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Health aid, governance and infant mortality

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  • Chris Doucouliagos
  • Jack Hennessy
  • Debdulal Mallick

Abstract

We investigate the impact of health aid on infant mortality conditional on the quality of governance. Our analysis applies instrumental variable estimation with health aid instrumented by donor government fractionalization interacted with the probability of allocating health aid to a recipient country. Using panel data for 96 recipient countries for the 2002–2015 period, we find that the effectiveness of health aid in reducing infant mortality is conditional on good governance. The results are robust in a variety of ways. Our findings reaffirm the importance of improving the quality of governance in recipient countries.

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  • Chris Doucouliagos & Jack Hennessy & Debdulal Mallick, 2021. "Health aid, governance and infant mortality," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 184(2), pages 761-783, April.
  • Handle: RePEc:bla:jorssa:v:184:y:2021:i:2:p:761-783
    DOI: 10.1111/rssa.12679
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    1. Michael Ross, 2006. "Is Democracy Good for the Poor?," American Journal of Political Science, John Wiley & Sons, vol. 50(4), pages 860-874, October.
    2. John Anyanwu & Andrew E. O. Erhijakpor, 2009. "Health Expenditures and Health Outcomes in Africa," African Development Review, African Development Bank, vol. 21(2), pages 400-433.
    3. Sylvia Allegretto & Arindrajit Dube & Michael Reich & Ben Zipperer, 2017. "Credible Research Designs for Minimum Wage Studies," ILR Review, Cornell University, ILR School, vol. 70(3), pages 559-592, May.
    4. Yashar Tarverdi & Anu Rammohan, 2017. "On the role of governance and health aid on child mortality: a cross-country analysis," Applied Economics, Taylor & Francis Journals, vol. 49(9), pages 845-859, February.
    5. Axel Dreher & Peter Nunnenkamp & Rainer Thiele, 2008. "Does Aid for Education Educate Children? Evidence from Panel Data," The World Bank Economic Review, World Bank, vol. 22(2), pages 291-314, April.
    6. Jeroen Klomp & Jakob De Haan, 2008. "Effects of Governance on Health: a Cross‐National Analysis of 101 Countries," Kyklos, Wiley Blackwell, vol. 61(4), pages 599-614, November.
    7. Eric Werker & Faisal Z. Ahmed & Charles Cohen, 2009. "How Is Foreign Aid Spent? Evidence from a Natural Experiment," American Economic Journal: Macroeconomics, American Economic Association, vol. 1(2), pages 225-244, July.
    8. Berg, Andrew & Ostry, Jonathan D. & Zettelmeyer, Jeromin, 2012. "What makes growth sustained?," Journal of Development Economics, Elsevier, vol. 98(2), pages 149-166.
    9. Nathan Nunn & Nancy Qian, 2014. "US Food Aid and Civil Conflict," American Economic Review, American Economic Association, vol. 104(6), pages 1630-1666, June.
    10. Douzounet Mallaye & Urbain Thierry Yogo, 2014. "Health aid and health improvement in sub-saharan africa: accounting for the heterogeneity between stable states and post-conflict states," Post-Print halshs-01062806, HAL.
    11. Whitney K. Newey & Kenneth D. West, 1994. "Automatic Lag Selection in Covariance Matrix Estimation," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 61(4), pages 631-653.
    12. Roubini, Nouriel & Sachs, Jeffrey D., 1989. "Political and economic determinants of budget deficits in the industrial democracies," European Economic Review, Elsevier, vol. 33(5), pages 903-933, May.
    13. Nunnenkamp, Peter & Öhler, Hannes, 2011. "Throwing Foreign Aid at HIV/AIDS in Developing Countries: Missing the Target?," World Development, Elsevier, vol. 39(10), pages 1704-1723.
    14. Younas, Javed, 2008. "Motivation for bilateral aid allocation: Altruism or trade benefits," European Journal of Political Economy, Elsevier, vol. 24(3), pages 661-674, September.
    15. Andrews,Donald W. K. & Stock,James H. (ed.), 2005. "Identification and Inference for Econometric Models," Cambridge Books, Cambridge University Press, number 9780521844413.
    16. Hahn, Jinyong & Hausman, Jerry & Kuersteiner, Guido, 2007. "Long difference instrumental variables estimation for dynamic panel models with fixed effects," Journal of Econometrics, Elsevier, vol. 140(2), pages 574-617, October.
    17. David H. Romer & Jeffrey A. Frankel, 1999. "Does Trade Cause Growth?," American Economic Review, American Economic Association, vol. 89(3), pages 379-399, June.
    18. Axel Dreher & Sarah Langlotz, 2020. "Aid and growth: New evidence using an excludable instrument," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 53(3), pages 1162-1198, August.
    19. Griliches, Zvi & Hausman, Jerry A., 1986. "Errors in variables in panel data," Journal of Econometrics, Elsevier, vol. 31(1), pages 93-118, February.
    20. Hristos Doucouliagos & Martin Paldam, 2010. "Conditional aid effectiveness: A meta-study," Journal of International Development, John Wiley & Sons, Ltd., vol. 22(4), pages 391-410.
    21. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769.
    22. David Dollar & Craig Burnside, 2000. "Aid, Policies, and Growth," American Economic Review, American Economic Association, vol. 90(4), pages 847-868, September.
    23. Elinor Ostrom, 2000. "Collective Action and the Evolution of Social Norms," Journal of Economic Perspectives, American Economic Association, vol. 14(3), pages 137-158, Summer.
