Health Service Delivery and Political Trust in Nigeria

doi:10.1016/j.ssmph.2019.100382

Publication:
Health Service Delivery and Political Trust in Nigeria

dc.contributor.author	Bossert, Thomas J.
dc.contributor.author	Chukwuma, Adanna
dc.contributor.author	Croke, Kevin
dc.date.accessioned	2021-05-13T20:10:41Z
dc.date.available	2021-05-13T20:10:41Z
dc.date.issued	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.identifier.doi	10.1596/35575
dc.identifier.uri	https://hdl.handle.net/10986/35575
dc.publisher	Elsevier
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	SOCIAL SERVICES
dc.subject	HEALTH POLICY
dc.subject	POLITICAL TRUST
dc.subject	HEALTH SERVICE DELIVERY
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	https://www.sciencedirect.com/science/article/pii/S2352827318302982 Journal website (version of record)	en
okr.date.disclosure	2021-05-13
okr.date.doiregistration	2025-05-06T11:03:32.730688Z
okr.doctype	Publications & Research::Journal Article
okr.doctype	Publications & Research
okr.externalcontent	External Content
okr.guid	680611626071654862
okr.identifier.doi	10.1016/j.ssmph.2019.100382
okr.identifier.report	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)
okr.region.country	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
relation.isAuthorOfPublication.latestForDiscovery	41aa479e-8677-5046-8dc0-ceca0dc1aa7f