IDEAS home Printed from https://ideas.repec.org/a/sae/intare/v23y2020i1p3-27.html
   My bibliography  Save this article

Ethno-political favouritism in maternal health care service delivery: Micro-level evidence from sub-Saharan Africa, 1981–2014

Author

Listed:
  • Ole Magnus Theisen

    (Norwegian University of Science and Technology (NTNU), Norway)

  • HÃ¥vard Strand

    (University of Oslo, Norway; Peace Research Institute Oslo (PRIO), Norway)

  • Gudrun Østby

    (Peace Research Institute Oslo (PRIO), Norway)

Abstract

It is commonly held that political leaders favour people of the same ethnic origin. We test this argument of ethno-political favouritism by studying variations in the usage of maternal health care services across groups in sub-Saharan Africa (SSA). More specifically, we link geo-referenced individual-level data from the Demographic and Health Surveys on 601,311 births by 399,908 mothers in 31 countries during the period 1981–2014 with data on the settlement of ethnic groups and their political status. Our results indicate that women benefit from the shift that brings co-ethnics into power, increasing the probability of receiving maternal health care services. The effect strengthens with increased competitiveness around elections. We advance the current literature in four important ways. Firstly, we undertake the first analysis that utilizes shifts in ethno-political status for the same individual, effectively eliminating competing time-invariant explanations to that of shifts in ethno-political status. Secondly, since SSA governments often incorporate multiple groups, we test the effect of patronage on being co-ethnic with cabinet members in general, and not only the president. Thirdly, health services constitute the public good most desired by citizens of SSA. Our measure captures a vital health service that is highly desired across groups. An increase in usage likely reflects genuine trickle-down effects of having co-ethnics in power, a crucial ingredient in building popular support for ethnic patrons. Fourthly, we show that electoral competition is an important conditioner of ethno-political favouritism.

