Publication:
Leakage of Public Resources in the Health Sector : An Empirical Investigation of Chad

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dc.contributor.authorGauthier, Bernard
dc.contributor.authorWane, Waly
dc.date.accessioned2012-06-06T18:45:49Z
dc.date.available2012-06-06T18:45:49Z
dc.date.issued2007-09
dc.description.abstractIn the public sector in developing countries, leakage of public resources could prove detrimental to users and affect the well-being of the population. This paper empirically examines the importance of leakage of government resources in the health sector in Chad, and its effects on the prices of drugs. The analysis uses data collected in Chad as part of a Health Facilities Survey organized by the World Bank in 2004. The survey covered 281 primary health care centers and contained information on the provision of medical material, financial resources, and medicines allocated by the Ministry of Health to the regional administration and primary health centers. Although the regional administration is officially allocated 60 percent of the ministry's non-wage recurrent expenditures, the share of the resources that actually reach the regions is estimated to be only 18 percent. The health centers, which are the frontline providers and the entry point for the population, receive less than 1 percent of the ministry's non-wage recurrent expenditures. Accounting for the endogeneity of the level of competition among health centers, the leakage of government resources has a significant and negative impact on the price mark-up that health centers charge patients for drugs.en
dc.identifierhttp://documents.worldbank.org/curated/en/2007/09/8283414/leakage-public-resources-health-sector-empirical-investigation-chad
dc.identifier.doi10.1596/1813-9450-4351
dc.identifier.urihttps://hdl.handle.net/10986/7301
dc.languageEnglish
dc.relation.ispartofseriesPolicy Research Working Paper; No. 4351
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectACCOUNTABILITY
dc.subjectACCOUNTING
dc.subjectADULT ILLITERACY
dc.subjectALLOCATING PUBLIC RESOURCES
dc.subjectALLOCATION OF RESOURCES
dc.subjectAMBULANCE
dc.subjectBEDS
dc.subjectBENEFICIARIES
dc.subjectBUDGET DOES
dc.subjectBUDGET INFORMATION
dc.subjectBUDGET STRUCTURE
dc.subjectBUDGETARY ALLOCATIONS
dc.subjectBUDGETARY EXPENDITURES
dc.subjectBUDGETARY RESOURCES
dc.subjectCAPITAL EXPENDITURES
dc.subjectCAPITAL INVESTMENTS
dc.subjectCENTRAL BUDGET
dc.subjectCENTRAL GOVERNMENT
dc.subjectCENTRAL GOVERNMENT BUDGET
dc.subjectCHILD MORTALITY
dc.subjectCHILD MORTALITY RATE
dc.subjectCIVIL WAR
dc.subjectCLINICS
dc.subjectCROWDING
dc.subjectDATA COLLECTION
dc.subjectDEATHS
dc.subjectDELIVERY OF HEALTH SERVICES
dc.subjectDELIVERY SYSTEM
dc.subjectDEMAND FOR HEALTH
dc.subjectDEMAND FOR HEALTH CARE
dc.subjectDEMOCRACY
dc.subjectDEVELOPING COUNTRIES
dc.subjectDOCTORS
dc.subjectDRUGS
dc.subjectECONOMIC POLICY
dc.subjectECONOMIC REVIEW
dc.subjectECONOMIES OF SCALE
dc.subjectELASTICITY OF DEMAND
dc.subjectELASTICITY OF DEMAND FOR HEALTH CARE
dc.subjectETHNIC GROUPS
dc.subjectEXPENDITURE LEVEL
dc.subjectEXPENDITURES
dc.subjectEXPENDITURES ON HEALTH
dc.subjectFINANCIAL INFORMATION
dc.subjectFINANCIAL RESOURCES
dc.subjectFINANCIAL SUPPORT
dc.subjectGLOBAL DEVELOPMENT
dc.subjectGOVERNMENT SPENDING
dc.subjectHEALTH ADMINISTRATION
dc.subjectHEALTH CARE CENTERS
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH CENTERS
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH EXPENDITURE PER CAPITA
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH IMPACT
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH POLICIES
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROBLEMS
dc.subjectHEALTH PROVIDERS
dc.subjectHEALTH RESOURCES
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICE PROVIDERS
dc.subjectHEALTH SERVICE PROVISION
dc.subjectHEALTH SERVICES
dc.subjectHEALTH STATUS
