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Economics 172 Issues in African Economic Development Professor Ted Miguel Department of Economics University of California, Berkeley
54

Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

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Page 1: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Econ

omic

s 17

2Is

sues

in A

frica

n E

cono

mic

Dev

elop

men

t

Pro

fess

or T

ed M

igue

lD

epar

tmen

t of E

cono

mic

sU

nive

rsity

of C

alifo

rnia

, Ber

kele

y

Page 2: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Econ

omic

s 17

2Is

sues

in A

frica

n E

cono

mic

Dev

elop

men

t

Lect

ure

11 �

Febr

uary

20,

200

7

Page 3: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

3

Page 4: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

4

�Pre

�t=

0

�Pos

t�t=

1

Diff

0=

+1%

Diff

1=

-17%

Page 5: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

5

Taki

ng th

e di

ffere

nce-

in-d

iffer

ence

s

�Th

e di

ffere

nce-

in-d

iffer

ence

s (D

D) e

stim

ator

take

s th

e di

ffere

nces

bet

wee

n eq

uatio

ns (2

) and

(3) t

o el

imin

ate

omitt

ed v

aria

ble

bias

and

del

iver

the

true

effe

ct:

Equ

atio

n (2

) �E

quat

ion

(3)

= {E

(Yi1

| Ti1=1

) �E

(Yi1

| Ti1=0

)}�

{E(Y

i0| T

i1=1

) �E

(Yi0

| Ti1=0

)}

Page 6: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

6

Taki

ng th

e di

ffere

nce-

in-d

iffer

ence

s

�Th

e di

ffere

nce-

in-d

iffer

ence

s (D

D) e

stim

ator

take

s th

e di

ffere

nces

bet

wee

n eq

uatio

ns (2

) and

(3) t

o el

imin

ate

omitt

ed v

aria

ble

bias

and

del

iver

the

true

effe

ct:

Equ

atio

n (2

) �E

quat

ion

(3)

= {E

(Yi1

| Ti1=1

) �E

(Yi1

| Ti1=0

)}�

{E(Y

i0| T

i1=1

) �E

(Yi0

| Ti1=0

)}

= D

iff1

�D

iff0

= (-

17%

) �(+

1%) =

-18%

Page 7: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

7

Inte

rpre

ting

Fox

et a

l.�s

(200

4) re

sults

�In

clud

ing

abse

ntee

ism

, fin

al y

ear i

ncom

e dr

ops

35%

Page 8: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

8

Inte

rpre

ting

Fox

et a

l.�s

(200

4) re

sults

�In

clud

ing

abse

ntee

ism

, fin

al y

ear i

ncom

e dr

ops

35%

�S

ome

cont

rols

are

als

o lik

ely

ill w

ith H

IV/A

IDS

, lea

ding

th

e es

timat

ed T

�C d

iffer

ence

to b

e a

low

er b

ound

. The

de

clin

e ov

er ti

me

in C

pro

duct

ivity

may

be

AID

S re

late

d

Page 9: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

9

T i1=

0

T i1=

1

HIV

/AID

SE

ffect

?

