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The Paradox of State Retrenchment in Sub-Saharan Africa: The Micro-Level Experience of Public Social Service Provision

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  • MacLean, Lauren M.
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    Abstract

    Summary Over the past 30 years in Africa, neoliberal economic reform has meant a major retrenchment of the state provision of health and education with paradoxical local effects. Based on an analysis of 2005 Afrobarometer data, the study finds that the rural poor are more likely to use public schools and clinics than the urban, better-off. The data suggest that a two-tiered social service system now exists across many African countries where the rural poor may have little choice but to use public social services while the urban, better-off choose to pay for private alternatives. The author argues that concerns about ensuring absolute levels of access have obscured attention to the micro-experience and quality of social service delivery.

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    File URL: http://www.sciencedirect.com/science/article/pii/S0305750X1000224X
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    Bibliographic Info

    Article provided by Elsevier in its journal World Development.

    Volume (Year): 39 (2011)
    Issue (Month): 7 (July)
    Pages: 1155-1165

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    Handle: RePEc:eee:wdevel:v:39:y:2011:i:7:p:1155-1165

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    Web page: http://www.elsevier.com/locate/worlddev

    Related research

    Keywords: Africa social policy poverty state retrenchment public goods provision;

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    1. Kaufmann, Daniel & Kraay, Aart & Mastruzzi, Massimo, 2010. "The worldwide governance indicators : methodology and analytical issues," Policy Research Working Paper Series 5430, The World Bank.
    2. Selden, Thomas M. & Wasylenko, Michael J., 1992. "Benefit incidence analysis in developing countries," Policy Research Working Paper Series 1015, The World Bank.
    3. Luc De Wulf, 1975. "Fiscal Incidence Studies in Developing Countries: Survey and Critique (Etude sur l'incidence de la politique budgétaire dans les pays en voie de développement: examen analytique et critique) (Es," IMF Staff Papers, Palgrave Macmillan, vol. 22(1), pages 61-131, March.
    4. Rudra, Nita, 2002. "Globalization and the Decline of the Welfare State in Less-Developed Countries," International Organization, Cambridge University Press, vol. 56(02), pages 411-445, March.
    5. Paul Collier & Jan Willem Gunning, 1999. "Why Has Africa Grown Slowly?," Journal of Economic Perspectives, American Economic Association, vol. 13(3), pages 3-22, Summer.
    6. Anis A. Dani & Arjan de Haan, 2008. "Inclusive States : Social Policy and Structural Inequalities," World Bank Publications, The World Bank, number 6409, October.
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