Intersectoral Health Action in Tanzania – Determinants and Policy Implications
AbstractThe 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 InfoPaper provided by University of Bonn, Center for Development Research (ZEF) in its series Discussion Papers with number 142395.
Date of creation: Dec 2012
Date of revision:
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;
This paper has been announced in the following NEP Reports:
- NEP-AFR-2013-01-26 (Africa)
- NEP-ALL-2013-01-26 (All new papers)
- NEP-DEV-2013-01-26 (Development)
- NEP-HEA-2013-01-26 (Health Economics)
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