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.accessioned2012-03-30T07:34:26Z
dc.date.available2012-03-30T07:34:26Z
dc.date.issued2009
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 organised by the World Bank in 2004. The survey covered 281 primary health care centres 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 centres. Although the regional administration is officially allocated 60% of the ministry's non-wage recurrent expenditures, the share of the resources that actually reach the regions is estimated to be only 18%. The health centres, which are the frontline providers and the entry point for the population, receive less than 1% of the ministry's non-wage recurrent expenditures. Accounting for the endogeneity of the level of competition among health centres, the leakage of government resources has a significant and negative impact on the price mark-up that health centres charge patients for drugs. Furthermore, it is estimated that had public resources earmarked for frontline providers reached them in their entirety, the number of patients seeking primary health care in Chad would have more than doubled.en
dc.identifier.citationJournal of African Economies
dc.identifier.issn09638024
dc.identifier.urihttps://hdl.handle.net/10986/5766
dc.language.isoEN
dc.relation.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/igo
dc.rights.holderWorld Bank
dc.subjectNational Government Expenditures and Health H510
dc.subjectAnalysis of Health Care Markets I110
dc.subjectHealth: Government Policy
dc.subjectRegulation
dc.subjectPublic Health I180
dc.subjectEconomic Development: Human Resources
dc.subjectHuman Development
dc.subjectIncome Distribution
dc.subjectMigration O150
dc.titleLeakage of Public Resources in the Health Sector : An Empirical Investigation of Chaden
dc.title.alternativeJournal of African Economiesen
dc.typeJournal Articleen
dc.typeArticle de journalfr
dc.typeArtículo de revistaes
dspace.entity.typePublication
okr.doctypeJournal Article
okr.externalcontentExternal Content
okr.identifier.externaldocumentum774
okr.journal.nbpages52-83
okr.language.supporteden
okr.peerreviewAcademic Peer Review
okr.region.countryChad
okr.relation.associatedurlhttp://search.ebscohost.com/login.aspx?direct=true&db=eoh&AN=1025413&site=ehost-live
okr.relation.associatedurlhttp://jae.oxfordjournals.org
okr.volume18
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