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result(s) for
"PATHANIA, VIKRAM"
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The Impact of Malaria Control on Infant Mortality in Kenya
2014
Since the early 2000s there has been a rapid intensification of malaria control efforts across Africa. I exploit baseline differences in the regional incidence of malaria coupled with the sharp timing of the intensified campaign to investigate the impact on infant mortality in Kenya. Postintervention, I find a significant reduction in postneonatal mortality in the malarious regions relative to the nonmalarious regions. In contrast, I find no evidence of an impact on neonatal mortality, which is consistent with epidemiological literature that finds neonates enjoy significant protection from malaria. I rule out alternative explanations such as differential preexisting trends, changes in maternal and infant care, or the contemporaneous expansion of HIV/AIDS prevention and treatment. I find that the malaria campaign reduced postneonatal mortality by 33% in the malarious regions during 2004–8.
Journal Article
Food Price Subsidies and Nutrition
2017
We investigate whether food price subsidies affect household nutrition using a dramatic expansion of the availability of subsidized rice in the Indian state of Chhattisgarh in the early 2000s. Households in Chhattisgarh improved their nutritional intake relative to households in districts bordering the state as the availability of subsidized rice expanded. This increase is driven by households most likely to be eligible for rice subsidies, and we do not find evidence that households least likely to be eligible changed their diet. These results differ from recent studies suggesting that food subsidies may have little effect on nutrition.
Journal Article
Driving under the (Cellular) Influence
2013
We investigate the causal link between driver cell phone use and crash rates by exploiting a natural experiment induced by the 9 PM price discontinuity that characterizes a majority of recent cellular plans. We first document a 7.2 percent jump in driver call likelihood at the 9 PM threshold. Using a prior period as a comparison, we next document no corresponding change in the relative crash rate. Our estimates imply an upper bound in the crash risk odds ratio of 3.0, which rejects the 4.3 asserted by Redelmeier and Tibshirani (1997). Additional panel analyses of cellphone ownership and cellular bans confirm our result.
Journal Article
Papal visits and abortions
2020
We investigate the impact of papal visits to Italian provinces on abortions from 1979 to 2012. Using administrative data, we find a 10–20% decrease in the number of abortions that commences in the 3rd month and persists until the 14th month after the visits. However, we find no significant change in the number of live births. A decline in unintended pregnancies best explains our results. Papal visits generate intense local media coverage, and likely make salient the Catholic Church’s stance against abortions. We show that papal visits lead to increased church attendance, and that the decline in abortions is greater when the Pope mentions abortion in his speeches.
Journal Article
Measuring Bias in Consumer Lending
2021
This article tests for bias in consumer lending using administrative data from a high-cost lender in the U.K. We motivate our analysis using a new principal-agent model of bias where loan examiners are incentivized to maximize a short-term outcome, not long-term profits, leading to bias against illiquid applicants at the margin of loan decisions. We identify the profitability of marginal applicants using the quasi-random assignment of loan examiners, finding significant bias against immigrant and older applicants when using the firm’s preferred measure of long-run profits but not when using the short-run measure used to evaluate examiner performance. In this case, market incentives based on characteristics that vary across groups lead to inefficient group-based bias.
Journal Article
Public-private mix for DOTS implementation: what makes it work?
by
Mwaniki, David
,
Lan, Nguyen T N
,
Uplekar, Mukund
in
Antibiotics
,
Clinical outcomes
,
Collaboration
2004
To compare processes and outcomes of four public-private mix (PPM) projects on DOTS implementation for tuberculosis (TB) control in New Delhi, India; Ho Chi Minh City, Viet Nam; Nairobi, Kenya; and Pune, India.
Cross-project analysis of secondary data from separate project evaluations was used. Differences among PPM project sites in impact on TB control (change in case detection, treatment outcomes and equity in access) were correlated with differences in chosen intervention strategies and structural conditions.
The analysis suggests that an effective intervention package should include the following provider-side components: (1) orienting private providers (PPs) and the staff of the national TB programme (NTP); (2) improving the referral and information system through simple practical tools; (3) the NTP adequately supervising and monitoring PPs; and (4) the NTP providing free anti-TB drugs to patients treated in the private sector.
Getting such an intervention package to work requires that the NTP be strongly committed to supporting, supervising and evaluating PPM projects. Further, using a local nongovernmental organization or a medical association as an intermediary may facilitate collaboration. Investing time and effort to ensure that sufficient dialogue takes place among all stakeholders is important to help build trust and achieve a high level of agreement.
Journal Article
The effect of fast food restaurants on obesity and weight gain
2010
We investigate how changes in the supply of fast food restaurants affect weight outcomes of 3 million children and 3 million pregnant women. Among ninth graders, a fast food restaurant within 0.1 miles of a school results in a 5.2 percent increase in obesity rates. Among pregnant women, a fast-food restaurant within 0.5 miles of residence results in a 1.6 percent increase in the probability of gaining over 20 kilos. The implied effects on caloric intake are one order of magnitude larger for children than for mothers, consistent with smaller travel cost for adults. Non-fast food restaurants and future fast-food restaurants are uncorrelated with weight outcomes.
Journal Article
THE IMPACTS OF REFORMS TO THE PUBLIC DISTRIBUTION SYSTEM IN INDIA'S CHHATTISGARH ON FOOD SECURITY
by
Tandon, Sharad
,
Krishnamurthy, Prasad
,
Pathania, Vikram
in
Beneficiaries
,
Commodities
,
Consumption
2016
Although a rapidly growing developing country, India has a larger food-insecure population than all of Sub-Saharan Africa. Given the prevalence of chronic malnutrition, the Government of India spent nearly 1 percent of the gross domestic product in the past year on the Public Distribution System (PDS), its system of subsidies for food grains and other essential commodities. Despite the importance of effective food aid in the country, a large share of PDS food grains do not reach their intended beneficiaries. However, the Indian State of Chhattisgarh instituted a number of PDS reforms in the early and mid-2000s in an effort to improve the distribution of PDS food grains. We find that both PDS consumption and food security improved in response to the reforms.
Journal Article