate the economic benefit of the treatment.
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