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The Failures of Privatization: A Comparative Investigation of Tuberculosis Rates and the Structure of Healthcare in Less-Developed Nations, 1995–2010

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  • Austin, Kelly F.
  • DeScisciolo, Cristina
  • Samuelsen, Lene

Abstract

Tuberculosis remains a persistent global health problem and key threat to development in poor countries. While many nations pursue privatization of healthcare, some accounts suggest that private health services are inadequate in addressing the TB burden. We utilize panel regression to empirically investigate data from 99 less-developed nations from 1995 to 2010. The results illustrate private health expenditures do not significantly impact TB rates, while public health expenditures reduce TB rates in developing nations over time. Thus, we caution against international development strategies which promote cuts in public spending and encourage privatization of healthcare as a means to stimulate growth or efficiency.

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  • Austin, Kelly F. & DeScisciolo, Cristina & Samuelsen, Lene, 2016. "The Failures of Privatization: A Comparative Investigation of Tuberculosis Rates and the Structure of Healthcare in Less-Developed Nations, 1995–2010," World Development, Elsevier, vol. 78(C), pages 450-460.
  • Handle: RePEc:eee:wdevel:v:78:y:2016:i:c:p:450-460
    DOI: 10.1016/j.worlddev.2015.10.027
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    1. Lönnroth, Knut & Tran, Thuc-Uyen & Thuong, Le Minh & Quy, Hoang Thi & Diwan, Vinod, 2001. "Can I afford free treatment?: Perceived consequences of health care provider choices among people with tuberculosis in Ho Chi Minh City, Vietnam," Social Science & Medicine, Elsevier, vol. 52(6), pages 935-948, March.
    2. Wilder, Margaret & Romero Lankao, Patricia, 2006. "Paradoxes of Decentralization: Water Reform and Social Implications in Mexico," World Development, Elsevier, vol. 34(11), pages 1977-1995, November.
    3. Giovanni Andrea Cornia & Stefano Rosignoli & Luca Tiberti, 2009. "Did globalisation affect health status? A simulation exercise," Journal of International Development, John Wiley & Sons, Ltd., vol. 21(8), pages 1083-1101.
    4. Yong Kim, Jim & Shakow, Aaron & Mate, Kedar & Vanderwarker, Chris & Gupta, Rajesh & Farmer, Paul, 2005. "Limited good and limited vision: multidrug-resistant tuberculosis and global health policy," Social Science & Medicine, Elsevier, vol. 61(4), pages 847-859, August.
    5. Farmer, Paul, 1997. "Social scientists and the new tuberculosis," Social Science & Medicine, Elsevier, vol. 44(3), pages 347-358, February.
    6. Pfutze, Tobias, 2014. "The Effects of Mexico’s Seguro Popular Health Insurance on Infant Mortality: An Estimation with Selection on the Outcome Variable," World Development, Elsevier, vol. 59(C), pages 475-486.
    7. Shandra, John M. & Nobles, Jenna & London, Bruce & Williamson, J.B.John B., 2004. "Dependency, democracy, and infant mortality: a quantitative, cross-national analysis of less developed countries," Social Science & Medicine, Elsevier, vol. 59(2), pages 321-333, July.
    8. Farasat A. S. Bokhari & Yunwei Gai & Pablo Gottret, 2007. "Government health expenditures and health outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 16(3), pages 257-273, March.
    9. Lant Pritchett & Lawrence H. Summers, 1996. "Wealthier is Healthier," Journal of Human Resources, University of Wisconsin Press, vol. 31(4), pages 841-868.
    10. George A. Larbi, 1998. "Institutional constraints and capacity issues in decentralizing management in public services: the case of health in Ghana," Journal of International Development, John Wiley & Sons, Ltd., vol. 10(3), pages 377-386.
    11. Jishnu Das & Jeffrey Hammer & Kenneth Leonard, 2008. "The Quality of Medical Advice in Low-Income Countries," Journal of Economic Perspectives, American Economic Association, vol. 22(2), pages 93-114, Spring.
    12. David Stuckler & Lawrence P King & Sanjay Basu, 2008. "International Monetary Fund Programs and Tuberculosis Outcomes in Post-Communist Countries," PLOS Medicine, Public Library of Science, vol. 5(7), pages 1-12, July.
    13. Antunes, José Leopoldo Ferreira & Waldman, Eliseu Alves, 2001. "The impact of AIDS, immigration and housing overcrowding on tuberculosis deaths in São Paulo, Brazil, 1994-1998," Social Science & Medicine, Elsevier, vol. 52(7), pages 1071-1080, April.
    14. Lönnroth, Knut & Jaramillo, Ernesto & Williams, Brian G. & Dye, Christopher & Raviglione, Mario, 2009. "Drivers of tuberculosis epidemics: The role of risk factors and social determinants," Social Science & Medicine, Elsevier, vol. 68(12), pages 2240-2246, June.
    15. Arrieta, Alejandro & García-Prado, Ariadna & Guillén, Jorge, 2011. "The Private Health Care Sector and the Provision of Prenatal Care Services in Latin America," World Development, Elsevier, vol. 39(4), pages 579-587, April.
    16. MacLean, Lauren M., 2011. "The Paradox of State Retrenchment in Sub-Saharan Africa: The Micro-Level Experience of Public Social Service Provision," World Development, Elsevier, vol. 39(7), pages 1155-1165, July.
    17. Palmer, Michael G., 2014. "Inequalities in Universal Health Coverage: Evidence from Vietnam," World Development, Elsevier, vol. 64(C), pages 384-394.
    18. Herrera, Veronica, 2014. "Does Commercialization Undermine the Benefits of Decentralization for Local Services Provision? Evidence from Mexico’s Urban Water and Sanitation Sector," World Development, Elsevier, vol. 56(C), pages 16-31.
    19. Naterop, Eric & Wolffers, Ivan, 1999. "The role of the privatization process on tuberculosis control in HoChiMinh City Province, Vietnam," Social Science & Medicine, Elsevier, vol. 48(11), pages 1589-1598, June.
    20. Navarro, V., 2002. "The world health report 2000: Can health care systems be compared using a single measure of performance," American Journal of Public Health, American Public Health Association, vol. 92(1), pages 31+33-34.
    21. Dekker, Marleen & Wilms, Annegien, 2010. "Health Insurance and Other Risk-Coping Strategies in Uganda: The Case of Microcare Insurance Ltd," World Development, Elsevier, vol. 38(3), pages 369-378, March.
    22. Gandy, Matthew & Zumla, Alimuddin, 2002. "The resurgence of disease: social and historical perspectives on the 'new' tuberculosis," Social Science & Medicine, Elsevier, vol. 55(3), pages 385-396, August.
    23. World Bank, 2013. "World Development Indicators 2013," World Bank Publications - Books, The World Bank Group, number 13191, December.
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    2. Estrin, Saul & Pelletier, Adeline, 2018. "Privatization in developing countries: what are the lessons of recent experience?," LSE Research Online Documents on Economics 87348, London School of Economics and Political Science, LSE Library.
    3. Jaqueline Hansen & Antonia Reinecke & Hans-Jörg Schmerer, 2021. "Health Expenditures and the Effectiveness of Covid-19 Prevention in International Comparison," CESifo Working Paper Series 9069, CESifo.

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