Person:
de Walque, Damien
Author Name Variants
Fields of Specialization
Education,
Macroeconomic and Structural Policies,
Health
Degrees
ORCID
External Links
Departments
Development Research Group
Externally Hosted Work
Contact Information
Last updated
January 31, 2023
Biography
Damien de Walque received his Ph.D.in Economics from the University of Chicago in 2003. His research interests include health and education and the interactions between them. His current work is focused on evaluating the impact of financial incentives on health and education outcomes. He is currently evaluating the education and health outcomes of conditional cash transfers linked to school attendance and health center visits in Burkina Faso. He is also working on evaluating the impact of HIV/AIDS interventions and policies in several African countries. He is leading two evaluations of the impact of short-term financial incentives on the prevention of HIV/AIDS and other sexually transmitted infections (STIs): individuals who test negatively for a set of STIs receive regular cash payment in Tanzania, while in Lesotho they receive lottery tickets. On the supply side of health services, he is managing a large portfolio of impact evaluations of results-based financing in the health sector. He has also edited a book on risky behaviors for health (smoking, drugs, alcohol, obesity, risky sex) in the developing world.
Publication Search Results
1 - 8 of 8
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Publication
Using Provider Performance Incentives to Increase HIV Testing and Counseling Services in Rwanda
(World Bank, Washington, DC, 2013-02)Paying for performance provides financial rewards to medical care providers for improvements in performance measured by specific utilization and quality of care indicators. In 2006, Rwanda began a paying for performance scheme to improve health services delivery, including HIV/AIDS services. This study examines the scheme's impact on individual and couples HIV testing and counseling and using data from a prospective quasi-experimental design. The study finds a positive impact of paying for performance with an increase of 6.1 percentage points in the probability of individuals having ever been tested. This positive impact is stronger for married individuals: 10.2 percentage points. The results also indicate larger impacts of paying for performance on the likelihood that the respondent reports both partners have ever been tested, especially among discordant couples (14.7 percentage point increase) in which only one of the partners is HIV positive. -
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Armed Conflict and Schooling : Evidence from the 1994 Rwandan Genocide
(World Bank, Washington, DC, 2008-04)Civil war, and genocide in particular, are among the most destructive of social phenomena, especially for children of school-going age. In Rwanda school enrollment trends suggest that the school system recovered quickly after 1994, but these numbers do not tell the full story. Two cross-sectional household surveys collected before and after the genocide are used to compare children in the same age group who were and were not exposed to the genocide - and their educational outcomes are substantially different. Children exposed to the genocide experienced a drop in educational achievement of almost one-half year of completed schooling, and are 15 percentage points less likely to complete third or fourth grade. Sustained effort is needed to reinforce educational institutions and offer a "second chance" to those youth most affected by the conflict. -
Publication
Parental Education and Children’s Schooling Outcomes : Is the Effect Nature, Nurture, or Both? Evidence from Recomposed Families in Rwanda
(World Bank, Washington, DC, 2005-01)Educated parents tend to have educated children. But is intergenerational transmission of human capital more nature, more nurture, or both? The author uses household survey data from Rwanda that contains a large proportion of children living in households without their biological parents. The data allows him to separate genetic from environmental parental influences. The nonrandom placement of children is controlled by including the educational attainment of the absent biological parents and the type of relationship that links the children to their "adoptive" families. The results of the analysis suggest that the nurture component of the intergenerational transmission of human capital is important for both parents, contrary to recent evidence proposed by Behrman and Rosenzweig (2002) and Plug (2004). The author concludes that mothers education had no environmental impact on children s schooling. Interestingly, mothers education matters more for girls, while fathers education is more important for boys. Finally, an important policy recommendation in the African context emerges from the analysis: the risk for orphans or abandoned children to lose ground in their schooling achievements is minimized if they are placed with relatives. -
Publication
Using Provider Performance Incentives to Increase HIV Testing and Counseling Services in Rwanda