    24. David E. Bloom & David Canning & Jaypee Sevilla, 2001. "The Effect of Health on Economic Growth: Theory and Evidence," NBER Working Papers 8587, National Bureau of Economic Research, Inc.
    25. Mishra, Prachi & Newhouse, David, 2009. "Does health aid matter?," Journal of Health Economics, Elsevier, vol. 28(4), pages 855-872, July.
    26. Ahmed, Faisal Z., 2016. "Does Foreign Aid Harm Political Rights? Evidence from U.S. Aid," Quarterly Journal of Political Science, now publishers, vol. 11(2), pages 183-217, July.
    27. Gallet, Craig A. & Doucouliagos, Hristos, 2017. "The impact of healthcare spending on health outcomes: A meta-regression analysis," Social Science & Medicine, Elsevier, vol. 179(C), pages 9-17.
    28. Stock, James H & Wright, Jonathan H & Yogo, Motohiro, 2002. "A Survey of Weak Instruments and Weak Identification in Generalized Method of Moments," Journal of Business & Economic Statistics, American Statistical Association, vol. 20(4), pages 518-529, October.
    29. David Fielding, 2011. "Health aid and governance in developing countries," Health Economics, John Wiley & Sons, Ltd., vol. 20(7), pages 757-769, July.
    30. Raghuram G. Rajan & Arvind Subramanian, 2008. "Aid and Growth: What Does the Cross-Country Evidence Really Show?," The Review of Economics and Statistics, MIT Press, vol. 90(4), pages 643-665, November.
    31. Bloom, David E. & Canning, David & Sevilla, Jaypee, 2004. "The Effect of Health on Economic Growth: A Production Function Approach," World Development, Elsevier, vol. 32(1), pages 1-13, January.
    32. Kotsadam, Andreas & Østby, Gudrun & Rustad, Siri Aas & Tollefsen, Andreas Forø & Urdal, Henrik, 2018. "Development aid and infant mortality. Micro-level evidence from Nigeria," World Development, Elsevier, vol. 105(C), pages 59-69.
    33. Kosack, Stephen, 2003. "Effective Aid: How Democracy Allows Development Aid to Improve the Quality of Life," World Development, Elsevier, vol. 31(1), pages 1-22, January.
    34. Dietrich, Simone, 2011. "The Politics of Public Health Aid: Why Corrupt Governments Have Incentives to Implement Aid Effectively," World Development, Elsevier, vol. 39(1), pages 55-63, January.
    35. Paul Glewwe & Nisha Agrawal & David Dollar, 2004. "Economic Growth, Poverty, and Household Welfare in Vietnam," World Bank Publications - Books, The World Bank Group, number 15010, December.
    36. Arora, Suchit, 2001. "Health, Human Productivity, And Long-Term Economic Growth," The Journal of Economic History, Cambridge University Press, vol. 61(3), pages 699-749, September.
    37. White, Halbert, 1980. "A Heteroskedasticity-Consistent Covariance Matrix Estimator and a Direct Test for Heteroskedasticity," Econometrica, Econometric Society, vol. 48(4), pages 817-838, May.
    38. Berthelemy, Jean-Claude & Tichit, Ariane, 2004. "Bilateral donors' aid allocation decisions--a three-dimensional panel analysis," International Review of Economics & Finance, Elsevier, vol. 13(3), pages 253-274.
    39. Bienvenido Ortega & Jesús Sanjuán & Antonio Casquero, 2017. "Determinants of efficiency in reducing child mortality in developing countries. The role of inequality and government effectiveness," Health Care Management Science, Springer, vol. 20(4), pages 500-516, December.
    40. Urbain Thierry Yogo & Douzounet Mallaye, 2015. "Health Aid and Health Improvement in Sub‐Saharan Africa: Accounting for the Heterogeneity Between Stable States and Post‐Conflict States," Journal of International Development, John Wiley & Sons, Ltd., vol. 27(7), pages 1178-1196, October.
    41. Edward Miguel & Michael Kremer, 2004. "Worms: Identifying Impacts on Education and Health in the Presence of Treatment Externalities," Econometrica, Econometric Society, vol. 72(1), pages 159-217, January.
    42. Clemens, Michael A. & Kenny, Charles J. & Moss, Todd J., 2007. "The Trouble with the MDGs: Confronting Expectations of Aid and Development Success," World Development, Elsevier, vol. 35(5), pages 735-751, May.
    43. Anthony Annett, 2001. "Social Fractionalization, Political Instability, and the Size of Government," IMF Staff Papers, Palgrave Macmillan, vol. 48(3), pages 1-7.
    44. Claudia R. Williamson, 2008. "Foreign Aid and Human Development: The Impact of Foreign Aid to the Health Sector," Southern Economic Journal, John Wiley & Sons, vol. 75(1), pages 188-207, July.
    45. Zohid Askarov & Hristos Doucouliagos, 2013. "Does aid improve democracy and governance? A meta-regression analysis," Public Choice, Springer, vol. 157(3), pages 601-628, December.
    46. Elsy Thomas Kizhakethalackal & Debasri Mukherjee & Eskander Alvi, 2013. "Quantile regression analysis of health-aid and infant mortality: a note," Applied Economics Letters, Taylor & Francis Journals, vol. 20(13), pages 1197-1201, September.
    47. Mallick Debdulal, 2019. "The growth-volatility relationship redux: what does volatility decomposition tell?," The B.E. Journal of Macroeconomics, De Gruyter, vol. 19(2), pages 1-20, June.
    48. Wilson, Sven E., 2011. "Chasing Success: Health Sector Aid and Mortality," World Development, Elsevier, vol. 39(11), pages 2032-2043.
    49. Benjamin Crost & Joseph Felter & Patrick Johnston, 2014. "Aid under Fire: Development Projects and Civil Conflict," American Economic Review, American Economic Association, vol. 104(6), pages 1833-1856, June.
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    Cited by:

