Assessing PEPFAR’s Impact: Analysis of Economic and Educational Spillover Effects in PEPFAR Countries

Issue Brief
  1. Kates J, Nandakumar A, Gaumer G, Hariharan D, Crown W, Wexler A, Oum S, Rouw A, Assessing PEPFAR’s Impact: Analysis of Mortality in PEPFAR Countries, KFF, 2021. Available at: https://www.kff.org/global-health-policy/issue-brief/assessing-pepfars-impact-analysis-of-mortality-in-pepfar-countries/.

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  2. Kates J, Gaumer G, Crown W, Hariharan D, Nandakumar A, Assessing PEPFAR’s Impact: Maternal and Child Health Spillover Effects in PEPFAR Countries, KFF, 2022. Available at: https://www.kff.org/global-health-policy/issue-brief/assessing-pepfars-impact-analysis-of-maternal-and-child-health-spillover-effects-in-pepfar-countries/.

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  3. State Department, PEPFAR 2022 Country and Regional Operational Plan (COP/ROP) Guidance for all PEPFAR-Supported Countries, February 2022. Available at: https://www.state.gov/wp-content/uploads/2022/02/COP22-Guidance-Final_508-Compliant-3.pdf.

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  4. State Department, PEPFAR DREAMS Guidance, March 2021. Available at: https://static1.squarespace.com/static/5a29b53af9a61e9d04a1cb10/t/611ed11ed7ee4f73abf24803/1629409569489/2021-08-17+DREAMS+Guidance+Final+March+2018+Update_PEPFAR+Solutions.pdf.

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  5. Wagner Z, Barofsky J, Sood N, “PEPFAR funding associated with an increase in employment among males in ten sub-Saharan African countries,” Health Affairs, 2015 Jun, 34(6): 946-953.

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  6. See, for example: Remes J, Wilson M, Ramdorai A, How investing in health has a significant economic payoff for developing economies, Brookings, July 2020, available at: https://www.brookings.edu/blog/future-development/2020/07/21/how-investing-in-health-has-a-significant-economic-payoff-for-developing-economies/;  World Bank, Human Capital Project, available at: https://www.worldbank.org/en/publication/human-capital; Piabuo S, Tieguhong J, “Health expenditure and economic growth - a review of the literature and an analysis between the economic community for central African states (CEMAC) and selected African countries,” Health Econ Rev, 2017 Dec, 7(23); Vogl T, Education and health in developing economies, Working Papers 1453, Princeton University, Woodrow Wilson School of Public and International Affairs; Bloom D, Khoury A, Kufenko V, Prettner K, “Spurring economic growth through human development: research results and guidance for policymakers,” Population and Development Review, 2021 Jun, 47(2): 377-409; Bloom D, Kuhn M, Prettner K, Health and economic growth, 2018, IZA DP No. 11939, available at: https://www.iza.org/publications/dp/11939/health-and-economic-growth; Collin M, Weil D, The effect of increasing human capital investment on economic growth and poverty: a simulation exercise, World Bank, WPS8590, 2018, available at: https://openknowledge.worldbank.org/handle/10986/30463.

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  7. Wagner Z, Barofsky J, Sood N, “PEPFAR funding associated with an increase in employment among males in ten sub-Saharan African countries.” Health Affairs, 2015 Jun, 34(6): 946-953.

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  8. Kim Y, Whang T, “The effects of the President’s Emergency Plan for AIDS Relief on the economies and domestic politics of focus countries”, Global Economic Review, 2017 Aug, 46(4), 441-463.

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  9. Daschle T, Frist B, Building prosperity, stability, and security through strategic health diplomacy: a study of 15 years of PEPFAR, Bipartisan Policy Center, Washington DC, 2018, available at: https://bipartisanpolicy.org/download/?file=/wp-content/uploads/2019/03/Building-Prosperity-Stability-and-Security-Through-Strategic-Health-Diplomacy-A-Study-of-15-Years-of-PEPFAR.pdf.

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  10. See, for example: Bor J, Tanser F, Newell M, Barnighausen T, “In a study of a population cohort in South Africa, HIV patients on antiretrovirals had nearly full recovery of employment”, Health Affairs, 2012 July, 31(7),1459-1469; Resch S, Korenromp E, Stover J, Blakley M, Krubiner C, Thorien K, Hecht R, Atun R, “Economic returns to investment in AIDS treatment in low and middle income countries,” PLoS ONE 2011 Oct, 6(10): e25310; Thirumurthy H, Galárraga O, Larson B, Rosen S, “HIV treatment produces economic returns through increased work and education, and warrants continued US support,” Health Affairs, 2012 Jul, 31(7):1470-7; McLaren Z, Bor J, Tanser F, Barnighausen T, Economic stimulus from public health programs: externalities from mass AIDS treatment provision in South Africa, September 2019, available at: https://mdsoar.org/handle/11603/23512.

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  11. See, for example, Zivin JG, Thirumurthy H, Goldstein M, “AIDS treatment and intrahousehold resource allocation: children's nutrition and schooling in Kenya,” J Public Econ, 2009 Aug, 93(7-8):1008-1015; Guo Y, Li X, Sherr L, “The impact of HIV/AIDS on children's educational outcome: a critical review of global literature,” AIDS Care, 2012 April,24(8):993-1012.

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  12. See discussions in: Bloom D, Khoury A, Kufenko V, Prettner K, “Spurring economic growth through human development: research results and guidance for policymakers,” Population and Development Review, 2021 Jun, 47(2): 377-409; Bloom D, Kuhn M, Prettner K, Health and economic growth, 2018, IZA DP No. 11939, available at: https://www.iza.org/publications/dp/11939/health-and-economic-growth; Weil D, “Health and economic growth”, ch. 03, p. 623-682 in, Handbook of Economic Growth, 2014, vol. 2: 623-682.

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  13. Kim Y, Whang T, “The effects of the President’s Emergency Plan for AIDS Relief on the economies and domestic politics of focus countries”, Global Economic Review, 2017 Aug, 46(4), 441-463; Daschle T, Frist B, Building prosperity, stability, and security through strategic health diplomacy: a study of 15 years of PEPFAR, Bipartisan Policy Center, Washington DC, 2018, available at: https://bipartisanpolicy.org/download/?file=/wp-content/uploads/2019/03/Building-Prosperity-Stability-and-Security-Through-Strategic-Health-Diplomacy-A-Study-of-15-Years-of-PEPFAR.pdf.

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  14. Authors’ analysis.

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  15. Gertler P, Martinez S, Premand P, Rawlings L, Vermeersch C. Impact evaluation in practice, second edition. 2016, Washington, DC: Inter-American Development Bank and World Bank. Available at: https://openknowledge.worldbank.org/handle/10986/25030.

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