Page 10: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

10

Inte

rpre

ting

Fox

et a

l.�s

(200

4) re

sults

�In

clud

ing

abse

ntee

ism

, fin

al y

ear i

ncom

e dr

ops

35%

�S

ome

cont

rols

are

als

o lik

ely

ill w

ith H

IV/A

IDS

, lea

ding

th

e es

timat

ed T

�C d

iffer

ence

to b

e a

low

er b

ound

. The

de

clin

e ov

er ti

me

in C

pro

duct

ivity

may

be

AID

S re

late

d

�S

ick

wor

kers

ofte

n ha

ve fa

mily

mem

ber �

help

ers�

. So

estim

ates

are

aga

in li

kely

to b

e lo

wer

bou

nds

Page 11: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

11

Inte

rpre

ting

Fox

et a

l.�s

(200

4) re

sults

�In

clud

ing

abse

ntee

ism

, fin

al y

ear i

ncom

e dr

ops

35%

�S

ome

cont

rols

are

als

o lik

ely

ill w

ith H

IV/A

IDS

, lea

ding

th

e es

timat

ed T

�C d

iffer

ence

to b

e a

low

er b

ound

. The

de

clin

e ov

er ti

me

in C

pro

duct

ivity

may

be

AID

S re

late

d

�S

ick

wor

kers

ofte

n ha

ve fa

mily

mem

ber �

help

ers�

. So

estim

ates

are

aga

in li

kely

to b

e lo

wer

bou

nds

�Is

the

assu

mpt

ion

of n

o tim

e-va

ryin

g om

itted

var

iabl

es

reas

onab

le?

AID

S v

ictim

s ha

ve h

ighe

r abs

ente

eism

th

ree

year

s pr

ior.

Wha

t is

the

right

�cou

nter

fact

ual�?

Page 12: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

12

Key

que

stio

ns in

the

stud

y of

HIV

/AID

S

(0) M

easu

ring

the

exte

nt o

f the

pro

blem

(tod

ay)

(1) W

hat i

mpa

ct d

oes

HIV

/AID

S h

ave

on e

cono

mic

de

velo

pmen

t in

Afri

ca?

--La

bor p

rodu

ctiv

ity /

labo

r tur

nove

r--

Hum

an c

apita

l acc

umul

atio

n (o

rpha

ns)

--In

vest

men

t and

sav

ings

(as

time

horiz

ons

chan

ge)

Page 13: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

13

Par

ent d

eath

and

sch

ool p

artic

ipat

ion

in K

enya

�E

vans

and

Mig

uel (

2005

) stu

dy th

e im

pact

of p

aren

t de

ath

on s

choo

l par

ticip

atio

n am

ong

prim

ary

scho

ol

child

ren

in K

enya

(usi

ng th

e de

wor

min

gpr

ojec

t dat

aset

)

�P

aren

t dea

th le

ads

to a

dro

p of

at l

east

5-6

per

cent

age

poin

ts in

sch

ool p

artic

ipat

ion

�Im

pact

s ar

e pa

rticu

larly

neg

ativ

e fo

llow

ing

mat

erna

l de

aths

, and

for w

orse

stu

dent

s

Page 14: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

14

How

do

orph

ans,

oth

ers

com

pare

at b

asel

ine?

Bec

ame

Nev

erB

-NO

rpha

nsO

rpha

ns19

97 S

choo

l par

ticip

atio

n0.

830.

810.

02(0

.03)

1998

Sch

ool p

artic

ipat

ion

0.92

0.92

0.00

(0.0

1)W

eigh

t-for

-age

(Z),

1998

-1.4

0-1

.45

0.05

(0.0

3)M

alar

ia in

last

mon

th, 1

998

0.40

0.39

0.01

(0.0

2)H

ouse

hold

has

a la

trine

, 199

80.

810.

82-0

.02

(0.0

2)H

ouse

hold

ow

ns c

attle

, 199

80.

490.

49-0

.00

(0.0

2)

Page 15: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

15

Page 16: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

16

Page 17: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

17

Page 18: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

18

DD

Page 19: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

19

Key

que

stio

ns in

the

stud

y of

HIV

/AID

S

(0) M

easu

ring

the

exte

nt o

f the

pro

blem

(tod

ay)

(1) W

hat i

mpa

ct d

oes

HIV

/AID

S h

ave

on e

cono

mic

de

velo

pmen

t in

Afri

ca?

(2) W

hy d

oes

HIV

/AID

S c

ontin

ue to

spr

ead

in A

frica

?

(3) W

hat c

an /

shou

ld p

ublic

pol

icy

do a

bout

HIV

/AID

S?

