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Disease Control, Demographic Change and Institutional Development in Africa
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Disease Control, Demographic Change and Institutional Development in Africa

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  • Margaret S. McMillan
  • William A. Masters
  • Harounan Kazianga

Abstract

This paper addresses the role of tropical disease in rural demography and land use rights, using data from Onchocerciasis (river blindness) control in Burkina Faso. We combine a new survey of village elders with historical census data for 1975-2006 and geocoded maps of treatment under the regional Onchocerciasis Control Program (OCP). The OCP ran from 1975 to 2002, first spraying rivers to stop transmission and then distributing medicine to help those already infected. Controlling for time and village fixed effects, we find that villages in treated areas acquired larger populations and also had more cropland transactions, fewer permits required for cropland transactions, and more regulation of common property pasture and forest. These effects are robust to numerous controls and tests for heterogeneity across the sample, including time-varying region fixed effects. Descriptive statistics suggest that treated villages also acquired closer access to electricity and telephone service, markets, wells and primary schools, with no difference in several other variables. These results are consistent with both changes in productivity and effects of population size on public institutions.

Suggested Citation

  • Margaret S. McMillan & William A. Masters & Harounan Kazianga, 2013. "Disease Control, Demographic Change and Institutional Development in Africa," NBER Working Papers 19245, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:19245
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    As found by EconAcademics.org, the blog aggregator for Economics research:
    1. #HEJC papers for August 2013
      by academichealtheconomists in The Academic Health Economists' Blog on 2013-08-01 04:00:48

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    2. Sara Lowes & Eduardo Montero, 2021. "The Legacy of Colonial Medicine in Central Africa," American Economic Review, American Economic Association, vol. 111(4), pages 1284-1314, April.
    3. Margaret McMillan, 2016. "Understanding African Poverty over the Longue Durée: A Review of Africa's Development in Historical Perspective," Journal of Economic Literature, American Economic Association, vol. 54(3), pages 893-905, September.
    4. Francis Makamu & Mehtabul Azam & Harounan Kazianga, 2018. "Returns to Controlling a Neglected Tropical Disease: Schistosomiasis Control Programme and Education Outcomes in Nigeria," Journal of African Economies, Centre for the Study of African Economies, vol. 27(5), pages 538-557.
    5. Estelle Koussoubé, 2014. "What Drives Land Sales and Rentals in Rural Africa: Evidence from Western Burkina Faso," Working Papers DT/2014/10, DIAL (Développement, Institutions et Mondialisation).
    6. Demir, Firat, 2016. "Effects of FDI Flows on Institutional Development: Does It Matter Where the Investors are from?," World Development, Elsevier, vol. 78(C), pages 341-359.

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    JEL classification:

    • I00 - Health, Education, and Welfare - - General - - - General
    • Q0 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - General
    • Q00 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - General - - - General

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