IDEAS home Printed from https://ideas.repec.org/p/ags/ubzefd/142395.html
   My bibliography  Save this paper

Intersectoral Health Action in Tanzania – Determinants and Policy Implications

Author

Listed:
  • Simon, Michael
  • Tsegai, Daniel W.
  • Flessa, Steffen

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.

Suggested Citation

  • Simon, Michael & Tsegai, Daniel W. & Flessa, Steffen, 2012. "Intersectoral Health Action in Tanzania – Determinants and Policy Implications," Discussion Papers 142395, University of Bonn, Center for Development Research (ZEF).
    • Handle: RePEc:ags:ubzefd:142395
    DOI: 10.22004/ag.econ.142395
    as

    Download full text from publisher

    File URL: https://ageconsearch.umn.edu/record/142395/files/DP172.pdf
    Download Restriction: no
    File URL: https://libkey.io/10.22004/ag.econ.142395?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. von Braun, Joachim, 2007. "The world food situation: New driving forces and required actions," Food policy reports 18, International Food Policy Research Institute (IFPRI).
    2. 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.
    3. Shenggen Fan & Xiaobo Zhang, 2008. "Public Expenditure, Growth and Poverty Reduction in Rural Uganda," African Development Review, African Development Bank, vol. 20(3), pages 466-496.
    4. 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.
    5. Alderman, Harold & Hoogeveen, Hans & Rossi, Mariacristina, 2006. "Reducing child malnutrition in Tanzania: Combined effects of income growth and program interventions," Economics & Human Biology, Elsevier, vol. 4(1), pages 1-23, January.
    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. Jeffrey M Wooldridge, 2010. "Econometric Analysis of Cross Section and Panel Data," MIT Press Books, The MIT Press, edition 2, volume 1, number 0262232588, December.
    8. 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.
    9. Lawrence Haddad & Harold Alderman & Simon Appleton & Lina Song & Yisehac Yohannes, 2003. "Reducing Child Malnutrition: How Far Does Income Growth Take Us?," The World Bank Economic Review, World Bank, vol. 17(1), pages 107-131, June.
    10. Fan, Shenggen & Nyange, David & Rao, Neetha, 2005. "Public investment and poverty reduction in Tanzania: evidence from household survey data," DSGD discussion papers 18, International Food Policy Research Institute (IFPRI).
    11. 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).
    12. Sahn, David E. & Alderman, Harold, 1997. "On the determinants of nutrition in Mozambique: The importance of age-specific effects," World Development, Elsevier, vol. 25(4), pages 577-588, January.
    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. Manfred Wiebelt & Rainer Schweickert & Clemens Breisinger & Marcus Böhme, 2011. "Oil revenues for public investment in Africa: targeting urban or rural areas?," Review of World Economics (Weltwirtschaftliches Archiv), Springer;Institut für Weltwirtschaft (Kiel Institute for the World Economy), vol. 147(4), pages 745-770, November.
    2. Allen, Summer L. & Badiane, Ousmane & Ulimwengu, John M., 2012. "Government expenditures, social outcomes, and marginal productivity of agricultural inputs: a case study for Tanzania," IFPRI discussion papers 1172, International Food Policy Research Institute (IFPRI).
    3. Waibel, Hermann & Hohfeld, Lena, 2016. "Poverty and Nutrition: A Case Study of Rural Households in Thailand and Viet Nam," ADBI Working Papers 623, Asian Development Bank Institute.
    4. Benin, Samuel & Mogues, Tewodaj & Cudjoe, Godsway & Randriamamonjy, Josee, 2009. "Public expenditures and agricultural productivity growth in Ghana," 2009 Conference, August 16-22, 2009, Beijing, China 51634, International Association of Agricultural Economists.
    5. Fatima, Amber & Shahbaz, Muhammad & Islam, Faridul, 2012. "Nexus of Trade, Investment and Poverty: Evidence from Pakistan," Bangladesh Development Studies, Bangladesh Institute of Development Studies (BIDS), vol. 35(2), pages 87-108, June.
