Literature DB >> 25729112

Learning, Misallocation, and Technology Adoption: Evidence from New Malaria Therapy in Tanzania.

Achyuta Adhvaryu1.   

Abstract

I study how the misallocation of new technology to individuals who have low ex post returns to its use affects learning and adoption behavior. I focus on antimalarial treatment, which is frequently over-prescribed in many low-income country contexts where diagnostic tests are inaccessible. I show that misdiagnosis reduces average therapeutic effectiveness, because only a fraction of adopters actually have malaria, and slows the rate of social learning due to increased noise. I use data on adoption choices, the timing and duration of fever episodes, and individual blood slide confirmations of malarial status from a pilot study for a new malaria therapy in Tanzania to show that individuals whose reference groups experienced fewer misdiagnoses exhibited stronger learning effects and were more likely to adopt.

Entities:  

Keywords:  ACT; Tanzania; diagnosis; malaria; social learning; technology adoption

Year:  2014        PMID: 25729112      PMCID: PMC4341843          DOI: 10.1093/restud/rdu020

Source DB:  PubMed          Journal:  Rev Econ Stud        ISSN: 0034-6527


  19 in total

1.  Re.: Complex, and large, trials of pragmatic malaria interventions.

Authors:  S P Kachur; S Abdulla; K Barnes; H Mshinda; D Durrheim; A Kitua; P Bloland
Journal:  Trop Med Int Health       Date:  2001-04       Impact factor: 2.622

Review 2.  Effectiveness of antimalarial drugs.

Authors:  J Kevin Baird
Journal:  N Engl J Med       Date:  2005-04-14       Impact factor: 91.245

3.  Malaria Eradication in the Americas: A Retrospective Analysis of Childhood Exposure.

Authors:  Hoyt Bleakley
Journal:  Am Econ J Appl Econ       Date:  2010-04

4.  Malaria misdiagnosis: effects on the poor and vulnerable.

Authors:  Mark Amexo; Rachel Tolhurst; Guy Barnish; Imelda Bates
Journal:  Lancet       Date:  2004 Nov 20-26       Impact factor: 79.321

5.  Adherence to antimalarial combination therapy with sulfadoxine-pyrimethamine and artesunate in rural Tanzania.

Authors:  S Patrick Kachur; Rashid A Khatib; Ellen Kaizer; Susan S Fox; Salim M Abdulla; Peter B Bloland
Journal:  Am J Trop Med Hyg       Date:  2004-12       Impact factor: 2.345

6.  Effect of the Affordable Medicines Facility--malaria (AMFm) on the availability, price, and market share of quality-assured artemisinin-based combination therapies in seven countries: a before-and-after analysis of outlet survey data.

Authors:  Sarah Tougher; Yazoume Ye; John H Amuasi; Idrissa A Kourgueni; Rebecca Thomson; Catherine Goodman; Andrea G Mann; Ruilin Ren; Barbara A Willey; Catherine A Adegoke; Abdinasir Amin; Daniel Ansong; Katia Bruxvoort; Diadier A Diallo; Graciela Diap; Charles Festo; Boniface Johanes; Elizabeth Juma; Admirabilis Kalolella; Oumarou Malam; Blessing Mberu; Salif Ndiaye; Samuel B Nguah; Moctar Seydou; Mark Taylor; Sergio Torres Rueda; Marilyn Wamukoya; Fred Arnold; Kara Hanson
Journal:  Lancet       Date:  2012-10-31       Impact factor: 79.321

Review 7.  The silent threat: asymptomatic parasitemia and malaria transmission.

Authors:  Kim A Lindblade; Laura Steinhardt; Aaron Samuels; S Patrick Kachur; Laurence Slutsker
Journal:  Expert Rev Anti Infect Ther       Date:  2013-06       Impact factor: 5.091

8.  SHORT-RUN SUBSIDIES AND LONG-RUN ADOPTION OF NEW HEALTH PRODUCTS: EVIDENCE FROM A FIELD EXPERIMENT.

Authors:  Pascaline Dupas
Journal:  Econometrica       Date:  2014-01       Impact factor: 5.844

9.  Malaria Eradication and Educational Attainment: Evidence from Paraguay and Sri Lanka.

Authors:  Adrienne M Lucas
Journal:  Am Econ J Appl Econ       Date:  2010-04

10.  Relative costs and effectiveness of treating uncomplicated malaria in two rural districts in Zambia: implications for nationwide scale-up of home-based management.

Authors:  Pascalina Chanda; Busiku Hamainza; Hawela B Moonga; Victor Chalwe; Patrick Banda; Franco Pagnoni
Journal:  Malar J       Date:  2011-06-09       Impact factor: 2.979

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  8 in total

1.  THE LOCAL INFLUENCE OF PIONEER INVESTIGATORS ON TECHNOLOGY ADOPTION: EVIDENCE FROM NEW CANCER DRUGS.

Authors:  Leila Agha; David Molitor
Journal:  Rev Econ Stat       Date:  2018-03-02

2.  Returns to Treatment in the Formal Health Care Sector: Evidence from Tanzania.

Authors:  Achyuta Adhvaryu; Anant Nyshadham
Journal:  Am Econ J Econ Policy       Date:  2015-08

3.  SHORT-RUN SUBSIDIES AND LONG-RUN ADOPTION OF NEW HEALTH PRODUCTS: EVIDENCE FROM A FIELD EXPERIMENT.

Authors:  Pascaline Dupas
Journal:  Econometrica       Date:  2014-01       Impact factor: 5.844

4.  Household beliefs about malaria testing and treatment in Western Kenya: the role of health worker adherence to malaria test results.

Authors:  Indrani Saran; Elisa M Maffioli; Diana Menya; Wendy Prudhomme O'Meara
Journal:  Malar J       Date:  2017-08-22       Impact factor: 2.979

5.  Assessing the independent and combined effects of subsidies for antimalarials and rapid diagnostic testing on fever management decisions in the retail sector: results from a factorial randomised trial in western Kenya.

Authors:  Wendy Prudhomme O'Meara; Manoj Mohanan; Jeremiah Laktabai; Adriane Lesser; Alyssa Platt; Elisa Maffioli; Elizabeth L Turner; Diana Menya
Journal:  BMJ Glob Health       Date:  2016-09-28

6.  The impact of packaging and messaging on adherence to malaria treatment: Evidence from a randomized controlled trial in Uganda.

Authors:  Jessica Cohen; Indrani Saran
Journal:  J Dev Econ       Date:  2018-09

7.  How does anonymous online peer communication affect prevention behavior? Evidence from a laboratory experiment.

Authors:  Indrani Saran; Günther Fink; Margaret McConnell
Journal:  PLoS One       Date:  2018-11-21       Impact factor: 3.240

8.  Experience and confidence in health technologies: evidence from malaria testing and treatment in Western Kenya.

Authors:  Judith N Mangeni; Lucy Abel; Steve M Taylor; Andrew Obala; Wendy Prudhomme O'Meara; Indrani Saran
Journal:  BMC Public Health       Date:  2022-09-06       Impact factor: 4.135

  8 in total

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