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Public Service Provision, User Fees, and Political Turmoil

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  • Marcel Fafchamps
  • Bart Minten

Abstract

Following an electoral dispute, the central highlands of the island of Madagascar were subjected to an economic blockade during the �rst half of 2002. After the blockade ended in June 2002, user fees for health services and school fees were progressively eliminated. This paper examines the provision of schooling and health services to rural areas of Madagascar before, during, and after the blockade. We find that public services were more resilient to the blockade than initially anticipated, but that health services were more affected than schools. The removal of user fees had a large significant effect on public services that is distinct from the end of the blockade and the increase in school book provision.

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Paper provided by University of Oxford, Department of Economics in its series Economics Series Working Papers with number WPS/2003-15.

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Date of creation: 01 Sep 2003
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Handle: RePEc:oxf:wpaper:wps/2003-15

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  1. Elizabeth Frankenberg & James P. Smith & Duncan Thomas, 2004. "Economic Shocks, Wealth and Welfare," Labor and Demography, EconWPA 0403030, EconWPA.
  2. Marcel Fafchamps & Bart Minten, 2002. "Crime and Poverty: Evidence From a Natural Experiment," CSAE Working Paper Series 2002-23, Centre for the Study of African Economies, University of Oxford.
  3. Thomas, Duncan & Beegle, Kathleen & Frankenberg, Elizabeth & Sikoki, Bondan & Strauss, John & Teruel, Graciela, 2004. "Education in a crisis," Journal of Development Economics, Elsevier, Elsevier, vol. 74(1), pages 53-85, June.
  4. Lisa Cameron, 2001. "The Impact Of The Indonesian Financial Crisis On Children: An Analysis Using The 100 Villages Data," Bulletin of Indonesian Economic Studies, Taylor & Francis Journals, Taylor & Francis Journals, vol. 37(1), pages 43-64.
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  7. Deininger, Klaus, 2003. "Does cost of schooling affect enrollment by the poor? Universal primary education in Uganda," Economics of Education Review, Elsevier, Elsevier, vol. 22(3), pages 291-305, June.
  8. Cameron, Lisa A., 2002. "The impact of the Indonesian financial crisis on children : data from 100 villages survey," Policy Research Working Paper Series 2799, The World Bank.
  9. Glick, Peter & Sahn, David E., 2006. "The demand for primary schooling in Madagascar: Price, quality, and the choice between public and private providers," Journal of Development Economics, Elsevier, Elsevier, vol. 79(1), pages 118-145, February.
  10. Glewwe, Paul & Hall, Gillette, 1998. "Are some groups more vulnerable to macroeconomic shocks than others? Hypothesis tests based on panel data from Peru," Journal of Development Economics, Elsevier, Elsevier, vol. 56(1), pages 181-206, June.
  11. Behrman, Jere R & Knowles, James C, 1999. "Household Income and Child Schooling in Vietnam," World Bank Economic Review, World Bank Group, World Bank Group, vol. 13(2), pages 211-56, May.
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Cited by:
  1. Ridde, Valéry & Diarra, Aïssa & Moha, Mahaman, 2011. "User fees abolition policy in Niger: Comparing the under five years exemption implementation in two districts," Health Policy, Elsevier, Elsevier, vol. 99(3), pages 219-225, March.
  2. Lay, Jann, 2010. "MDG achievements, determinants and resource needs : what has been learnt ?," Policy Research Working Paper Series 5320, The World Bank.
  3. Christophe Nordman & Faly Rakotomanana & Anne-Sophie Robilliard, 2009. "Gender Disparities in the Malagasy Labour Market," Working Papers, DIAL (Développement, Institutions et Mondialisation) DT/2009/08, DIAL (Développement, Institutions et Mondialisation).
  4. Anna S. Brink & Steven F. Koch, 2013. "The 1996 User Fee Abolition in South Africa: A Difference-in-Difference Analysis," Working Papers 201332, University of Pretoria, Department of Economics.

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