    6. Mogues, Tewodaj & Ayele, Gezahegn & Paulos, Zelekawork & Fan, Shenggen, 2006. "How Effective is Public Spending? Public Investment Composition and Rural Welfare in Ethiopia," 2006 Annual meeting, July 23-26, Long Beach, CA 21258, American Agricultural Economics Association (New Name 2008: Agricultural and Applied Economics Association).
    7. Suchi Kapoor Malhotra & Howard White & Nina Ashley O. Dela Cruz & Ashrita Saran & John Eyers & Denny John & Ella Beveridge & Nina Blöndal, 2021. "Studies of the effectiveness of transport sector interventions in low‐ and middle‐income countries: An evidence and gap map," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(4), December.
    8. Chemingui, Mohamed Abdelbasset, 2007. "Public spending and poverty reduction in an oil-based economy: The case of Yemen," IFPRI discussion papers 701, International Food Policy Research Institute (IFPRI).
    9. Shiratori, Sakiko, 2014. "Determinants of Child Malnutrition in Tanzania: a Quantile Regression Approach," 2014 Annual Meeting, July 27-29, 2014, Minneapolis, Minnesota 170304, Agricultural and Applied Economics Association.
    10. Alderman, Harold, 2007. "Improving Nutrition through Community Growth Promotion: Longitudinal Study of the Nutrition and Early Child Development Program in Uganda," World Development, Elsevier, vol. 35(8), pages 1376-1389, August.
    11. Ainembabazi, John Herbert & Abdoulaye, Tahirou & Feleke, Shiferaw & Alene, Arega & Dontsop-Nguezet, Paul M. & Ndayisaba, Pierre Celestin & Hicintuka, Cyrille & Mapatano, Sylvain & Manyong, Victor, 2018. "Who benefits from which agricultural research-for-development technologies? Evidence from farm household poverty analysis in Central Africa," World Development, Elsevier, vol. 108(C), pages 28-46.
    12. Headey, Derek D., 2013. "Developmental Drivers of Nutritional Change: A Cross-Country Analysis," World Development, Elsevier, vol. 42(C), pages 76-88.
    13. Renkow, Mitch, 2010. "Impacts of IFPRI's "priorities for pro-poor public investment" global research program:," Impact assessments 31, International Food Policy Research Institute (IFPRI).
    14. Benin, Samuel & Randriamamonjy, Josee, 2007. "Reaching middle-income status in Ghana by 2015: What are the constraints and opportunities for raising agriculture productivity?," GSSP working papers 5, International Food Policy Research Institute (IFPRI).
    15. Klasen, Stephan & Reimers, Malte, 2017. "Looking at Pro-Poor Growth from an Agricultural Perspective," World Development, Elsevier, vol. 90(C), pages 147-168.
    16. Fedorov, Leonid & Sahn, David E, 2005. "Socioeconomic Determinants of Children's Health in Russia: A Longitudinal Study," Economic Development and Cultural Change, University of Chicago Press, vol. 53(2), pages 479-500, January.
    17. Bühler, Dorothee & Hartje, Rebecca & Ulrike Grote, 2017. "Can household food security predict individual undernutrition? Evidence from Cambodia and Lao PDR," Hannover Economic Papers (HEP) dp-594, Leibniz Universität Hannover, Wirtschaftswissenschaftliche Fakultät.
    18. Sitko, Nicholas J. & Kuteya, Auckland N., 2013. "The Maize Price Spike of 2012/13: Understanding the Paradox of High Prices despite Abundant Supplies," Food Security Collaborative Working Papers 171871, Michigan State University, Department of Agricultural, Food, and Resource Economics.
    19. Christiaensen, Luc & Scott, Christopher & Wodon, Quentin, 2002. "Metas y costos del desarrollo [Development Targets and Costs]," MPRA Paper 10493, University Library of Munich, Germany.
    20. Lovo, Stefania & Veronesi, Marcella, 2019. "Crop Diversification and Child Health: Empirical Evidence From Tanzania," Ecological Economics, Elsevier, vol. 158(C), pages 168-179.

    More about this item

    Keywords

    Community/Rural/Urban Development; Food Consumption/Nutrition/Food Safety; Health Economics and Policy;
    All these keywords.

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    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:ags:ubzefd:142395. 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: AgEcon Search (email available below). General contact details of provider: https://edirc.repec.org/data/zefbnde.html .

    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.