Page 20: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

20

Key

que

stio

ns in

the

stud

y of

HIV

/AID

S

(0) M

easu

ring

the

exte

nt o

f the

pro

blem

(tod

ay)

(1) W

hat i

mpa

ct d

oes

HIV

/AID

S h

ave

on e

cono

mic

de

velo

pmen

t in

Afri

ca?

(2) W

hy d

oes

HIV

/AID

S co

ntin

ue to

spr

ead

in A

fric

a?

(3) W

hat c

an /

shou

ld p

ublic

pol

icy

do a

bout

HIV

/AID

S?

Page 21: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

21

Why

doe

s H

IV c

ontin

ue to

spr

ead?

�La

ck o

f inf

orm

atio

n, a

war

enes

s ab

out H

IV/A

IDS

?�

Pro

babl

y no

t a g

ood

expl

anat

ion

anym

ore

�W

hat e

lse?

Page 22: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

22

Why

doe

s H

IV s

prea

d? A

sim

ple

mod

el

�Ti

min

g: tw

o pe

riods

, You

th (t

=1),

Old

age

(t=2

)�

Key

dec

isio

n in

You

th: E

ngag

e in

uns

afe

sex

or n

ot

Page 23: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

23

Why

doe

s H

IV s

prea

d? A

sim

ple

mod

el

�Ti

min

g: tw

o pe

riods

, You

th (t

=1),

Old

age

(t=2

)�

Key

dec

isio

n in

You

th: E

ngag

e in

uns

afe

sex

or n

ot

�Li

kelih

ood

of li

ving

to O

ld a

ge:

�P

∈(0

,1)i

f HIV

-�

PH

IV∈

(0,P

)if H

IV+,

so

PH

IV<

P

Page 24: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

24

Why

doe

s H

IV s

prea

d? A

sim

ple

mod

el

�Ti

min

g: tw

o pe

riods

, You

th (t

=1),

Old

age

(t=2

)�

Key

dec

isio

n in

You

th: E

ngag

e in

uns

afe

sex

or n

ot

�Li

kelih

ood

of li

ving

to O

ld a

ge:

�P

∈(0

,1)i

f HIV

-�

PH

IV∈

(0,P

)if H

IV+,

so

PH

IV<

P

�V

alue

of o

ne p

erio

d of

life

: V >

0�

Val

ue o

f uns

afe

sex:

S >

0

Page 25: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

25

Why

doe

s H

IV s

prea

d? A

sim

ple

mod

el

�Ti

min

g: tw

o pe

riods

, You

th (t

=1),

Old

age

(t=2

)�

Key

dec

isio

n in

You

th: E

ngag

e in

uns

afe

sex

or n

ot

�Li

kelih

ood

of li

ving

to O

ld a

ge:

�P

∈(0

,1)i

f HIV

-�

PH

IV∈

(0,P

)if H

IV+,

so

PH

IV<

P

�V

alue

of o

ne p

erio

d of

life

: V >

0�

Val

ue o

f uns

afe

sex:

S >

0

�A

ssum

e th

e ag

ent i

s H

IV-i

n he

r/his

you

th

Page 26: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

26

Why

doe

s H

IV s

prea

d? A

sim

ple

mod

el

��R

atio

nal�

deci

sion

rule

: eng

age

in u

nsaf

e se

x if

the

�exp

ecte

d ut

ility

�of u

nsaf

e is

gre

ater

than

of s

afe

sex

EU

(Saf

e se

x)

= V

+ {P

V +

(1 �

P)*

0} =

V(1

+P)

Page 27: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

27

Why

doe

s H

IV s

prea

d? A

sim

ple

mod

el

��R

atio

nal�

deci

sion

rule

: eng

age

in u

nsaf

e se

x if

the

�exp

ecte

d ut

ility

�of u

nsaf

e is

gre

ater

than

of s

afe

sex

EU

(Saf

e se

x)

