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American Economic Journal: Applied Economics: Vol. 5 No. 2 (April 2013)

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The Effect of Absenteeism and Clinic Protocol on Health Outcomes: The Case of Mother-to-Child Transmission of HIV in Kenya

Article Citation

Goldstein, Markus, Joshua Graff Zivin, James Habyarimana, Cristian Pop-Eleches, and Harsha Thirumurthy. 2013. "The Effect of Absenteeism and Clinic Protocol on Health Outcomes: The Case of Mother-to-Child Transmission of HIV in Kenya." American Economic Journal: Applied Economics, 5(2): 58-85.

DOI: 10.1257/app.5.2.58

Abstract

We show that pregnant women whose first clinic visit coincides with the nurse's attendance are 58 percentage points more likely to test for HIV and 46 percent more likely to deliver in a hospital. Furthermore, women with high pretest expectations of being HIV positive, whose visit coincides with nurse attendance, are 25 and 7.4 percentage points more likely to deliver in a hospital and receive PMTCT medication, and 9 percentage points less likely to breast-feed than women whose visit coincides with nurse absence. The shortcomings that prevent pregnant women from testing on a subsequent visit are common in sub-Saharan Africa. (JEL I12, J16, O15)

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Authors

Goldstein, Markus (World Bank)
Graff Zivin, Joshua (U CA, San Diego)
Habyarimana, James (Public Policy Institute, Georgetown U)
Pop-Eleches, Cristian (Columbia U)
Thirumurthy, Harsha (U NC)

JEL Classifications

I12: Health Production
J16: Economics of Gender; Non-labor Discrimination
O15: Economic Development: Human Resources; Human Development; Income Distribution; Migration

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