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Is public health expenditure in Ecuador progressive or regressive?

Author

Listed:
  • Gustavo Angeles
  • Antonio J. Trujillo
  • Alexandra Lastra

Abstract

This paper uses a benefit incidence analysis (BIA) to evaluate whether public health expenditure in Ecuador is regressive or progressive. This paper overcomes several limitations of previous BIA analyses in developing countries: a) it develops a framework to allocate the operational and administrative government expenditures among providers at a centralised level according to their level of activity; b) it uses a household health survey in which an individual's consumption of medical care can be tied to a specific health provider. We rank the economic status of medical care users according to the consumption per adult equivalent, and using an index obtained from the availability of durable goods in the household. The findings suggest that the Ministry of Public Health expenditure is progressive, while the Ecuadorian Social Security Institute expenditure is regressive. We offer policy suggestions to increase the efficiency and equity of public health expenditures in Ecuador.

Suggested Citation

  • Gustavo Angeles & Antonio J. Trujillo & Alexandra Lastra, 2007. "Is public health expenditure in Ecuador progressive or regressive?," International Journal of Public Policy, Inderscience Enterprises Ltd, vol. 2(3/4), pages 186-216.
    • Handle: RePEc:ids:ijpubp:v:2:y:2007:i:3/4:p:186-216
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