= V

+ {P

V +

(1 �

P)*

0} =

V(1

+P)

t=1

t=2

Page 28: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

28

Why

doe

s H

IV s

prea

d? A

sim

ple

mod

el

��R

atio

nal�

deci

sion

rule

: eng

age

in u

nsaf

e se

x if

the

�exp

ecte

d ut

ility

�of u

nsaf

e is

gre

ater

than

of s

afe

sex

EU

(Saf

e se

x)

= V

+ {P

V +

(1 �

P)*

0} =

V(1

+P)

�A

ssum

e un

safe

sex

alw

ays

lead

s pe

ople

to b

e H

IV+

EU

(Uns

afe

sex)

= {V

+S} +

{PH

IVV

+ (1

�P

HIV

)*0}

Page 29: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

29

Why

doe

s H

IV s

prea

d? A

sim

ple

mod

el

��R

atio

nal�

deci

sion

rule

: eng

age

in u

nsaf

e se

x if

the

�exp

ecte

d ut

ility

�of u

nsaf

e is

gre

ater

than

of s

afe

sex

EU

(Saf

e se

x)

= V

+ {P

V +

(1 �

P)*

0} =

V(1

+P)

�A

ssum

e un

safe

sex

alw

ays

lead

s pe

ople

to b

e H

IV+

EU

(Uns

afe

sex)

= {V

+S} +

{PH

IVV

+ (1

�P

HIV

)*0}

Key

term

: ben

efits

of u

nsaf

e se

x (fi

nanc

ial,

phys

ical

, etc

.)

Page 30: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

30

Why

doe

s H

IV s

prea

d? A

sim

ple

mod

el

��R

atio

nal�

deci

sion

rule

: eng

age

in u

nsaf

e se

x if

the

�exp

ecte

d ut

ility

�of u

nsaf

e is

gre

ater

than

of s

afe

sex

EU

(Saf

e se

x)

= V

+ {P

V +

(1 �

P)*

0} =

V(1

+P)

�A

ssum

e un

safe

sex

alw

ays

lead

s pe

ople

to b

e H

IV+

EU

(Uns

afe

sex)

= {V

+S} +

{PH

IVV

+ (1

�P

HIV

)*0}

= V

(1+P

HIV

) + S

Page 31: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

31

Why

doe

s H

IV s

prea

d? A

sim

ple

mod

el

��R

atio

nal�

deci

sion

rule

: eng

age

in u

nsaf

e se

x if

the

�exp

ecte

d ut

ility

�of u

nsaf

e is

gre

ater

than

of s

afe

sex

EU

(Saf

e se

x)

= V

+ {P

V +

(1 �

P)*

0} =

V(1

+P)

�A

ssum

e un

safe

sex

alw

ays

lead

s pe

ople

to b

e H

IV+

EU

(Uns

afe

sex)

= {V

+S} +

{PH

IVV

+ (1

�P

HIV

)*0}

= V

(1+P

HIV

) + S

�E

U (U

nsaf

e se

x) �

EU

(Saf

e se

x) =

S +

V(P

HIV

�P

) > 0

Page 32: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

32

Why

doe

s H

IV s

prea

d? A

sim

ple

mod

el

��R

atio

nal�

deci

sion

rule

: eng

age

in u

nsaf

e se

x if

the

�exp

ecte

d ut

ility

�of u

nsaf

e is

gre

ater

than

of s

afe

sex

EU

(Saf

e se

x)

= V

+ {P

V +

(1 �

P)*

0} =

V(1

+P)

�A

ssum

e un

safe

sex

alw

ays

lead

s pe

ople

to b

e H

IV+

EU

(Uns

afe

sex)

= {V

+S} +

{PH

IVV

+ (1

�P

HIV

)*0}

= V

(1+P

HIV

) + S

�E

U (U

nsaf

e se

x) �

EU

(Saf

e se

x) =

S +

V(P

HIV

�P

) > 0

Ben

efits

(+)

Cos

ts (-

)

