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Uncovering the role of education in the uptake of preventive measures against Malaria in the African population

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  • Kempter, Elisabeth
  • Upadhayay, Neha Bhardwaj

Abstract

In many African countries where malaria is endemic, this life-threatening disease is a leading cause of death. What role does education, in particular numeracy and literacy, play in malaria prevention and treatment-seeking? In this study we apply a birth cohort approach, which allows us to cover a time span of 60 years, and therefore, to provide a comprehensive view on the evolution of malaria prevention and treatment-seeking attitudes adapted among sub-Saharan African cohorts born during the 20th century. We use three different indicators to measure malaria control behavior: the share of respondents using insecticide-treated bednets (ITNs), the share of pregnant women taking antimalarial drugs, and the share of respondents taking their child to a medical facility when suffering from malaria symptoms like fever and cough. Our descriptive results suggest that younger birth cohorts are more likely to adapt malaria control measures than older ones. Based on a sample of 33 African countries, 407 regions, and a total of 1,960 observations, we perform multiple regressions using the pooled OLS estimator. We find that being numerate as well as being literate is positively associated with malaria protection and health-seeking behavior, though the numeracy coefficients are of larger magnitudes indicating that numeracy is at least as important as literacy. While malaria prevention and treatmentseeking behavior is complex and influenced by unobservables, we cannot control for, we account for the most relevant factors like gender, socio-economic status, topology, and urbanrural settings. Our findings show that in addition to education, the involvement of women in health-care decision-making, as well as the exposure to media, is positively correlated with malaria control. On the other hand, we find that a low socio-economic status makes the adaption of adequate malaria prevention and treatment-seeking behavior more difficult. In highly elevated regions and regions with lower precipitation, where malaria is less prevalent, people seem to pay less attention to protection measures. Finally, while malaria is more acute in rural regions, in urban areas antimalarial drugs are also commonly used for protection.

Suggested Citation

  • Kempter, Elisabeth & Upadhayay, Neha Bhardwaj, 2022. "Uncovering the role of education in the uptake of preventive measures against Malaria in the African population," University of Tübingen Working Papers in Business and Economics 155, University of Tuebingen, Faculty of Economics and Social Sciences, School of Business and Economics.
  • Handle: RePEc:zbw:tuewef:155
    DOI: 10.15496/publikation-72149
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    1. Thuilliez, Josselin & Sissoko, Mahamadou S. & Toure, Ousmane B. & Kamate, Paul & Berthélemy, Jean-Claude & Doumbo, Ogobara K., 2010. "Malaria and primary education in Mali: A longitudinal study in the village of Donéguébougou," Social Science & Medicine, Elsevier, vol. 71(2), pages 324-334, July.
    2. Nathan Nunn & Diego Puga, 2012. "Ruggedness: The Blessing of Bad Geography in Africa," The Review of Economics and Statistics, MIT Press, vol. 94(1), pages 20-36, February.
    3. Joerg Baten & Giacomo Benati & Sarah Ferber, 2022. "Rethinking age heaping again for understanding its possibilities and limitations," Economic History Review, Economic History Society, vol. 75(3), pages 960-971, August.
    4. Basu, Kaushik & Foster, James E, 1998. "On Measuring Literacy," Economic Journal, Royal Economic Society, vol. 108(451), pages 1733-1749, November.
    5. Steven Woloshin & Lisa M. Schwartz & Megan Moncur & Sherine Gabriel & Anna N. A. Tosteson, 2001. "Assessing Values for Health: Numeracy Matters," Medical Decision Making, , vol. 21(5), pages 382-390, October.
    6. Jean-Claude Berthélemy & Josselin Thuilliez & Ogobara Doumbo & Jean Gaudart, 2013. "Malaria and protective behaviours: is there a malaria trap?," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) inserm-00838508, HAL.
    7. Jörg Baten & Johan Fourie, 2015. "Numeracy of Africans, Asians, and Europeans during the early modern period: new evidence from Cape Colony court registers," Economic History Review, Economic History Society, vol. 68(2), pages 632-656, May.
    8. Thomson, Madeleine & Connor, Stephen & Bennett, Steve & D'Alessandro, Umberto & Milligan, Paul & Aikins, Moses & Langerock, Patricia & Jawara, Musa & Greenwood, Brian, 1996. "Geographical perspectives on bednet use and malaria transmission in the Gambia, West Africa," Social Science & Medicine, Elsevier, vol. 43(1), pages 101-112, July.
    9. Kerstin Manzel & Joerg Baten & Yvonne Stolz, 2012. "Convergence and divergence of numeracy: the development of age heaping in Latin America from the seventeenth to the twentieth century," Economic History Review, Economic History Society, vol. 65(3), pages 932-960, August.
    10. Rathgeber, Eva M. & Vlassoff, Carol, 1993. "Gender and tropical diseases: A new research focus," Social Science & Medicine, Elsevier, vol. 37(4), pages 513-520, August.
    11. Cappelli, Gabriele & Baten, Joerg, 2021. "Numeracy development in Africa: New evidence from a long-term perspective (1730–1970)," Journal of Development Economics, Elsevier, vol. 150(C).
    12. Mwenesi, Halima & Harpham, Trudy & Snow, Robert W., 1995. "Child malaria treatment practices among mothers in Kenya," Social Science & Medicine, Elsevier, vol. 40(9), pages 1271-1277, May.
    13. Brian A'Hearn & Alexia Delfino & Alessandro Nuvolari, 2022. "Rethinking age heaping: a cautionary tale from nineteenth‐century Italy," Economic History Review, Economic History Society, vol. 75(1), pages 111-137, February.
    14. Pascaline Dupas, 2009. "What Matters (and What Does Not) in Households' Decision to Invest in Malaria Prevention?," American Economic Review, American Economic Association, vol. 99(2), pages 224-230, May.
    15. Faustine Perrin, 2020. "Gender Gap in Numeracy and the Role of Marital Status. Evidence from 19th century France," Revue d'économie politique, Dalloz, vol. 130(1), pages 51-76.
    16. Rashed, S. & Johnson, H. & Dongier, P. & Moreau, R. & Lee, C. & Crépeau, R. & Lambert, J. & Jefremovas, V. & Schaffer, C., 1999. "Determinants of the Permethrin Impregnated Bednets (PIB) in the Republic of Benin: the role of women in the acquisition and utilization of PIBs," Social Science & Medicine, Elsevier, vol. 49(8), pages 993-1005, October.
    17. Geissler, P. W. & Nokes, K. & Prince, R. J. & Achieng' Odhiambo, R. & Aagaard-Hansen, J. & Ouma, J. H., 2000. "Children and medicines: self-treatment of common illnesses among Luo schoolchildren in western Kenya," Social Science & Medicine, Elsevier, vol. 50(12), pages 1771-1783, June.
    18. McCombie, S. C., 1996. "Treatment seeking for malaria: A review of recent research," Social Science & Medicine, Elsevier, vol. 43(6), pages 933-945, September.
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    More about this item

    Keywords

    malaria; sub-Saharan Africa; insecticide-treated bednets (ITNs); numeracy; literacy;
    All these keywords.

    JEL classification:

    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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