Governance and Effectiveness of Public Health Subsidies
نویسندگان
چکیده
Heavily subsidizing essential health products through existing health infrastructure could substantially improve health in sub-Saharan Africa. There is, however, widespread concern that poor governance – in particular, limited health worker accountability – seriously undermines the effectiveness of subsidy programs. Using innovative audits of targeted bed net distribution programs in Ghana, Kenya and Uganda, we measure the extent of local agency problems. Overall, agency concerns are modest and do not undermine the cost-effectiveness of free distribution. Around 80% of the eligible receive the subsidy as intended, and leakage to the ineligible appears limited, even when the ineligible have a high willingness to pay. JEL codes: D73, H11, I15, I38
منابع مشابه
Governance and the Effectiveness of Public Health Subsidies: Evidence from Ghana, Kenya and Uganda Governance and the effectiveness of public health subsidies: Evidence from Ghana, Kenya and Uganda∗
Distributing subsidized health products through existing health infrastructure could substantially and cost-effectively improve health in sub-Saharan Africa. There is, however, widespread concern that poor governance – in particular, limited health worker accountability – seriously undermines the effectiveness of subsidy programs. We audit targeted bednet distribution programs to quantify the e...
متن کاملGovernance and the effectiveness of public health subsidies: Evidence from Ghana, Kenya and Uganda.
Distributing subsidized health products through existing health infrastructure could substantially and cost-effectively improve health in sub-Saharan Africa. There is, however, widespread concern that poor governance - in particular, limited health worker accountability - seriously undermines the effectiveness of subsidy programs. We audit targeted bednet distribution programs to quantify the e...
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