Page 33: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

33

Why

doe

s H

IV s

prea

d? A

n ex

tens

ion

�Im

agin

e pe

ople

do

not k

now

thei

r inf

ectio

n st

atus

. S/h

e th

inks

she

has

like

lihoo

d R

∈[0

,1]o

f alre

ady

bein

g H

IV+

EU

(Saf

e se

x)

= V

+ [R

PH

IV+

(1 �

R)P

]V

Page 34: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

34

Why

doe

s H

IV s

prea

d? A

n ex

tens

ion

�Im

agin

e pe

ople

do

not k

now

thei

r inf

ectio

n st

atus

. S/h

e th

inks

she

has

like

lihoo

d R

∈[0

,1]o

f alre

ady

bein

g H

IV+

EU

(Saf

e se

x)

= V

+ [R

PH

IV+

(1 �

R)P

]V

Page 35: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

35

Why

doe

s H

IV s

prea

d? A

n ex

tens

ion

�Im

agin

e pe

ople

do

not k

now

thei

r inf

ectio

n st

atus

. S/h

e th

inks

she

has

like

lihoo

d R

∈[0

,1]o

f alre

ady

bein

g H

IV+

EU

(Saf

e se

x)

= V

+ [R

PH

IV+

(1 �

R)P

]V

EU

(Uns

afe

sex)

= V

(1+P

HIV

) + S

(UN

CH

AN

GE

D)

Page 36: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

36

Why

doe

s H

IV s

prea

d? A

n ex

tens

ion

�Im

agin

e pe

ople

do

not k

now

thei

r inf

ectio

n st

atus

. S/h

e th

inks

she

has

like

lihoo

d R

∈[0

,1]o

f alre

ady

bein

g H

IV+

EU

(Saf

e se

x)

= V

+ [R

PH

IV+

(1 �

R)P

]V

EU

(Uns

afe

sex)

= V

(1+P

HIV

) + S

(UN

CH

AN

GE

D)

�E

U (U

nsaf

e se

x) �

EU

(Saf

e se

x)=

S +

V(P

HIV

�P

)(1

�R

) > 0

Page 37: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

37

Why

doe

s H

IV s

prea

d? A

n ex

tens

ion

�Im

agin

e pe

ople

do

not k

now

thei

r inf

ectio

n st

atus

. S/h

e th

inks

she

has

like

lihoo

d R

∈[0

,1]o

f alre

ady

bein

g H

IV+

EU

(Saf

e se

x)

= V

+ [R

PH

IV+

(1 �

R)P

]V

EU

(Uns

afe

sex)

= V

(1+P

HIV

) + S

(UN

CH

AN

GE

D)

�E

U (U

nsaf

e se

x) �

EU

(Saf

e se

x)=

S +

V(P

HIV

�P

)(1

�R

) > 0

��N

othi

ng to

lose

�: co

st o

f uns

afe

sex

smal

ler t

han

befo

re

Page 38: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

38

Why

doe

s H

IV s

prea

d? A

n ex

tens

ion

�W

hat a

re im

plic

atio

ns o

f thi

s m

odel

for p

ublic

hea

lth

mes

sage

s th

at s

tress

how

wid

espr

ead

the

HIV

viru

s al

read

y is

?

�W

hat a

re th

e im

plic

atio

ns o

f thi

s m

odel

for e

fforts

to

boos

t AR

V tr

eatm

ent (

e.g.

, Bot

swan

a)?

Page 39: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

39

Wha

t is

this

mod

el m

issi

ng?

(1)

Peo

ple

are

altru

istic

-Allo

w th

e be

nefit

s of

uns

afe

sex

to b

e a

func

tion

of R

: S

= S

(R).

This

may

offs

et th

e �n

othi

ng to

lose

�effe

ct

Page 40: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

40

Wha

t is

this

mod

el m

issi

ng?

(1)

Peo

ple

are

altru

istic

-Allo

w th

e be

nefit

s of

uns

afe

sex

to b

e a

func

tion

of R

: S

= S

(R).

