Journal Article

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

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collection.link.125
https://openknowledge.worldbank.org/handle/10986/4401
collection.name.125
C. Journal articles published externally
dc.contributor.author
Gauthier, Bernard
dc.contributor.author
Wane, Waly
dc.date.accessioned
2012-03-30T07:34:26Z
dc.date.available
2012-03-30T07:34:26Z
dc.date.issued
2009
dc.date.lastModified
2021-04-23T14:02:23Z
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 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.citation
Journal of African Economies
dc.identifier.issn
09638024
dc.identifier.uri
http://hdl.handle.net/10986/5766
dc.language.iso
EN
dc.relation.uri
http://creativecommons.org/licenses/by-nc-nd/3.0/igo
dc.rights.holder
World Bank
dc.subject
National Government Expenditures and Health H510
dc.subject
Analysis of Health Care Markets I110
dc.subject
Health: Government Policy
dc.subject
Regulation
dc.subject
Public Health I180
dc.subject
Economic Development: Human Resources
dc.subject
Human Development
dc.subject
Income Distribution
dc.subject
Migration O150
dc.title
Leakage of Public Resources in the Health Sector : An Empirical Investigation of Chad
en
dc.title.alternative
Journal of African Economies
en
dc.type
Journal Article
en
okr.doctype
Journal Article
okr.externalcontent
External Content
okr.googlescholar.linkpresent
yes
okr.identifier.externaldocumentum
774
okr.journal.nbpages
52-83
okr.language.supported
en
okr.peerreview
Academic Peer Review
okr.region.country
Chad
okr.relation.associatedurl
http://search.ebscohost.com/login.aspx?direct=true&db=eoh&AN=1025413&site=ehost-live
okr.relation.associatedurl
http://jae.oxfordjournals.org
okr.volume
18

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