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The Effect of Hosting 3.4 Million Refugees on the Health System in Turkey and Infant, Child, and Elderly Mortality among Natives

Author

Listed:
  • Aygün, Aysun Hızıroğlu

    (Istanbul Technical University)

  • Kirdar, Murat Güray

    (Bogazici University)

  • Tuncay, Berna

    (Koc University)

Abstract
As of the end of 2017, 3.4 million Syrian refugees lived in Turkey. These refugees left a country where the health system was completely broken. Several studies report that Syrian refugees faced numerous diseases during their exodus, brought certain infectious diseases to the hosting communities, and have a high incidence of health care utilization. Moreover, they have much higher fertility rates than natives (5.3 to 2.3). We examine the effect of Syrian refugees on the health infrastructure in Turkey and on natives' mortality—with a focus on infant, child, and elderly mortality. Our OLS results yield suggestive evidence of a negative effect of the refugee shock on infant and child mortality. However, we find that this is a result of endogenous settlement patterns of refugees. Once we account for the endogeneity using a plausibly exogenous instrument, we find no evidence of an effect on native mortality for any age group. We also analyze the pressure that the refugees put on the health care services in Turkey, as well as the government's response, to understand our findings on mortality outcomes.

Suggested Citation

  • Aygün, Aysun Hızıroğlu & Kirdar, Murat Güray & Tuncay, Berna, 2020. "The Effect of Hosting 3.4 Million Refugees on the Health System in Turkey and Infant, Child, and Elderly Mortality among Natives," IZA Discussion Papers 13627, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp13627
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    References listed on IDEAS

