Public Service Provision, User Fees and Political Turmoil
This study looks at public service delivery in rural areas of Madagascar. The blockade of the central highlands of Madagascar by a defeated president let us examine the short-term effect of a large unanticipated macro shock and subsequent elimination of user fees on the rural delivery of health and education services. We found enrolment in rural primary schools surprisingly resilient to the crisis, probably because it unfolded in the middle of the school year. In contrast, the blockade led to a large drop in health care services, measured by the number of patient visits to health care centres. Part of this effect can be explained by an increase in monetary poverty. After the blockade, user fees were suspended in schools and health centres but the measure was not applied immediately in all rural communes. Controlling for supply effects, time dummies and school and health centre fixed effects, we find that the suspension of user fees is associated with a significant increase in both school enrolment and visits to health centres. Copyright 2007 The author 2007. Published by Oxford University Press on behalf of the Centre for the Study of African Economies. All rights reserved. For permissions, please email: email@example.com, Oxford University Press.
Volume (Year): 16 (2007)
Issue (Month): 3 (June)
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- 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, vol. 56(1), pages 181-206, June.
- Lisa A. Cameron, 2001.
"The Impact of the Indonesian Financial Crisis on Children: An analysis using the 100 villages data,"
inwopa01/10, Innocenti Working Papers.
- 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, vol. 37(1), pages 43-64.
- Menno Pradhan & Nicholas Prescott, 2002. "Social risk management options for medical care in Indonesia," Health Economics, John Wiley & Sons, Ltd., vol. 11(5), pages 431-446.
- Elizabeth Frankenberg & James P. Smith & Duncan Thomas, 2003.
"Economic Shocks, Wealth, and Welfare,"
Journal of Human Resources,
University of Wisconsin Press, vol. 38(2).
- Marcel Fafchamps & Bart Minten, 2002.
"Crime and Poverty: Evidence From a Natural Experiment,"
Economics Series Working Papers
WPS/2002-23, University of Oxford, Department of Economics.
- 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.
- Marcel Fafchamps & Bart Minten, 2004. "Crime and Poverty: Evidence from a Natural Experiment," Development and Comp Systems 0409025, EconWPA.
- Deininger, Klaus, 2003. "Does cost of schooling affect enrollment by the poor? Universal primary education in Uganda," Economics of Education Review, Elsevier, vol. 22(3), pages 291-305, June.
- 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.
- Harold Alderman & Peter F. Orazem & Elizabeth M. Paterno, 2001.
"School Quality, School Cost, and the Public/Private School Choices of Low-Income Households in Pakistan,"
Journal of Human Resources,
University of Wisconsin Press, vol. 36(2), pages 304-326.
- Alderman, Harold & Orazem, Peter & Paterno, Elizabeth M., 2001. "School Quality, School Cost, and the Public/Private School Choices of Low-Income Households in Pakistan," Staff General Research Papers 1970, Iowa State University, Department of Economics.
- Thomas, Duncan & Beegle, Kathleen & Frankenberg, Elizabeth & Sikoki, Bondan & Strauss, John & Teruel, Graciela, 2004. "Education in a crisis," Journal of Development Economics, Elsevier, vol. 74(1), pages 53-85, June.
- Sahn, David & Bernier, Rene, 1995. "Have structural adjustments led to health sector reform in Africa?," Health Policy, Elsevier, vol. 32(1-3), pages 193-214.
- Behrman, Jere R & Knowles, James C, 1999. "Household Income and Child Schooling in Vietnam," World Bank Economic Review, World Bank Group, vol. 13(2), pages 211-56, May.
- Gertler, Paul & Glewwe, Paul, 1990. "The willingness to pay for education in developing countries : Evidence from rural Peru," Journal of Public Economics, Elsevier, vol. 42(3), pages 251-275, August.
- Hanan G. Jacoby & Emmanuel Skoufias, 1997. "Risk, Financial Markets, and Human Capital in a Developing Country," Review of Economic Studies, Oxford University Press, vol. 64(3), pages 311-335.
- 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, vol. 79(1), pages 118-145, February.
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