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Public healthcare financing during counterinsurgency efforts: Evidence from Colombia

Author

Listed:
  • Samuel Lordemus
  • Noemi Kreif
  • Rodrigo Moreno-Serra

    (Centre for Health Economics, University of York)

Abstract

How do government counterinsurgency efforts affect local public financing during civil conflicts? We investigate this question in the context of the protracted conflict in Colombia. Using data on antinarcotics operations and health transfers from the central government to municipal governments, we employ both panel estimations and instrumental variables to address concerns of endogeneity and omitted variables. We find no clear evidence that counterinsurgency operations causally affect health transfers to municipalities. However, we find indicative evidence that counterinsurgency operations affect the dynamics of local violence. Our findings suggest that armed counterinsurgency interventions by the State should be accompanied by renewed measures to support public healthcare financing for the affected local populations; otherwise, such interventions risk exacerbating the negative consequences of conflict exposure on population health.

Suggested Citation

  • Samuel Lordemus & Noemi Kreif & Rodrigo Moreno-Serra, 2021. "Public healthcare financing during counterinsurgency efforts: Evidence from Colombia," HiCN Working Papers 348, Households in Conflict Network.
    • Handle: RePEc:hic:wpaper:348
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    References listed on IDEAS

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    More about this item

    Keywords

    Intergovernmental transfers; Armed conflict; Counterinsurgency; Public spending; Antidrug policy;
    All these keywords.

    JEL classification:

    • D74 - Microeconomics - - Analysis of Collective Decision-Making - - - Conflict; Conflict Resolution; Alliances; Revolutions
    • F52 - International Economics - - International Relations, National Security, and International Political Economy - - - National Security; Economic Nationalism
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration
    • O23 - Economic Development, Innovation, Technological Change, and Growth - - Development Planning and Policy - - - Fiscal and Monetary Policy in Development

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