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Poverty, education, and health in Indonesia : who benefits from public spending?

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Author Info
Lanjouw, Peter
Pradhan, Menno
Saadah, Fadia
Sayed, Haneen
Sparrow, Robert

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Abstract

The authors investigate the extent to which Indonesia's poor benefit from public and private provisioning of education and health services. Drawing on multiple rounds of SUSENAS household surveys, they document a reversal in the rate of decline in poverty and a slowdown in social sector improvements resulting from the economic crisis in the second half of the 1990s. Carrying out traditional static benefit-incidence analysis of public spending in education and health, the authors find patterns consistent with experience in other countries: spending on primary education and primary health care tends to be pro-poor, while spending on higher education and hospitals is less obviously beneficial to the poor. These conclusions are tempered once one allows for economies of scale in consumption which weaken the link between poverty status and household size. The authors also examine the incidence of changes in government spending. They find that the marginal incidence of spending in both junior and senior secondary schooling is more progressive than what static analysis would suggest, consistent with"early capture"by the non-poor of education spending. In the health sector marginal and average incidence analysis point to the same conclusion: the greatest benefit to the poor would come from an increase in primary health care spending.

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Paper provided by The World Bank in its series Policy Research Working Paper Series with number 2739.

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Date of creation: 31 Dec 2001
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Handle: RePEc:wbk:wbrwps:2739

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Related research
Keywords: Public Health Promotion; Health Monitoring&Evaluation; Health Economics&Finance; Health Systems Development&Reform; Early Child and Children's Health; Health Systems Development&Reform; Health Monitoring&Evaluation; Poverty Assessment; Health Economics&Finance; Achieving Shared Growth;

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References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Heckman, James J, 1990. "Varieties of Selection Bias," American Economic Review, American Economic Association, vol. 80(2), pages 313-18, May.
  2. Coulter, Fiona A E & Cowell, Frank A & Jenkins, Stephen P, 1992. "Equivalence Scale Relativities and the Extent of Inequality and Poverty," Economic Journal, Royal Economic Society, vol. 102(414), pages 1067-82, September. [Downloadable!] (restricted)
  3. Pradhan, Menno, 1998. "Enrolment and Delayed Enrolment of Secondary School Age Children in Indonesia," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 60(4), pages 413-30, November.
  4. Emmanuel Skoufias, 1999. "Parental Education and child Nutrition in Indonesia," Bulletin of Indonesian Economic Studies, Taylor and Francis Journals, vol. 35(1), pages 99-119, April. [Downloadable!] (restricted)
  5. McMahon, Walter W. & Boediono, Walter W., 1992. "Universal basic education: An overall strategy of investment priorities for economic growth," Economics of Education Review, Elsevier, vol. 11(2), pages 137-151, June. [Downloadable!] (restricted)
  6. Lanjouw, Peter & Ravallion, Martin, 1995. "Poverty and Household Size," Economic Journal, Royal Economic Society, vol. 105(433), pages 1415-34, November. [Downloadable!] (restricted)
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  7. Psacharopoulos, George, 1994. "Returns to investment in education: A global update," World Development, Elsevier, vol. 22(9), pages 1325-1343, September. [Downloadable!] (restricted)
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  8. Ravallion, Martin & Bidani, Benu, 1994. "How Robust Is a Poverty Profile?," World Bank Economic Review, Oxford University Press, vol. 8(1), pages 75-102, January.
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  9. Lanjouw, Peter & Ravallion, Martin, 1999. "Benefit Incidence, Public Spending Reforms, and the Timing of Program Capture," World Bank Economic Review, Oxford University Press, vol. 13(2), pages 257-73, May.
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Cited by:
(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. Martin Ravallion, 2004. "Who is protected from budget cuts?," Journal of Policy Reform, Taylor and Francis Journals, vol. 7(2), pages 109-122, June. [Downloadable!] (restricted)
  2. Meliyanni Johar, 2007. "The Impact of the Indonesian Health Card Program: A Matching Estimator Approach," Discussion Papers 2007-30, School of Economics, The University of New South Wales. [Downloadable!]
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  3. Anne Goujon & Samir K.C., 2009. "Past and Future of Human Capital in Southeast Asia: From 1970 to 2030," Working Papers 0607, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna. [Downloadable!]
  4. Menno Pradhan & Fadia Saadah & Robert Sparrow, 2003. "Did the Healthcard Program ensure Access to Medical Care for the Poor during Indonesia's Economic Crisis?," Tinbergen Institute Discussion Papers 03-016/2, Tinbergen Institute. [Downloadable!]
    Other versions:
  5. Kappel, Robert & Lay, Jann & Steiner, Susan, 2005. "Uganda : no more pro-poor growth?," Proceedings of the German Development Economics Conference, Kiel 2005 31, Verein für Socialpolitik, Research Committee Development Economics. [Downloadable!]
  6. van Doorslaer, Eddy & O'Donnell, Owen, 2008. "Measurement and Explanation of Inequality in Health and Health Care in Low-Income Settings," Working Papers DP2008/04, World Institute for Development Economic Research (UNU-WIDER). [Downloadable!]
  7. Anne Daly & George Fane, 2002. "Anti-Poverty Programs in Indonesia," Bulletin of Indonesian Economic Studies, Taylor and Francis Journals, vol. 38(3), pages 309-329, December. [Downloadable!] (restricted)
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