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

dc.contributor.author Gauthier, Bernard
dc.contributor.author Wane, Waly
dc.date.accessioned 2012-06-06T18:45:49Z
dc.date.available 2012-06-06T18:45:49Z
dc.date.issued 2007-09
dc.description.abstract In 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.identifier http://documents.worldbank.org/curated/en/2007/09/8283414/leakage-public-resources-health-sector-empirical-investigation-chad
dc.identifier.uri http://hdl.handle.net/10986/7301
dc.language English
dc.relation.ispartofseries Policy Research Working Paper; No. 4351
dc.rights CC BY 3.0 IGO
dc.rights.holder World Bank
dc.rights.uri http://creativecommons.org/licenses/by/3.0/igo/
dc.subject ACCESS TO HEALTH SERVICES
dc.subject ACCOUNTABILITY
dc.subject ACCOUNTING
dc.subject ADULT ILLITERACY
dc.subject ALLOCATING PUBLIC RESOURCES
dc.subject ALLOCATION OF RESOURCES
dc.subject AMBULANCE
dc.subject BEDS
dc.subject BENEFICIARIES
dc.subject BUDGET DOES
dc.subject BUDGET INFORMATION
dc.subject BUDGET STRUCTURE
dc.subject BUDGETARY ALLOCATIONS
dc.subject BUDGETARY EXPENDITURES
dc.subject BUDGETARY RESOURCES
dc.subject CAPITAL EXPENDITURES
dc.subject CAPITAL INVESTMENTS
dc.subject CENTRAL BUDGET
dc.subject CENTRAL GOVERNMENT
dc.subject CENTRAL GOVERNMENT BUDGET
dc.subject CHILD MORTALITY
dc.subject CHILD MORTALITY RATE
dc.subject CIVIL WAR
dc.subject CLINICS
dc.subject CROWDING
dc.subject DATA COLLECTION
dc.subject DEATHS
dc.subject DELIVERY OF HEALTH SERVICES
dc.subject DELIVERY SYSTEM
dc.subject DEMAND FOR HEALTH
dc.subject DEMAND FOR HEALTH CARE
dc.subject DEMOCRACY
dc.subject DEVELOPING COUNTRIES
dc.subject DOCTORS
dc.subject DRUGS
dc.subject ECONOMIC POLICY
dc.subject ECONOMIC REVIEW
dc.subject ECONOMIES OF SCALE
dc.subject ELASTICITY OF DEMAND
dc.subject ELASTICITY OF DEMAND FOR HEALTH CARE
dc.subject ETHNIC GROUPS
dc.subject EXPENDITURE LEVEL
dc.subject EXPENDITURES
dc.subject EXPENDITURES ON HEALTH
dc.subject FINANCIAL INFORMATION
dc.subject FINANCIAL RESOURCES
dc.subject FINANCIAL SUPPORT
dc.subject GLOBAL DEVELOPMENT
dc.subject GOVERNMENT SPENDING
dc.subject HEALTH ADMINISTRATION
dc.subject HEALTH CARE CENTERS
dc.subject HEALTH CARE PROVIDERS
dc.subject HEALTH CENTERS
dc.subject HEALTH EXPENDITURE
dc.subject HEALTH EXPENDITURE PER CAPITA
dc.subject HEALTH EXPENDITURES
dc.subject HEALTH FACILITIES
dc.subject HEALTH IMPACT
dc.subject HEALTH INDICATORS
dc.subject HEALTH POLICIES
dc.subject HEALTH POLICY
dc.subject HEALTH PROBLEMS
dc.subject HEALTH PROVIDERS
dc.subject HEALTH RESOURCES
dc.subject HEALTH SECTOR
dc.subject HEALTH SERVICE
dc.subject HEALTH SERVICE PROVIDERS
dc.subject HEALTH SERVICE PROVISION
dc.subject HEALTH SERVICES
dc.subject HEALTH STATUS
dc.subject HEALTH SYSTEM
dc.subject HEALTH SYSTEMS
dc.subject HEALTH WORKERS
dc.subject HOSPITAL
dc.subject HOSPITALS
dc.subject HUMAN DEVELOPMENT
dc.subject HUMAN POVERTY
dc.subject HUMAN RESOURCES
dc.subject ILLITERACY RATE
dc.subject IMPACT ON HEALTH
dc.subject INDIVIDUAL HEALTH
dc.subject INFECTIOUS DISEASES
dc.subject INFORMATION SYSTEMS
dc.subject INTENDED BENEFICIARIES
dc.subject INVESTMENT BUDGET
dc.subject LABOR FORCE
dc.subject LIFE EXPECTANCY
dc.subject LIFE EXPECTANCY AT BIRTH
dc.subject LIVE BIRTHS
dc.subject LOCAL CAPACITY
dc.subject LOCAL HEALTH CENTERS
