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Effects of adult health interventions at scale on children’s schooling: Evidence from antiretroviral therapy in Zambia
Institution:1. Department of Economics, Lerner College of Business and Economics, University of Delaware and NBER, 419 Purnell Hall, Newark, DE 19716, USA;2. Department of Economics, Wellesley College, USA;3. Department of Economics, Reed College, USA;1. Department of Ag. Economics and Economics, Montana State University, Bozeman, MT 59717, United States;2. Department of Economics, Finance and Legal Studies, University of Alabama, Tuscaloosa, AL 35487, United States;3. School of Mathematical Sciences, Nankai University;4. Institute for the Study of Labor (IZA);1. Department of Economics, Texas A&M University, College Station, TX, United States;2. NBER, Cambridge, MA, United States;3. IZA, Bonn, Germany;4. School of Public Affairs, American University, Washington DC, United States;5. Department of Agricultural Economics and Economics, Montana State University, Bozeman, Montana, United States
Abstract:In 2007, approximately one in five children in Zambia lived with an HIV positive adult. We identify the effect of adult antiretroviral therapy (ART) availability at scale on children’s educational outcomes by combining data on the expansion of ART availability with two national household surveys that include HIV testing. Through a triple difference specification, we find that the availability of ART increased the likelihood that children in households with HIV positive household heads started school on time and were the appropriate grade-for-age. Two mechanisms were likely decreased incidental infections in the household and related care giving duties.
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