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Intersectoral Health Action in Tanzania – Determinants and Policy Implications

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  • Simon, Michael
  • Tsegai, Daniel W.
  • Flessa, Steffen
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    Abstract

    The tremendous human resource and economic burden of HIV/AIDS, malaria and diarrhoeal diseases is well acknowledged in many developing countries. Most of these diseases have multifaceted causes such as malnutrition, the consumption of contaminated water or poor education. Thus, cross-sectoral action is needed to lower the burden of disease in the long run. However, little has been done to investigate the causal relationship between investments in ‘health related’ sectors and the reduction of disease prevalence. This paper aims at analysing the marginal health returns to cross-sectoral government spending for the case of Tanzania. For this, the normative assumption is to maximise the amount of Disability Adjusted Life Years (DALYs) averted per dollar invested. A Simultaneous Equation Model (SEM) is developed to estimate the required elasticities. The results of the quantitative analysis show that the highest returns on DALYs are obtained by improved nutrition and access to safe water sources, followed by sanitation. Looking at the impact of indirect factors, the health effect of investments in mother education exceeds the effect of additional short- and long-term public spending on water.

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    Bibliographic Info

    Paper provided by University of Bonn, Center for Development Research (ZEF) in its series Discussion Papers with number 142395.

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    Date of creation: Dec 2012
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    Handle: RePEc:ags:ubzefd:142395

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    Related research

    Keywords: Health Promotion; Public Health Policy; Intersectoral Health Action; Disability Adjusted Life Years; Health Determinants; Cost-effectiveness; Tanzania; Community/Rural/Urban Development; Food Consumption/Nutrition/Food Safety; Health Economics and Policy;

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    1. Alderman, Harold & Hoogeveen, Hans & Rossi, Mariacristina, 2005. "Reducing child malnutrition in Tanzania - combined effects of income growth and program interventions," Policy Research Working Paper Series 3567, The World Bank.
    2. Filmer, Deon & Pritchett, Lant, 1999. "The impact of public spending on health: does money matter?," Social Science & Medicine, Elsevier, vol. 49(10), pages 1309-1323, November.
    3. von Braun, Joachim & Rosegrant, Mark W. & Pandya-Lorch, Rajul & Cohen, Marc J. & Cline, Sarah A. & Brown, Mary Ashby & Bos, Maria Soledad, 2005. "New risks and opportunities for food security: scenario analyses for 2015 and 2050," 2020 vision discussion papers 39, International Food Policy Research Institute (IFPRI).
    4. Shenggen Fan & Peter Hazell & Sukhadeo Thorat, 2000. "Government Spending, Growth and Poverty in Rural India," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 82(4), pages 1038-1051.
    5. von Braun, Joachim, 2007. "The world food situation: New driving forces and required actions," Food policy reports 18, International Food Policy Research Institute (IFPRI).
    6. McElroy, Marjorie B., 1977. "Goodness of fit for seemingly unrelated regressions : Glahn's R2y.x and Hooper's r2," Journal of Econometrics, Elsevier, vol. 6(3), pages 381-387, November.
    7. Hayami, The late Yujiro & Godo, Yoshihisa, 2005. "Development Economics: From the Poverty to the Wealth of Nations," OUP Catalogue, Oxford University Press, edition 3, number 9780199272716, Octomber.
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