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Measuring the Burden of Disease and Returns to Education in Rural West Africa

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Würthwein, R. (2003). Measuring the Burden of Disease and Returns to Education in Rural West Africa. The Collection and Analysis of Mortality, Morbidity, and Socio-Economic Data in the Nouna Health District in Burkina Faso. Duncker & Humblot. https://doi.org/10.3790/978-3-428-51328-4
Würthwein, Ralph. Measuring the Burden of Disease and Returns to Education in Rural West Africa: The Collection and Analysis of Mortality, Morbidity, and Socio-Economic Data in the Nouna Health District in Burkina Faso. Duncker & Humblot, 2003. Book. https://doi.org/10.3790/978-3-428-51328-4
Würthwein, R (2003): Measuring the Burden of Disease and Returns to Education in Rural West Africa: The Collection and Analysis of Mortality, Morbidity, and Socio-Economic Data in the Nouna Health District in Burkina Faso, Duncker & Humblot, [online] https://doi.org/10.3790/978-3-428-51328-4

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Measuring the Burden of Disease and Returns to Education in Rural West Africa

The Collection and Analysis of Mortality, Morbidity, and Socio-Economic Data in the Nouna Health District in Burkina Faso

Würthwein, Ralph

Schriften des Rheinisch-Westfälischen Instituts für Wirtschaftsforschung, Vol. 71

(2003)

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Abstract

The success of health economics and its guidance for health policy heavily rests on the availability of reliable empirical evidence on the demographic, economic, and epidemiological environment, on behavioral relationships, and on the impact of policy interventions. For Sub-Saharan Africa, especially the epidemiological situation is unclear, since comprehensive systems of mortality and health statistics are often absent.

The economic analysis of health naturally places a special focus on the interrelation between health and economic well-being: the overall disease burden decreases when a country grows richer, and the share of communicable diseases decreases in the process of economic development, whereas the share of non-communicable diseases increases. In those parts of Sub-Saharan Africa that are mainly dominated by traditional subsistence farming, however, it is difficult to examine questions of income and health for simple fundamental reasons. A vital prerequisite for an empirical investigation is the thorough and accurate measurement of income. Yet, both the measurement of the burden of disease and the measurement of income are research tasks that are far from being fulfilled for Sub-Saharan Africa. A further issue that is related with economic well-being and health is education. For poor rural regions predominated by traditional subsistence farming it is far from clear whether investments in human capital are worthwhile.

The present study addesses this research gap by producing empirical evidence on the measurement of the burden of disease, the structure of income, and returns to education in rural West Africa. Concretely it deals with the collection and analysis of mortality, morbidity, and socio-economic data in the Nouna Health District in the North-West of Burkina Faso. The study was accepted as a doctoral thesis at the University of Heidelberg. Earlier versions of some of its chapters have been published as working papers or in international journals.

Table of Contents

Section Title Page Action Price
Preface 5
Acknowledgements 6
Contents 7
List of Tables 10
List of Schedules 12
List of Figures 13
Introduction and Overview 15
Chapter 1: The Nouna Health District Household Survey (1): Suggesting a Prototype for the Collection of Morbidity and Household Data 25
1. Introductio 25
2. Survey Desig 26
2.1 Institutional Background of the Survey 26
2.2 Questionnaire Layout 27
2.3 Time Frame of the Survey – Capturing Seasonality 27
2.4 Sampling 28
2.5 The Link to the Demographic Surveillance System 30
2.6 Additional Information Outside the Survey 30
3. Practical Aspects and Field Procedures 31
3.1 Definition of some Fundamental Concepts 31
3.2 Selection, Training, and Supervision of the Interviewers 32
3.3 Pretest 33
3.4 Sensitization of Respondents 33
3.5 Quality Control 34
3.6 Data Base 34
4. Questionnaire 35
4.1 General Remarks 35
4.2 Main Questionnaire 38
4.3 Socio-Economic Module 40
4.4 Morbidity Module 42
4.5 Module on Preventive Health Care and General Health 46
4.6 Anthropometric Module 46
4.7 Additional Questions and Modules 47
5. Conclusion and Outlook for Further Research 47
Chapter 2: The Nouna Health District Household Survey (2): From the Raw Data to the Analysis of Income 50
1. The Need for High-Quality Data 50
2. Input: The NHDHS Collected by CRSN 51
2.1 Data Collection Activities at a Glance 51
2.2 Original Data Base of the NHDHS 55
2.3 Supervision Process and Its Limits 59
3. Improvements in Data Quality 63
3.1 Ascertaining Documentation and Additional Data 63
3.2 Cleaning and Transformatio 65
4. Income Sources and Constructed Variables 67
4.1 Individual Income 67
4.2 Household Income and Equivalent Income 76
4.3 Additional Constructed Variables 79
5. Final STATA Data Set 84
Chapter 3: Measuring the Local Burden of Disease – A Study of Years of Life Lost in Sub-Saharan Africa 88
1. Introductio 88
2. Study Population and Methods 89
3. Results 91
4. Discussio 101
Chapter 4: Obtaining Disability Weights in Rural Burkina Faso Using a Culturally Adapted Visual Analogue Scale 104
1. Introductio 104
2. Utility Measures to Evaluate Disability Weights 105
3. Methods 107
3.1 Country and Study Populatio 107
3.2 Study Procedure 107
4. Results 110
5. Discussio 112
Chapter 5: Identifying the Private Return to Education in the Subsistence Economy of Nouna 115
1. Introductio 115
2. The Nouna Health District Household Survey 116
3. Identification Strategy 123
4. Results 129
5. Conclusio 141
Chapter 6: Summary 143
Appendix 149
References 175