PSC Working Paper Series

Document Type

Working Paper

Date of this Version

9-27-2012

Comments

Baranov, Victoria, Daniel Bennett and Hans-Peter Kohler. 2012. "The Indirect Impact of Antiretroviral Therapy." PSC Working Paper Series, PSC 12-08.

Abstract

In response to AIDS mortality in Sub-Saharan Africa, international donors have collaborated with many national governments to provide free antiretroviral therapy (ART) to people with HIV. We explore the impact of this decline in objective mortality risk on subjective perceptions of mortality risk, as well as mental health, and agricultural labor supply and output. Through a difference-indifference identification strategy, we find that ART availability substantially reduces subjective mortality risk and improves mental health in rural Malawi, including among HIV-negative respondents. People allocate significantly more time to subsistence maize cultivation and increase maize output. These results show a novel link between mortality conditions and economic development through the channel of mental health. Findings for the HIV-negative subpopulation also demonstrate that the impact of the AIDS epidemic and ART are broader than previously understood.

Keywords

Antiretroviral therapy, HIV/AIDS, Malawi, Mental health, Sub-Saharan Africa, Subjective mortality rish

 

Date Posted: 01 October 2012