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    1. Valentina Calderón-Mejía & Ana María Ibáñez, 2016. "Labour market effects of migration-related supply shocks: evidence from internal refugees in Colombia," Journal of Economic Geography, Oxford University Press, vol. 16(3), pages 695-713.
    2. Cesur, Resul & Güneş, Pınar Mine & Tekin, Erdal & Ulker, Aydogan, 2017. "The value of socialized medicine: The impact of universal primary healthcare provision on mortality rates in Turkey," Journal of Public Economics, Elsevier, vol. 150(C), pages 75-93.
    3. Jean-François Maystadt & Gilles Duranton, 2019. "The development push of refugees: evidence from Tanzania," Journal of Economic Geography, Oxford University Press, vol. 19(2), pages 299-334.
    4. Aksu, Ege & Erzan, Refik & Kırdar, Murat Güray, 2022. "The impact of mass migration of Syrians on the Turkish labor market," Labour Economics, Elsevier, vol. 76(C).
    5. Akresh, Richard & Lucchetti, Leonardo & Thirumurthy, Harsha, 2012. "Wars and child health: Evidence from the Eritrean–Ethiopian conflict," Journal of Development Economics, Elsevier, vol. 99(2), pages 330-340.
    6. Philip Verwimp & Jan Bavel, 2005. "Child Survival and Fertility of Refugees in Rwanda," European Journal of Population, Springer;European Association for Population Studies, vol. 21(2), pages 271-290, June.
    7. Kalipeni, Ezekiel & Oppong, Joseph, 1998. "The refugee crisis in Africa and implications for health and disease: a political ecology approach," Social Science & Medicine, Elsevier, vol. 46(12), pages 1637-1653, June.
    8. Jean-François Maystadt & Philip Verwimp, 2014. "Winners and Losers among a Refugee-Hosting Population," Economic Development and Cultural Change, University of Chicago Press, vol. 62(4), pages 769-809.
    9. Yusuf Emre Akgündüz & Marcel van den Berg & Wolter Hassink, 2018. "The Impact of the Syrian Refugee Crisis on Firm Entry and Performance in Turkey," The World Bank Economic Review, World Bank, vol. 32(1), pages 19-40.
    10. Kazmi, Jamil H. & Pandit, Kavita, 2001. "Disease and dislocation: the impact of refugee movements on the geography of malaria in NWFP, Pakistan," Social Science & Medicine, Elsevier, vol. 52(7), pages 1043-1055, April.
    11. Evren Ceritoglu & H. Burcu Gurcihan Yunculer & Huzeyfe Torun & Semih Tumen, 2017. "The impact of Syrian refugees on natives’ labor market outcomes in Turkey: evidence from a quasi-experimental design," IZA Journal of Labor Policy, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 6(1), pages 1-28, December.
    12. Pia Orrenius & Madeline Zavodny, 2009. "Do immigrants work in riskier jobs?," Demography, Springer;Population Association of America (PAA), vol. 46(3), pages 535-551, August.
    13. Morales, Juan S., 2018. "The impact of internal displacement on destination communities: Evidence from the Colombian conflict," Journal of Development Economics, Elsevier, vol. 131(C), pages 132-150.
    14. Pia M. Orrenius & Madeline Zavodny, 2013. "Immigrants in risky occupations," Chapters, in: Amelie F. Constant & Klaus F. Zimmermann (ed.), International Handbook on the Economics of Migration, chapter 11, pages 214-226, Edward Elgar Publishing.
    15. Fallah, Belal & Krafft, Caroline & Wahba, Jackline, 2019. "The impact of refugees on employment and wages in Jordan," Journal of Development Economics, Elsevier, vol. 139(C), pages 203-216.
    16. Minoiu, Camelia & Shemyakina, Olga N., 2014. "Armed conflict, household victimization, and child health in Côte d'Ivoire," Journal of Development Economics, Elsevier, vol. 108(C), pages 237-255.
    17. Jennifer Alix-Garcia & Anne Bartlett, 2015. "Occupations under fire: the labour market in a complex emergency," Oxford Economic Papers, Oxford University Press, vol. 67(3), pages 687-714.
    18. Alix-Garcia, Jennifer & Walker, Sarah & Bartlett, Anne & Onder, Harun & Sanghi, Apurva, 2018. "Do refugee camps help or hurt hosts? The case of Kakuma, Kenya," Journal of Development Economics, Elsevier, vol. 130(C), pages 66-83.
    19. Jennifer Alix-Garcia & Anne Bartlett & David Saah, 2013. "The landscape of conflict: IDPs, aid and land-use change in Darfur," Journal of Economic Geography, Oxford University Press, vol. 13(4), pages 589-617, July.
    20. Binnur Balkan & Semih Tumen, 2016. "Immigration and prices: quasi-experimental evidence from Syrian refugees in Turkey," Journal of Population Economics, Springer;European Society for Population Economics, vol. 29(3), pages 657-686, July.
    21. Avogo, Winfred Aweyire & Agadjanian, Victor, 2010. "Forced migration and child health and mortality in Angola," Social Science & Medicine, Elsevier, vol. 70(1), pages 53-60, January.
    22. Depetris-Chauvin, Emilio & Santos, Rafael J., 2018. "Unexpected guests: The impact of internal displacement inflows on rental prices in Colombian host cities," Journal of Development Economics, Elsevier, vol. 134(C), pages 289-309.
    23. Baez, Javier E., 2011. "Civil wars beyond their borders: The human capital and health consequences of hosting refugees," Journal of Development Economics, Elsevier, vol. 96(2), pages 391-408, November.
    24. Giuntella, Osea & Mazzonna, Fabrizio, 2015. "Do immigrants improve the health of natives?," Journal of Health Economics, Elsevier, vol. 43(C), pages 140-153.
    25. Jean-François Maystadt & Kalle Hirvonen & Athur Mabiso & Joachim Vandercasteelen, 2019. "Impacts of Hosting Forced Migrants in Poor Countries," Annual Review of Resource Economics, Annual Reviews, vol. 11(1), pages 439-459, October.
    26. Jose G. Montalvo & Marta Reynal-Querol, 2007. "Fighting against Malaria: Prevent Wars while Waiting for the "Miraculous" Vaccine," The Review of Economics and Statistics, MIT Press, vol. 89(1), pages 165-177, February.
    27. Isabel Ruiz & Carlos Vargas-Silva, 2016. "The labour market consequences of hosting refugees," Journal of Economic Geography, Oxford University Press, vol. 16(3), pages 667-694.
    28. Khawaja, Marwan, 2004. "The extraordinary decline of infant and childhood mortality among Palestinian refugees," Social Science & Medicine, Elsevier, vol. 58(3), pages 463-470, February.
    29. Osea Giuntella, 2012. "Do immigrants squeeze natives out of bad schedules? Evidence from Italy," IZA Journal of Migration and Development, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 1(1), pages 1-21, December.
    30. Isabel Ruiz & Carlos Vargas-Silva, 2017. "The Consequences of Forced Migration for Host Communities in Africa," Revue d’économie du développement, De Boeck Université, vol. 25(3), pages 135-154.
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    1. Mehmet Balcilar & Jeffrey B. Nugent & Jiahui Xu, 2022. "Adversities in Syria and their relation to their physical and mental health conditions as Syrian refugees in Turkey," Scottish Journal of Political Economy, Scottish Economic Society, vol. 69(1), pages 37-59, February.

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    More about this item

    Keywords

    child; infant; native mortality; health care infrastructure; refugees; elderly; instrumental variables;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J15 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

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