The impact of an insecticide treated bednet campaign on all-cause child mortality: A geospatial impact evaluation from the Democratic Republic of Congo

PloS One
Carrie B DolanGordon C McCord

Abstract

To test the impact of a nationwide Long-Lasting Insecticidal Nets [LLINs] distribution program in the Democratic Republic of Congo [DRC] on all-cause under-five child mortality exploiting subnational variation in malaria endemicity and the timing in the scale-up of the program across provinces. Geospatial Impact Evaluation using a difference-in-differences approach. Democratic Republic of the Congo. 52,656 children sampled in the 2007 and 2013/2014 DRC Demographic and Health Surveys. The analysis provides plausibly causal estimates of both average treatment effects of the LLIN distribution campaign and geospatial heterogeneity in these effects based on malaria endemicity. It compares the under-five, all-cause mortality for children pre- and post-LLIN campaign relative to children in those areas that had not yet been exposed to the campaign using a difference-in-differences model and controlling for year- and province-fixed effects, and province-level trends in mortality. We find that the campaign led to a 41% decline [3.7 percentage points, 95% CI 1.3 to 6.0] in under-5 mortality risk among children living in rural areas with malaria ecology above the sample median. Results were robust to controlling for household assets and th...Continue Reading

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Citations

Mar 18, 2020·International Journal of Environmental Research and Public Health·Mady OuédraogoFati Kirakoya-Samadoulougou
Dec 18, 2021·International Journal of Epidemiology·Nicholas M DouglasRic N Price

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