Has Gavi lived up to its promise? Quasi-experimental evidence on country immunisation rates and child mortality.

Introduction: Gavi, the Vaccine Alliance, was set up in 2000 to improve access to vaccines for children living in the poorest countries. Funding has increased significantly over time, with Gavi disbursements reaching US $1.58 billion in 2015.

Orphanhood and Self-Esteem: An 18-Year Longitudinal Study From an HIV-Affected Area in Tanzania.

Background: The HIV epidemic exacerbated the prevalence of prime-aged adult death in many parts of sub-Saharan Africa, resulting in increased rates of orphanhood. Little is known about whether this will coincide with adverse psychosocial well-being in adulthood for those who were orphaned at childhood.

Methods: We studied a cohort of 1108 children from Kagera, a region of Tanzania that was heavily affected by HIV early in the epidemic.

Height in mid childhood and psychosocial competencies in late childhood: evidence from four developing countries.

We use longitudinal data from children growing up in four developing countries (Peru, India, Vietnam, Ethiopia) to study the relationship between height at the age of 7-8 and a set of psychosocial competencies measured at the age of 11-12 that are known to be correlated with earnings during adulthood: self-efficacy, self-esteem and aspirations. Results show that a one standard deviation increase in height-for-age tends to increase self-efficacy, self-esteem and aspirations by 10.4%, 6.

Information flows and social externalities in a Tanzanian banana growing village.

This article analyses the role of social networks as facilitators of information flows and banana output increase. Based on a village census, full information is available on the socio-economic characteristics and banana production of farmers' kinship group members, neighbours and informal insurance group members. The census data enable us to use individual specific reference groups and include exogenous group controls to tackle standard difficulties related to identification and omitted variables bias when analysing social effects.

Orphanhood and human capital destruction: is there persistence into adulthood?

This article presents unique evidence that orphanhood matters in the long run for health and education outcomes in a region of northwestern Tanzania. We study a sample of 718 non-orphaned children surveyed in 1991-1994 who were traced and reinterviewed as adults in 2004. A large proportion, 19%, lost one or more parents before age 15 in this period, allowing us to assess permanent health and education impacts of orphanhood.

The effects of HIV/AIDS on rural communities in East Africa: a 20-year perspective.

Much of the research on implications of the HIV epidemic for individual households and broader rural economies in the 1980s and early 1990s predicted progressive declines in agricultural production, with dire consequences for rural livelihoods. Restudies in Tanzania and Uganda show that from 1986 to the present, HIV and AIDS have sometimes thrown households into disarray and poverty, but more often have reduced development. The progressive and systematic decline predicted in earlier work has not come to pass.

The intergenerational impact of the African orphans crisis: a cohort study from an HIV/AIDS affected area.

Background: In sub-Saharan Africa, the prevalence of orphanhood among children has been greatly exacerbated by the HIV/AIDS pandemic. If orphanhood harms a child's development and these effects perpetuate into adult life, then the African orphan crisis could seriously jeopardize the continent's future generations. Whether or not there exists an adverse, causal and intergenerational effect of HIV/AIDS on development is of crucial importance for setting medical priorities.