dc.subject MALARIA
dc.subject MARGINAL EFFECTS
dc.subject MATERIAL RESOURCES
dc.subject MEDICAL COSTS
dc.subject MEDICAL PRODUCTS
dc.subject MEDICINES
dc.subject MIDWIVES
dc.subject MINISTRY OF HEALTH
dc.subject MISMANAGEMENT
dc.subject MORTALITY
dc.subject MOTHER
dc.subject NATIONAL BUDGET
dc.subject NATIONAL HEALTH
dc.subject NATIONAL HEALTH POLICIES
dc.subject NURSES
dc.subject OPERATING EXPENDITURES
dc.subject PATIENT
dc.subject PATIENTS
dc.subject PERSONNEL EXPENDITURES
dc.subject PHARMACIES
dc.subject PHARMACY
dc.subject POLICY RESEARCH
dc.subject POLICY RESEARCH WORKING PAPER
dc.subject POLITICAL INSTABILITY
dc.subject POOR PEOPLE
dc.subject POVERTY REDUCTION
dc.subject PRICE DATA
dc.subject PRICE ELASTICITY
dc.subject PRIMARY CARE
dc.subject PRIMARY HEALTH CARE
dc.subject PRIVATE CLINICS
dc.subject PRIVATE PROVIDERS
dc.subject PRIVATE SECTOR
dc.subject PROBABILITY
dc.subject PROGRESS
dc.subject PUBLIC ADMINISTRATION
dc.subject PUBLIC EXPENDITURE
dc.subject PUBLIC EXPENDITURE SYSTEM
dc.subject PUBLIC EXPENDITURES
dc.subject PUBLIC HEALTH
dc.subject PUBLIC HEALTH CARE
dc.subject PUBLIC HEALTH EXPENDITURES
dc.subject PUBLIC HEALTH SPENDING
dc.subject PUBLIC HEALTH SYSTEMS
dc.subject PUBLIC MANAGEMENT
dc.subject PUBLIC RESOURCES
dc.subject PUBLIC SECTOR
dc.subject PUBLIC SERVICES
dc.subject PUBLIC SPENDING
dc.subject PUBLIC SUPPORT
dc.subject PUBLIC WORKS
dc.subject QUANTITATIVE SERVICE DELIVERY
dc.subject RECURRENT EXPENDITURES
dc.subject REGIONAL ADMINISTRATION
dc.subject RESOURCE ALLOCATION
dc.subject RESOURCE USE
dc.subject RESPECT
dc.subject RURAL AREAS
dc.subject SANITARY FACILITIES
dc.subject SERVICE ACCESSIBILITY
dc.subject SERVICE DELIVERY
dc.subject SERVICE FACILITIES
dc.subject SERVICE QUALITY
dc.subject SOCIAL INDICATORS
dc.subject SOCIAL SCIENCE
dc.subject SOCIAL SECTORS
dc.subject SUB-SAHARAN AFRICA
dc.subject TRANSPORTATION
dc.subject URBAN AREAS
dc.subject URBAN CENTERS
dc.subject USER FEES
dc.subject VACCINES
dc.subject WORKERS
dc.title Leakage of Public Resources in the Health Sector : An Empirical Investigation of Chad en
dspace.entity.type Publication
okr.doctype Publications & Research :: Policy Research Working Paper
okr.doctype Publications & Research
okr.docurl http://documents.worldbank.org/curated/en/2007/09/8283414/leakage-public-resources-health-sector-empirical-investigation-chad
okr.globalpractice Governance
okr.globalpractice Health, Nutrition, and Population
okr.identifier.doi 10.1596/1813-9450-4351
okr.identifier.externaldocumentum 000158349_20070912101534
okr.identifier.internaldocumentum 8283414
okr.identifier.report WPS4351
okr.language.supported en
okr.pdfurl http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2007/09/12/000158349_20070912101534/Rendered/PDF/wps4351.pdf en
okr.region.administrative Africa
okr.region.country Chad
okr.topic Health Monitoring and Evaluation
okr.topic Health Systems Development and Reform
okr.topic Public Sector Expenditure Analysis and Management
okr.topic Health Economics and Finance
okr.topic Health, Nutrition and Population :: Population Policies
okr.topic Public Sector Development
okr.unit Development Research Group (DECRG)
okr.volume 1 of 1
relation.isSeriesOfPublication 26e071dc-b0bf-409c-b982-df2970295c87
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