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Ghost Doctors: Absenteeism in Rural Bangladeshi Health Facilities

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  • Nazmul Chaudhury
  • Jeffrey S. Hammer

Abstract

Unannounced visits were made to health clinics in Bangladesh to determine what proportion of medical professionals were at their assigned post. Averaged over all job categories and types of facility, the absentee rate was 35 percent. The absentee rate for physicians was 40 percent at the larger clinics and 74 percent at the smaller subcenters with a single physician. Whether the medical provider lives near the health facility, the opportunity cost of the provider's time, road access, and rural electrification are highly correlated with the rate and pattern of absenteeism. Copyright 2004, Oxford University Press.

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Bibliographic Info

Article provided by World Bank Group in its journal The World Bank Economic Review.

Volume (Year): 18 (2004)
Issue (Month): 3 ()
Pages: 423-441

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Handle: RePEc:oup:wbecrv:v:18:y:2004:i:3:p:423-441

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Cited by:
  1. Nazmul Chaudhury & Jeffrey Hammer & Michael Kremer & Karthik Muralidharan & F. Halsey Rogers, 2006. "Missing in Action: Teacher and Health Worker Absence in Developing Countries," Journal of Economic Perspectives, American Economic Association, vol. 20(1), pages 91-116, Winter.
  2. Michael Callen & Saad Gulzar & Ali Hasanain & Abdul Rehman Khan & Yasir Khan & Muhammad Zia Mehmood, 2013. "Improving Public Health Delivery in Punjab, Pakistan: Issues and Opportunities," Lahore Journal of Economics, Department of Economics, The Lahore School of Economics, vol. 18(Special E), pages 249-269, September.
  3. Das, Jishnu & Hammer, Jeffrey, 2005. "Which doctor? Combining vignettes and item response to measure clinical competence," Journal of Development Economics, Elsevier, vol. 78(2), pages 348-383, December.
  4. Jeffrey S. Hammer, 2013. "Balancing Market and Government Failure in Service Delivery," Lahore Journal of Economics, Department of Economics, The Lahore School of Economics, vol. 18(Special E), pages 1-19, September.
  5. Fiszbein, Ariel & Ringold, Dena & Rogers, F. Halsey, 2011. "Making services work : indicators, assessments, and benchmarking of the quality and governance of public service delivery in the human development sectors," Policy Research Working Paper Series 5690, The World Bank.
  6. Schmidt, Jean-Olivier & Ensor, Tim & Hossain, Atia & Khan, Salam, 2010. "Vouchers as demand side financing instruments for health care: A review of the Bangladesh maternal voucher scheme," Health Policy, Elsevier, vol. 96(2), pages 98-107, July.
  7. Grant Miller & Diana M. Pinto & Marcos Vera-Hernández, 2009. "Risk Protection, Service Use, and Health Outcomes Under Colombia’s Health Insurance Program for the Poor," NBER Working Papers 15456, National Bureau of Economic Research, Inc.
  8. Francesco Grigoli Author-Email: fgrigoli@imf.org Author-Name: Eduardo Ley Author-Email: eley@worldbank.org, 2012. "Quality of Government and Living Standards," World Bank - Economic Premise, The World Bank, issue 89, pages 1-6, September.
  9. Grant Miller & Kimberly Singer Babiarz, 2013. "Pay-for-Performance Incentives in Low- and Middle-Income Country Health Programs," NBER Working Papers 18932, National Bureau of Economic Research, Inc.
  10. Jack, William & Lewis, Maureen, 2009. "Health investments and economic growth : macroeconomic evidence and microeconomic foundations," Policy Research Working Paper Series 4877, The World Bank.
  11. Xu, Guo, 2013. "Development through Empowerment: Delivering Effective Public Services – a Literature Review," ADB Economics Working Paper Series 382, Asian Development Bank.

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