title: Can Disease-Specific Funding Harm Health? in the Shadow of HIV/AIDS Service Expansion.
abstract: This article examines the effect of introducing a new HIV/AIDS service-prevention of mother-to-child transmission of HIV (PMTCT)-on overall quality of prenatal and postnatal care. My results suggest that local PMTCT introduction in Zambia may have actually increased all-cause child mortality in the short term. There is some evidence that vaccinations may have declined in the short term in association with local PMTCT introduction, suggesting that the new service may have partly crowded out existing pediatric health services.
authors.affiliation: Department of Economics, Reed College, Portland, OR, 97202, USA. nwilson@reed.edu.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Wilson
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000635:transmission; D019380:Anti-HIV Agents / Q000008:administration & dosage; D000067576:Child Health; D003430:Cross-Sectional Studies; D005378:Financial Support; D015658:HIV Infections / Q000188:drug therapy / Q000453:epidemiology / Q000635:transmission*; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D008427:Maternal Health Services / Q000191:economics* / Q000592:standards*; D011181:Postnatal Care / Q000592:standards; D011295:Prenatal Care / Q000592:standards; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D015024:Zambia / Q000453:epidemiology
chemical_list: D019380:Anti-HIV Agents
keywords: Child mortality; HIV/AIDS; PMTCT; Public finance; Zambia