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Prevention of Mother-to-Child Transmission of HIV and Reproductive Behavior in Zambia

Nicholas Wilson

Chapter in NBER book African Successes, Volume II: Human Capital (2016), Sebastian Edwards, Simon Johnson, and David N. Weil, editors (p. 59 - 83)
Published in September 2016 by University of Chicago Press
© 2016 by the National Bureau of Economic Research
in Research on Africa

Prevention of mother-to-child transmission of HIV (PMTCT) is the single most effective HIV prevention intervention in practice today. Nonetheless, little reliable empirical evidence exists on the behavioral effects of PMTCT. This paper documents the rapid expansion of access to PMTCT in Zambia during the period 2000-2007 and provides some of the first evidence on the change in reproductive behavior associated with PMTCT scale-up. The results of a primarily descriptive analysis suggest that PMTCT may have generated increases in knowledge about PMTCT and MTCT, large reductions in child mortality and pregnancy rates, and smaller changes in breastfeeding rates. However, additional research is required to address the potential endogeneity of PMTCT availability.

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This chapter first appeared as NBER working paper w18226, Prevention of Mother-to-Child Transmission of HIV and Reproductive Behavior in Zambia, Nicholas Wilson
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