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Does drought affect smallholder health expenditures? Evidence from Fars Province, Iran

Author

Listed:
  • Niloofar Khalili

    (Leibniz Centre for Agricultural Landscape Research (ZALF)
    Humboldt University)

  • Muhammad Arshad

    (Leibniz Centre for Agricultural Landscape Research (ZALF)
    Humboldt University)

  • Zakaria Farajzadeh

    (Shiraz University)

  • Harald Kächele

    (Leibniz Centre for Agricultural Landscape Research (ZALF)
    Eberswalde University for Sustainable Development)

  • Klaus Müller

    (Leibniz Centre for Agricultural Landscape Research (ZALF)
    Humboldt University)

Abstract

Drought is one of the most frequently occurring natural disasters and results in long-term social, economic and environmental impacts that affect large areas and populations. Over the past decade, Iran has experienced a very severe drought that has affected millions of people. In this paper, we employ a standard consumption regression model to perform a microlevel analysis of the effects of drought on small-farm household health expenditures in rural Iran. We surveyed a sample of 300 small-farm households in the Marvdasht County in Fars Province, Iran. The results showed that drought significantly negatively affects smallholder health spending. Farm households that are affected by severe drought decrease their health expenditures more than less-affected households. Further, for drought-affected farmers, health expenditures are a necessity, as the income elasticity of health expenditures is as low as 0.15. Our findings indicate the importance of designing and implementing a health policy that includes the provision of healthcare services in drought-affected villages by the government, which plays an important role in coping with the health effects of drought.

Suggested Citation

  • Niloofar Khalili & Muhammad Arshad & Zakaria Farajzadeh & Harald Kächele & Klaus Müller, 2021. "Does drought affect smallholder health expenditures? Evidence from Fars Province, Iran," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 23(1), pages 765-788, January.
    • Handle: RePEc:spr:endesu:v:23:y:2021:i:1:d:10.1007_s10668-020-00608-1
    DOI: 10.1007/s10668-020-00608-1
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    as
    1. Diana De Alwis & Ilan Noy, 2019. "The Cost of Being Under the Weather: Droughts, Floods, and Health-Care Costs in Sri Lanka," Asian Development Review, MIT Press, vol. 36(2), pages 185-214, September.
    2. Powell, James L, 1986. "Symmetrically Trimmed Least Squares Estimation for Tobit Models," Econometrica, Econometric Society, vol. 54(6), pages 1435-1460, November.
    3. S. Mahendra Dev, 2011. "Climate change, rural livelihoods and agriculture (focus on food security) in Asia-Pacific region," Indira Gandhi Institute of Development Research, Mumbai Working Papers 2011-014, Indira Gandhi Institute of Development Research, Mumbai, India.
    4. Charlotte Benson & Edward J. Clay, 2004. "Understanding the Economic and Financial Impacts of Natural Disasters," World Bank Publications - Books, The World Bank Group, number 15025, December.
    5. Anh Tuan Bui & Mardi Dungey & Cuong Viet Nguyen & Thu Phuong Pham, 2014. "The impact of natural disasters on household income, expenditure, poverty and inequality: evidence from Vietnam," Applied Economics, Taylor & Francis Journals, vol. 46(15), pages 1751-1766, May.
    6. Arouri, Mohamed & Nguyen, Cuong & Youssef, Adel Ben, 2015. "Natural Disasters, Household Welfare, and Resilience: Evidence from Rural Vietnam," World Development, Elsevier, vol. 70(C), pages 59-77.
    7. Di Matteo, Livio & Cantarero-Prieto, David, 2018. "The Determinants of Public Health Expenditures: Comparing Canada and Spain," MPRA Paper 87800, University Library of Munich, Germany.
    8. Diana De Alwis & Ilan Noy, 2019. "The Cost of Being Under the Weather: Droughts, Floods, and Health-Care Costs in Sri Lanka," Asian Development Review, MIT Press, vol. 36(2), pages 185-214, September.
    9. Duryea, Suzanne & Lam, David & Levison, Deborah, 2007. "Effects of economic shocks on children's employment and schooling in Brazil," Journal of Development Economics, Elsevier, vol. 84(1), pages 188-214, September.
    10. Emmanuel Skoufias & Roy S. Katayama & B. Essama-Nssah, 2012. "Too little too late: welfare impacts of rainfall shocks in rural Indonesia," Bulletin of Indonesian Economic Studies, Taylor & Francis Journals, vol. 48(3), pages 351-368, December.
    11. S. Mahendra Dev, 2011. "Climate Change, Rural Livelihoods and Agriculture (focus on Food Security) in Asia-Pacific Region," Working Papers id:4384, eSocialSciences.
    12. Newey, Whitney K, 1985. "Maximum Likelihood Specification Testing and Conditional Moment Tests," Econometrica, Econometric Society, vol. 53(5), pages 1047-1070, September.
    13. Farrukh Iqbal, 2006. "Sustaining Gains in Poverty Reduction and Human Development in the Middle East and North Africa," World Bank Publications - Books, The World Bank Group, number 7048, December.
    14. Tauchen, George, 1985. "Diagnostic testing and evaluation of maximum likelihood models," Journal of Econometrics, Elsevier, vol. 30(1-2), pages 415-443.
    15. World Bank, 2010. "World Development Report 2010," World Bank Publications - Books, The World Bank Group, number 4387, December.
    16. World Bank, 2017. "World Development Indicators 2017," World Bank Publications - Books, The World Bank Group, number 26447, December.
    17. Getzen, Thomas E., 2000. "Health care is an individual necessity and a national luxury: applying multilevel decision models to the analysis of health care expenditures," Journal of Health Economics, Elsevier, vol. 19(2), pages 259-270, March.
    18. Emla Fitzsimons, 2007. "The Effects of Risk on Education in Indonesia," Economic Development and Cultural Change, University of Chicago Press, vol. 56(1), pages 1-25, October.
    19. Lohmann, Steffen & Lechtenfeld, Tobias, 2015. "The Effect of Drought on Health Outcomes and Health Expenditures in Rural Vietnam," World Development, Elsevier, vol. 72(C), pages 432-448.
    20. Powell, James L., 1984. "Least absolute deviations estimation for the censored regression model," Journal of Econometrics, Elsevier, vol. 25(3), pages 303-325, July.
    21. Marwa Farag & A. NandaKumar & Stanley Wallack & Dominic Hodgkin & Gary Gaumer & Can Erbil, 2012. "The income elasticity of health care spending in developing and developed countries," International Journal of Health Economics and Management, Springer, vol. 12(2), pages 145-162, June.
    22. Thomas, Duncan & Beegle, Kathleen & Frankenberg, Elizabeth & Sikoki, Bondan & Strauss, John & Teruel, Graciela, 2004. "Education in a crisis," Journal of Development Economics, Elsevier, vol. 74(1), pages 53-85, June.
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    1. Yang, Feng-An & Chang, Hung-Hao, 2023. "Impact of a pension program on healthcare utilization among older farmers: Empirical evidence from health claims data," World Development, Elsevier, vol. 169(C).

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