This

may

offs

et th

e �n

othi

ng to

lose

�effe

ct

(2)

Not

all

sexu

al c

hoic

es a

re v

olun

tary

(e.g

., ra

pe)

Page 41: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

41

Wha

t is

this

mod

el m

issi

ng?

(1)

Peo

ple

are

altru

istic

-Allo

w th

e be

nefit

s of

uns

afe

sex

to b

e a

func

tion

of R

: S

= S

(R).

This

may

offs

et th

e �n

othi

ng to

lose

�effe

ct

(2)

Not

all

sexu

al c

hoic

es a

re v

olun

tary

(e.g

., ra

pe)

(3)

Soc

ial /

cul

tura

l nor

ms

rega

rdin

g �a

ccep

tabl

e�se

xual

be

havi

or, e

spec

ially

rega

rdin

g sa

fe s

ex

(4)

Poc

kets

of p

oor i

nfor

mat

ion

abou

t HIV

/AID

S(5

)O

ther

s?

Page 42: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

42

Page 43: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

43

Wha

t can

pub

lic p

olic

y do

abo

ut H

IV/A

IDS

?

(1)

Test

ing

peop

le, i

nfor

m th

em o

f the

ir H

IV s

tatu

s

Page 44: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

44

Wha

t can

pub

lic p

olic

y do

abo

ut H

IV/A

IDS

?

(1)

Test

ing

peop

le, i

nfor

m th

em o

f the

ir H

IV s

tatu

s

(2)

Con

dom

dis

tribu

tion

(3)

Pub

lic h

ealth

info

rmat

ion

cam

paig

ns (e

.g.,

Uga

nda)

(4)

Reg

ulat

e pr

ostit

utio

n

Page 45: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

45

Wha

t can

pub

lic p

olic

y do

abo

ut H

IV/A

IDS

?

(1)

Test

ing

peop

le, i

nfor

m th

em o

f the

ir H

IV s

tatu

s

(2)

Con

dom

dis

tribu

tion

(3)

Pub

lic h

ealth

info

rmat

ion

cam

paig

ns (e

.g.,

Uga

nda)

(4)

Reg

ulat

e pr

ostit

utio

n

(5)

Sub

sidi

ze tr

eatm

ent f

or a

nti-r

etro

vira

l med

ical

tre

atm

ent (

AR

Vs)

. (C

ompl

ianc

e? P

rofit

s?)

Page 46: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

46

Wha

t can

pub

lic p

olic

y do

abo

ut H

IV/A

IDS

?

(1)

Test

ing

peop

le, i

nfor

m th

em o

f the

ir H

IV s

tatu

s

(2)

Con

dom

dis

tribu

tion

(3)

Pub

lic h

ealth

info

rmat

ion

cam

paig

ns (e

.g.,

Uga

nda)

(4)

Reg

ulat

e pr

ostit

utio

n

(5)

Sub

sidi

ze tr

eatm

ent f

or a

nti-r

etro

vira

l med

ical

tre

atm

ent (

AR

Vs)

. (C

ompl

ianc

e? P

rofit

s?)

(6)

Dev

elop

men

t of a

n H

IV v

acci

ne

Page 47: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

47

�Fo

r nex

t tim

e: fi

nish

the

HIV

/AID

S s

ectio

n

Page 48: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

48

Whi

tebo

ard

#1

Page 49: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

49

Whi

tebo

ard

#2

Page 50: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

50

Whi

tebo

ard

#3

Page 51: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

51

Whi

tebo

ard

#4

Page 52: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

52

Whi

tebo

ard

#5

Page 53: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

53

Map

of A

frica

Page 54: Economics 172 - eml.berkeley.eduwebfac/emiguel/e172_s07/lecture11.pdf · The decline over time in C productivity may be AIDS related Ł Sick workers often have family member fihelpersfl.

Eco

nom

ics

172:

Lec

ture

11

54

Map

of A

frica