Analysis of economic and educational spillover effects in PEPFAR countries.

The United States President's Emergency Plan for AIDS Relief (PEPFAR) has been credited with saving millions lives and helping to change the trajectory of the global human immunodeficiency virus (HIV) epidemic. This study assesses whether PEPFAR has had impacts beyond health by examining change...

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Main Authors: William Crown, Dhwani Hariharan, Jennifer Kates, Gary Gaumer, Monica Jordan, Clare Hurley, Yiqun Luan, Allyala Nandakumar
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0289909
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author William Crown
Dhwani Hariharan
Jennifer Kates
Gary Gaumer
Monica Jordan
Clare Hurley
Yiqun Luan
Allyala Nandakumar
author_facet William Crown
Dhwani Hariharan
Jennifer Kates
Gary Gaumer
Monica Jordan
Clare Hurley
Yiqun Luan
Allyala Nandakumar
author_sort William Crown
collection DOAJ
description The United States President's Emergency Plan for AIDS Relief (PEPFAR) has been credited with saving millions lives and helping to change the trajectory of the global human immunodeficiency virus (HIV) epidemic. This study assesses whether PEPFAR has had impacts beyond health by examining changes in five economic and educational outcomes in PEPFAR countries: the gross domestic product (GDP) per capita growth rate; the share of girls and share of boys, respectively, who are out of school; and female and male employment rates. We constructed a panel data set for 157 low- and middle-income countries between 1990 and 2018 to estimate the macroeconomic impacts of PEPFAR. Our PEPFAR group included 90 countries that had received PEPFAR support over the period. Our comparison group included 67 low- and middle-income countries that had not received any PEPFAR support or had received minimal PEPFAR support (<$1M or <$.05 per capita) between 2004 and 2018. We used differences in differences (DID) methods to estimate the program impacts on the five economic and educational outcome measures. This study finds that PEPFAR is associated with increases in the GDP per capita growth rate and educational outcomes. In some models, we find that PEPFAR is associated with reductions in male and female employment. However, these effects appear to be due to trends in the comparison group countries rather than programmatic impacts of PEPFAR. We show that these impacts are most pronounced in COP countries receiving the highest levels of PEPFAR investment.
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spelling doaj-art-780d802434b045a89e7e64b2c80ee2902025-08-20T01:50:45ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-011812e028990910.1371/journal.pone.0289909Analysis of economic and educational spillover effects in PEPFAR countries.William CrownDhwani HariharanJennifer KatesGary GaumerMonica JordanClare HurleyYiqun LuanAllyala NandakumarThe United States President's Emergency Plan for AIDS Relief (PEPFAR) has been credited with saving millions lives and helping to change the trajectory of the global human immunodeficiency virus (HIV) epidemic. This study assesses whether PEPFAR has had impacts beyond health by examining changes in five economic and educational outcomes in PEPFAR countries: the gross domestic product (GDP) per capita growth rate; the share of girls and share of boys, respectively, who are out of school; and female and male employment rates. We constructed a panel data set for 157 low- and middle-income countries between 1990 and 2018 to estimate the macroeconomic impacts of PEPFAR. Our PEPFAR group included 90 countries that had received PEPFAR support over the period. Our comparison group included 67 low- and middle-income countries that had not received any PEPFAR support or had received minimal PEPFAR support (<$1M or <$.05 per capita) between 2004 and 2018. We used differences in differences (DID) methods to estimate the program impacts on the five economic and educational outcome measures. This study finds that PEPFAR is associated with increases in the GDP per capita growth rate and educational outcomes. In some models, we find that PEPFAR is associated with reductions in male and female employment. However, these effects appear to be due to trends in the comparison group countries rather than programmatic impacts of PEPFAR. We show that these impacts are most pronounced in COP countries receiving the highest levels of PEPFAR investment.https://doi.org/10.1371/journal.pone.0289909
spellingShingle William Crown
Dhwani Hariharan
Jennifer Kates
Gary Gaumer
Monica Jordan
Clare Hurley
Yiqun Luan
Allyala Nandakumar
Analysis of economic and educational spillover effects in PEPFAR countries.
PLoS ONE
title Analysis of economic and educational spillover effects in PEPFAR countries.
title_full Analysis of economic and educational spillover effects in PEPFAR countries.
title_fullStr Analysis of economic and educational spillover effects in PEPFAR countries.
title_full_unstemmed Analysis of economic and educational spillover effects in PEPFAR countries.
title_short Analysis of economic and educational spillover effects in PEPFAR countries.
title_sort analysis of economic and educational spillover effects in pepfar countries
url https://doi.org/10.1371/journal.pone.0289909
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