    1. Cruzatti C., John & Dreher, Axel & Matzat, Johannes, 2023. "Chinese aid and health at the country and local level," World Development, Elsevier, vol. 167(C).
    2. Axel Dreher & Sarah Langlotz, 2020. "Aid and growth: New evidence using an excludable instrument," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 53(3), pages 1162-1198, August.
    3. Tim Röthel, 2023. "Budget support to the health sector—The right choice for strong institutions? Evidence from panel data," Review of Development Economics, Wiley Blackwell, vol. 27(2), pages 735-770, May.
    4. Maame Esi Woode & Duncan Mortimer & Rohan Sweeney, 2021. "The impact of health sector‐wide approaches on aid effectiveness and infant mortality," Journal of International Development, John Wiley & Sons, Ltd., vol. 33(5), pages 826-844, July.
    5. Ramkissoon, Benjamin & Deonanan, Regan, 2023. "How do remittances impact child mortality and are there preconditions?," Social Science & Medicine, Elsevier, vol. 333(C).
    6. Hyunyi Choi & Keuntae Cho, 2023. "Effects of Science, Technology, and Innovation Official Development Assistance on Innovative Capacity in Developing Countries," Sustainability, MDPI, vol. 15(4), pages 1-17, February.
    7. Yoojin Lim & Youngwan Kim & Daniel Connolly, 2023. "Assessing the impact of aid on public health expenditure in aid recipient countries," Development Policy Review, Overseas Development Institute, vol. 41(1), January.
    8. Hennessy, Jack & Mortimer, Duncan & Sweeney, Rohan & Woode, Maame Esi, 2023. "Donor versus recipient preferences for aid allocation: A systematic review of stated-preference studies," Social Science & Medicine, Elsevier, vol. 334(C).

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    More about this item

    JEL classification:

    • F35 - International Economics - - International Finance - - - Foreign Aid
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development

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