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dc.contributor.authorDeuchert, Evaen
dc.contributor.authorWunsch, Connyen
dc.date.accessioned2010-05-27-
dc.date.accessioned2010-08-18T11:21:55Z-
dc.date.available2010-08-18T11:21:55Z-
dc.date.issued2010-
dc.identifier.urihttp://hdl.handle.net/10419/39027-
dc.description.abstractNationwide health interventions are difficult to evaluate as contemporaneous control groups do not exist and before-after approaches are usually infeasible. We propose an alternative semi-parametric estimator that is based on the assumption that the intervention has no direct effect on the health outcome but influences the outcome only through its effect on individual behavior. We show that in this case the evaluation problem can be divided into two parts: (i) the effect of the intervention on behavior, for which a conditional before-after assumption is more plausible; and (ii) the effect of the behaviour on the health outcome, where we exploit that a contemporaneous control groups exists for behavior. The proposed estimator is used to evaluate one of Malawi's main malaria prevention campaigns, a nationwide insecticide-treated-net (ITN) distribution scheme, in terms of its effect on infant mortality. We exploit that the program affects child mortality only via bed net usage. We find that Malawi's ITN distribution campaign reduced child mortality by 1 percentage point, which corresponds to about 30% of the total reduction in infant mortality over the study period.en
dc.language.isoengen
dc.publisher|aCenter for Economic Studies and ifo Institute (CESifo) |cMunichen
dc.relation.ispartofseries|aCESifo Working Paper |x3036en
dc.subject.jelC14en
dc.subject.jelC21en
dc.subject.jelI18en
dc.subject.ddc330en
dc.subject.keywordtreatment effecten
dc.subject.keywordsemi-parametric estimationen
dc.subject.keywordhealth interventionen
dc.subject.stwTropenkrankheiten
dc.subject.stwGesundheitsvorsorgeen
dc.subject.stwWirkungsanalyseen
dc.subject.stwKindersterblichkeiten
dc.subject.stwNichtparametrisches Verfahrenen
dc.subject.stwSchätzungen
dc.subject.stwMalawien
dc.titleEvaluating nationwide health interventions when standard before-after doesn't work: Malawi's ITN distribution program-
dc.typeWorking Paperen
dc.identifier.ppn626792819en
dc.rightshttp://www.econstor.eu/dspace/Nutzungsbedingungenen

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