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH WORKERS
dc.subjectHOSPITAL
dc.subjectHOSPITALS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN POVERTY
dc.subjectHUMAN RESOURCES
dc.subjectILLITERACY RATE
dc.subjectIMPACT ON HEALTH
dc.subjectINDIVIDUAL HEALTH
dc.subjectINFECTIOUS DISEASES
dc.subjectINFORMATION SYSTEMS
dc.subjectINTENDED BENEFICIARIES
dc.subjectINVESTMENT BUDGET
dc.subjectLABOR FORCE
dc.subjectLIFE EXPECTANCY
dc.subjectLIFE EXPECTANCY AT BIRTH
dc.subjectLIVE BIRTHS
dc.subjectLOCAL CAPACITY
dc.subjectLOCAL HEALTH CENTERS
dc.subjectMALARIA
dc.subjectMARGINAL EFFECTS
dc.subjectMATERIAL RESOURCES
dc.subjectMEDICAL COSTS
dc.subjectMEDICAL PRODUCTS
dc.subjectMEDICINES
dc.subjectMIDWIVES
dc.subjectMINISTRY OF HEALTH
dc.subjectMISMANAGEMENT
dc.subjectMORTALITY
dc.subjectMOTHER
dc.subjectNATIONAL BUDGET
dc.subjectNATIONAL HEALTH
dc.subjectNATIONAL HEALTH POLICIES
dc.subjectNURSES
dc.subjectOPERATING EXPENDITURES
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectPERSONNEL EXPENDITURES
dc.subjectPHARMACIES
dc.subjectPHARMACY
dc.subjectPOLICY RESEARCH
dc.subjectPOLICY RESEARCH WORKING PAPER
dc.subjectPOLITICAL INSTABILITY
dc.subjectPOOR PEOPLE
dc.subjectPOVERTY REDUCTION
dc.subjectPRICE DATA
dc.subjectPRICE ELASTICITY
dc.subjectPRIMARY CARE
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIVATE CLINICS
dc.subjectPRIVATE PROVIDERS
dc.subjectPRIVATE SECTOR
dc.subjectPROBABILITY
dc.subjectPROGRESS
dc.subjectPUBLIC ADMINISTRATION
dc.subjectPUBLIC EXPENDITURE
dc.subjectPUBLIC EXPENDITURE SYSTEM
dc.subjectPUBLIC EXPENDITURES
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH CARE
dc.subjectPUBLIC HEALTH EXPENDITURES
dc.subjectPUBLIC HEALTH SPENDING
dc.subjectPUBLIC HEALTH SYSTEMS
dc.subjectPUBLIC MANAGEMENT
dc.subjectPUBLIC RESOURCES
dc.subjectPUBLIC SECTOR
dc.subjectPUBLIC SERVICES
dc.subjectPUBLIC SPENDING
dc.subjectPUBLIC SUPPORT
dc.subjectPUBLIC WORKS
dc.subjectQUANTITATIVE SERVICE DELIVERY
dc.subjectRECURRENT EXPENDITURES
dc.subjectREGIONAL ADMINISTRATION
dc.subjectRESOURCE ALLOCATION
dc.subjectRESOURCE USE
dc.subjectRESPECT
dc.subjectRURAL AREAS
dc.subjectSANITARY FACILITIES
dc.subjectSERVICE ACCESSIBILITY
dc.subjectSERVICE DELIVERY
dc.subjectSERVICE FACILITIES
dc.subjectSERVICE QUALITY
dc.subjectSOCIAL INDICATORS
dc.subjectSOCIAL SCIENCE
dc.subjectSOCIAL SECTORS
dc.subjectSUB-SAHARAN AFRICA
dc.subjectTRANSPORTATION
dc.subjectURBAN AREAS
dc.subjectURBAN CENTERS
dc.subjectUSER FEES
dc.subjectVACCINES
dc.subjectWORKERS
dc.titleLeakage of Public Resources in the Health Sector : An Empirical Investigation of Chaden
dspace.entity.typePublication
okr.crossref.titleLeakage Of Public Resources In The Health Sector : An Empirical Investigation Of Chad
okr.date.doiregistration2025-04-10T09:33:47.624938Z
okr.doctypePublications & Research::Policy Research Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2007/09/8283414/leakage-public-resources-health-sector-empirical-investigation-chad
okr.globalpracticeGovernance
okr.globalpracticeHealth, Nutrition, and Population
okr.guid517441468017458366
okr.identifier.doi10.1596/1813-9450-4351
okr.identifier.externaldocumentum000158349_20070912101534
okr.identifier.internaldocumentum8283414
okr.identifier.reportWPS4351
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2007/09/12/000158349_20070912101534/Rendered/PDF/wps4351.pdfen
okr.region.administrativeAfrica
okr.region.countryChad
okr.topicHealth Monitoring and Evaluation
okr.topicHealth Systems Development and Reform
okr.topicPublic Sector Expenditure Analysis and Management
okr.topicHealth Economics and Finance
okr.topicHealth, Nutrition and Population::Population Policies
okr.topicPublic Sector Development
okr.unitDevelopment Research Group (DECRG)
okr.volume1 of 1
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
relation.isSeriesOfPublication.latestForDiscovery26e071dc-b0bf-409c-b982-df2970295c87
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