Suggested Citation

  • Ole Magnus Theisen & HÃ¥vard Strand & Gudrun Østby, 2020. "Ethno-political favouritism in maternal health care service delivery: Micro-level evidence from sub-Saharan Africa, 1981–2014," International Area Studies Review, Center for International Area Studies, Hankuk University of Foreign Studies, vol. 23(1), pages 3-27, March.
    • Handle: RePEc:sae:intare:v:23:y:2020:i:1:p:3-27
    DOI: 10.1177/2233865919895862
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/2233865919895862
    Download Restriction: no
    File URL: https://libkey.io/10.1177/2233865919895862?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Souleymane Soumahoro, 2015. "Leadership favouritism in Africa," Applied Economics Letters, Taylor & Francis Journals, vol. 22(15), pages 1236-1239, October.
    2. Jean-Paul Azam, 2001. "The Redistributive State and Conflicts in Africa," Journal of Peace Research, Peace Research Institute Oslo, vol. 38(4), pages 429-444, July.
    3. Stephen Knack & Philip Keefer, 1997. "Does Social Capital Have an Economic Payoff? A Cross-Country Investigation," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 112(4), pages 1251-1288.
    4. Robin Burgess & Remi Jedwab & Edward Miguel & Ameet Morjaria & Gerard Padró i Miquel, 2015. "The Value of Democracy: Evidence from Road Building in Kenya," American Economic Review, American Economic Association, vol. 105(6), pages 1817-1851, June.
    5. William Easterly & Ross Levine, 1997. "Africa's Growth Tragedy: Policies and Ethnic Divisions," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 112(4), pages 1203-1250.
    6. Tajima, Yuhki & Samphantharak, Krislert & Ostwald, Kai, 2018. "Ethnic Segregation and Public Goods: Evidence from Indonesia," American Political Science Review, Cambridge University Press, vol. 112(3), pages 637-653, August.
    7. Posner,Daniel N., 2005. "Institutions and Ethnic Politics in Africa," Cambridge Books, Cambridge University Press, number 9780521541794.
    8. Benn Eifert & Edward Miguel & Daniel N. Posner, 2010. "Political Competition and Ethnic Identification in Africa," American Journal of Political Science, John Wiley & Sons, vol. 54(2), pages 494-510, April.
    9. repec:fth:oxesaf:2001-3 is not listed on IDEAS
    10. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769.
    11. Mwangi S. Kimenyi, 2006. "Ethnicity, Governance and the Provision of Public Goods," Journal of African Economies, Centre for the Study of African Economies (CSAE), vol. 15(1), pages 62-99, April.
    12. Joanne Yoong & Nicholas Burger & Connor Spreng & Neeraj Sood, 2010. "Private Sector Participation and Health System Performance in Sub-Saharan Africa," PLOS ONE, Public Library of Science, vol. 5(10), pages 1-9, October.
    13. Marianne Bertrand & Esther Duflo & Sendhil Mullainathan, 2004. "How Much Should We Trust Differences-In-Differences Estimates?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 119(1), pages 249-275.
    14. Patrick Francois & Ilia Rainer & Francesco Trebbi, 2015. "How Is Power Shared in Africa?," Econometrica, Econometric Society, vol. 83, pages 465-503, March.
    15. Roland Hodler & Paul A. Raschky, 2014. "Regional Favoritism," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 129(2), pages 995-1033.
    16. Min,Brian, 2015. "Power and the Vote," Cambridge Books, Cambridge University Press, number 9781107525382.
    17. Nicole M. Mason & Thomas S. Jayne & Nicolas van de Walle, 2017. "The Political Economy of Fertilizer Subsidy Programs in Africa: Evidence from Zambia," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 99(3), pages 705-731.
    18. Brambor, Thomas & Clark, William Roberts & Golder, Matt, 2006. "Understanding Interaction Models: Improving Empirical Analyses," Political Analysis, Cambridge University Press, vol. 14(1), pages 63-82, January.
    19. Dionne, Kim Yi & Horowitz, Jeremy, 2016. "The Political Effects of Agricultural Subsidies in Africa: Evidence from Malawi," World Development, Elsevier, vol. 87(C), pages 215-226.
    20. Kaushik Basu & Tito Cordella (ed.), 2018. "Institutions, Governance and the Control of Corruption," International Economic Association Series, Palgrave Macmillan, number 978-3-319-65684-7, December.
    21. Posner,Daniel N., 2005. "Institutions and Ethnic Politics in Africa," Cambridge Books, Cambridge University Press, number 9780521833981.
    22. Banful, Afua Branoah, 2011. "Do formula-based intergovernmental transfer mechanisms eliminate politically motivated targeting? Evidence from Ghana," Journal of Development Economics, Elsevier, vol. 96(2), pages 380-390, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. De Luca, Giacomo & Hodler, Roland & Raschky, Paul A. & Valsecchi, Michele, 2018. "Ethnic favoritism: An axiom of politics?," Journal of Development Economics, Elsevier, vol. 132(C), pages 115-129.
    2. Bluhm, Richard & Thomsson, Kaj, 2020. "Holding on? Ethnic divisions, political institutions and the duration of economic declines," Journal of Development Economics, Elsevier, vol. 144(C).
    3. Soumahoro, Souleymane, 2020. "Ethnic politics and Ebola response in West Africa," World Development, Elsevier, vol. 135(C).
    4. Samuel Bazzi & Matthew Gudgeon, 2021. "The Political Boundaries of Ethnic Divisions," American Economic Journal: Applied Economics, American Economic Association, vol. 13(1), pages 235-266, January.
    5. Nemera Gebeyehu Mamo, 2018. "Essays on natural resources in Africa: local economic development, multi-ethnic coalitions and armed conflict," Economics PhD Theses 0518, Department of Economics, University of Sussex Business School.
    6. Nemera Mamo & Sambit Bhattacharyya, 2018. "Natural Resources and Political Patronage in Africa: An Ethnicity Level Analysis," Working Paper Series 0418, Department of Economics, University of Sussex Business School.
    7. Robin Burgess & Remi Jedwab & Edward Miguel & Ameet Morjaria & Gerard Padró i Miquel, 2015. "The Value of Democracy: Evidence from Road Building in Kenya," American Economic Review, American Economic Association, vol. 105(6), pages 1817-1851, June.
    8. Stelios Michalopoulos & Elias Papaioannou, 2020. "Historical Legacies and African Development," Journal of Economic Literature, American Economic Association, vol. 58(1), pages 53-128, March.
    9. Bluhm, Richard & Hodler, Roland & Schaudt, Paul, 2021. "Local majorities: How administrative divisions shape comparative development," Economics Working Paper Series 2110, University of St. Gallen, School of Economics and Political Science.
    10. Arcangelo Dimico, 2017. "Size Matters: The Effect of the Size of Ethnic Groups on Development," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 79(3), pages 291-318, June.
    11. Michael A. Abebe & Yamlaksira S. Getachew & Sarah Kimakwa, 2022. "Entrepreneurs’ Ethnic and Political Identity Alignment as Determinants of Access to Government Support in Africa: A Conceptual Framework," Entrepreneurship Theory and Practice, , vol. 46(2), pages 449-476, March.
    12. Porten, John & Rhee, Inbok & Gibson, Clark, 2022. "Ethnicity is not public service destiny: The political logic of service distribution in South Africa," World Development, Elsevier, vol. 159(C).
    13. Crespin-Boucaud, Juliette, 2020. "Interethnic and interfaith marriages in sub-Saharan Africa," World Development, Elsevier, vol. 125(C).
    14. Elena Perra, 2022. "Road to Division: Ethnic Favouritism in the Provision of Road Infrastructure in Ethiopia," Working Papers - Economics wp2022_01.rdf, Universita' degli Studi di Firenze, Dipartimento di Scienze per l'Economia e l'Impresa.
    15. Briggs, Ryan C., 2021. "Power to which people? Explaining how electrification targets voters across party rotations in Ghana," World Development, Elsevier, vol. 141(C).
    16. Franck, Raphaã‹L & Rainer, Ilia, 2012. "Does the Leader's Ethnicity Matter? Ethnic Favoritism, Education, and Health in Sub-Saharan Africa," American Political Science Review, Cambridge University Press, vol. 106(2), pages 294-325, May.
    17. Pierre André & Paul Maarek & Fatoumata Tapo, 2018. "Ethnic Favoritism: Winner Takes All or Power Sharing? Evidence from school constructions in Benin," THEMA Working Papers 2018-03, THEMA (THéorie Economique, Modélisation et Applications), Université de Cergy-Pontoise.
    18. Pierre PECHER, 2013. "Ethnic conflict, power dynamics and growth," LIDAM Discussion Papers IRES 2014008, Université catholique de Louvain, Institut de Recherches Economiques et Sociales (IRES).
    19. Amodio, Francesco & Chiovelli, Giorgio & Hohmann, Sebastian, 2019. "The Employment Effects of Ethnic Politics," IZA Discussion Papers 12818, Institute of Labor Economics (IZA).
    20. Gisselquist, Rachel M. & Leiderer, Stefan & Niño-Zarazúa, Miguel, 2016. "Ethnic Heterogeneity and Public Goods Provision in Zambia: Evidence of a Subnational “Diversity Dividend”," World Development, Elsevier, vol. 78(C), pages 308-323.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:intare:v:23:y:2020:i:1:p:3-27. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: http://www.hufs.ac.kr/user/hufsenglish/re_1.jsp .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.