(Elsevier, 2014-12-12)Paying for performance provides financial rewards to medical care providers for improvements in performance measured by utilization and quality of care indicators. In 2006, Rwanda began a pay for performance scheme to improve health services delivery, including HIV/AIDS services. Using a prospective quasi-experimental design, this study examines the scheme's impact on individual and couples HIV testing. We find a positive impact of pay for performance on HIV testing among married individuals (10.2 percentage points increase). Paying for performance also increased testing by both partners by 14.7 percentage point among discordant couples in which only one of the partners is an AIDS patient. -
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Relative Measures of Genocide Mortality: Benefits and Methodological Considerations of Using Siblings' Survival Data
(Taylor and Francis, 2019-12-31)When studying events such as the 1994 Genocide in Rwanda, for many researchers the first order question seems to be to find the best available data and methods to estimate the death toll, i.e. to provide a number of deaths in absolute terms. This makes sense since the staggering number of victims over a very short period is one of the most shocking – and defining – features of such an historical event. This short note argues that while looking for an absolute death toll number is certainly an important and worthwhile research exercise, analyzing relative mortality numbers also provides valuable insights that might not be available when focusing on absolute numbers. By relative mortality I mean comparing mortality across different population segments such as by gender, by age group or socioeconomic categories (e.g. education levels, urban/rural background). Specifically, I will use the examples of the Khmer Rouge Period in Cambodia (1975-1978) and the 1994 Genocide in Rwanda to illustrate this argument and will rely on earlier studies to show how the sibling mortality schedule – a module collecting information about the date of birth, the sex and if relevant the date of death of all siblings of the respondent – contained in most of the well-known and commonly used Demographic and Health Surveys (DHS) can be exploited to obtain reasonable and useful estimates of relative mortality. -
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The Demographic and Socio-economic Distribution of Excess Mortality during the 1994 Genocide in Rwanda
( 2010)This paper studies the demographic consequences of the Rwandan genocide and how the excess mortality due to the conflict was distributed in the population. Data collected by the 2000 Demographic and Health Survey indicate that although there were more deaths across the entire population, adult males were the most likely to die. Using the characteristics of the survey respondent as a proxy for the socio-economic status of the victims' family, the results also show that individuals with an urban or more educated background were more likely to die. The country's loss of human capital is a long-term cost of the genocide that compounds the human tragedies. -
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Parental Education and Children's Schooling Outcomes: Evidence from Recomposed Families in Rwanda
( 2009)In this article, I investigate how educational outcomes of orphans are affected by the education of the family members in their new family. The study uses household survey data from Rwanda that contain a large proportion of children living in households without their biological parents. The data also allow controlling for the educational attainment of the absent biological parents and the type of relationship that links the children to their adoptive families. The results of the analysis suggest that the education of the adoptive parents has a positive impact on the children's schooling. Interestingly, mothers' education matters more for girls, while fathers' education is more important for boys. The results also indicate that placing orphans with their relatives has a positive impact on their schooling. This finding has obvious policy implications for African countries with a large proportion of orphans due to the HIV/AIDS epidemic or to conflicts. -
Publication
The Demographic and Socio-economic Distribution of Excess Mortality during the 1994 Genocide in Rwanda
( 2009-03-01)There is an extensive literature on violent conflicts such as the 1994 Rwandan genocide, but few papers examine the profiles of victims and perpetrators, or more broadly the micro-level dynamics of widespread violence. This paper studies the demographic consequences of the Rwandan genocide and how the excess mortality due to the conflict was distributed in the population. Data collected by the 2000 Demographic and Health Survey indicate that although there were more deaths across the entire population, adult males were the most likely to die. Using the characteristics of the survey respondent as a proxy for the socio-economic status of the family dead, the results also show that individuals with an urban or more educated background were more likely to die. Over and above the human tragedies, a long-term cost of the genocide is the country's loss of productive skills.