Health Service Delivery and Political Trust in Nigeria Chukwuma, Adanna Bossert, Thomas J. Croke, Kevin 2021-05-13T20:10:41Z 2021-05-13T20:10:41Z 2019-04
dc.description.abstract Do improvements in health service delivery affect trust in political leaders in Africa? Citizens expect their government to provide social services. Intuitively, improvements in service delivery should lead to higher levels of trust in and support for political leaders. However, in contexts where inadequate services are the norm, and where political support is linked to ethnic or religious affiliation, there may be weak linkages between improvements in service delivery and changes in trust in political leaders. To examine this question empirically, we take advantage of a national intervention that improved health service delivery in 500 primary health care facilities in Nigeria, to estimate the impact of residence within 10 km of one or more of the intervention facilities on trust in the president, local councils, the ruling party, and opposition parties. Using difference-in-difference models, we show that proximity to the intervention led to increases in trust in the president and the ruling party. By contrast, we find no evidence of increased trust in the local council or opposition parties. Our study also examines the role of ethnicity and religious affiliation in mediating the observed increases in trust in the president. While there is a large literature suggesting that both the targeting of interventions, and the response of citizens to interventions is often mediated by ethnic, geographic or religious identity, by contrast, we find no evidence that the intervention was targeted at the president's ethnic group, zone, or state of origin. Moreover, there is suggestive evidence that the intervention increased trust in the president more among those who did not share these markers of identity with the president. This highlights the possibility that broad-based efforts to improve health services can increase trust in political leaders even in settings where political attitudes are often thought to be mediated by group identity. en
dc.identifier.citation SSM - Population Health
dc.publisher Elsevier
dc.rights CC BY 3.0 IGO
dc.rights.holder World Bank
dc.subject HEALTH POLICY
dc.title Health Service Delivery and Political Trust in Nigeria en
dc.type Journal Article en
dc.type Article de journal fr
dc.type Artículo de revista es
dspace.entity.type Publication
okr.associatedcontent Journal website (version of record) en 2021-05-13
okr.doctype Publications & Research :: Journal Article
okr.doctype Publications & Research
okr.externalcontent External Content
okr.identifier.doi 10.1016/j.ssmph.2019.100382 161478
okr.journal.nbpages 100382
okr.language.supported en
okr.peerreview Academic Peer Review
okr.region.administrative Africa
okr.region.administrative Africa Western and Central (AFW) Nigeria
okr.topic Governance :: Politics and Government
okr.topic Health, Nutrition and Population :: Health Policy and Management
okr.topic Health, Nutrition and Population :: Health Service Management and Delivery
okr.unit Health, Nutrition and Population Global Practice
okr.volume 7
relation.isAuthorOfPublication 41aa479e-8677-5046-8dc0-ceca0dc1aa7f
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