Impact of Large-Scale Health Interventions on Population Health, Economic Functioning, and Investments in Human Capital in Sub-Saharan Africa

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  • March 20, 2019
Creator
  • Jakubowski, Aleksandra
    • Affiliation: Gillings School of Global Public Health, Department of Health Policy and Management
Abstract
  • Donations from the United States are a major source of global health funding. The United States invests a large portion of its global health aid portfolio in bilateral aid programs which focus on combatting specific diseases in low-resource countries, including HIV and malaria. These large-scale programs have the potential not only to improve the specific diseases they target, but also to generate spillover effects to other sectors, including economic and education outcomes. Understanding the impact of large-scale programs on population-level health and their potential spillover effects is essential for learning about the returns on such investments. My dissertation investigates the impact of interventions supported with funding from two of the largest US bilateral aid programs, the President’s Malaria Initiative (PMI) and the President’s Emergency Plan for AIDS Relief (PEPFAR), on child mortality, economic functioning of households, and investments in human capital. This dissertation leveraged data from multiple sources, including publicly available data on child mortality and population coverage of malaria interventions from 32 countries in sub-Saharan Africa and household socio-economic data from a large community-randomized trial of a novel HIV testing and treatment strategy in Uganda and Kenya.
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  • In Copyright
Advisor
  • Thirumurthy, Harsha
  • Kruk, Margaret
  • Stearns, Sally
  • Angeles, Gustavo
  • Paul, John
Degree
  • Doctor of Philosophy
Degree granting institution
  • University of North Carolina at Chapel Hill Graduate School
Graduation year
  • 2017
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