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The Impact of Public Services on Health Care and Illness: A Treatment Effects Model with Sample Selectivity


  • Appleton, Simon


Health care and status are jointly modeled using household data from Kenya. Both maternal primary education and distance to health facilities affect take-up of child health care, but the former is more powerful. Corrections for the selectivity of illness when modeling health demand are insignificant. Parental education, proximity to health facilities and piped water all increase reporting of illness symptoms. The first two results may reflect differences in reporting rather than in health. However, the effect of piped water remains disturbing. The impact of health care on the duration of illness is estimated controlling for endogeneity and found to be favorable but insignificant. Copyright 1998 by Oxford University Press.

Suggested Citation

  • Appleton, Simon, 1998. "The Impact of Public Services on Health Care and Illness: A Treatment Effects Model with Sample Selectivity," Journal of African Economies, Centre for the Study of African Economies (CSAE), vol. 7(1), pages 1-33, March.
  • Handle: RePEc:oup:jafrec:v:7:y:1998:i:1:p:1-33

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    References listed on IDEAS

    1. Daron Acemoglu, 2010. "Theory, General Equilibrium, and Political Economy in Development Economics," Journal of Economic Perspectives, American Economic Association, vol. 24(3), pages 17-32, Summer.
    2. Björkman Nyqvist, Martina & Svensson, Jakob & Yanagizawa-Drott, David, 2012. "Can Good Products Drive Out Bad? Evidence from Local Markets for (Fake?) Antimalarial Medicine in Uganda," CEPR Discussion Papers 9114, C.E.P.R. Discussion Papers.
    3. Nazmul Chaudhury & Jeffrey Hammer & Michael Kremer & Karthik Muralidharan & F. Halsey Rogers, 2006. "Missing in Action: Teacher and Health Worker Absence in Developing Countries," Journal of Economic Perspectives, American Economic Association, vol. 20(1), pages 91-116, Winter.
    4. repec:cup:apsrev:v:53:y:1959:i:01:p:69-105_00 is not listed on IDEAS
    5. Metzler, Johannes & Woessmann, Ludger, 2012. "The impact of teacher subject knowledge on student achievement: Evidence from within-teacher within-student variation," Journal of Development Economics, Elsevier, vol. 99(2), pages 486-496.
    6. Katherine Casey & Rachel Glennerster & Edward Miguel, 2012. "Reshaping Institutions: Evidence on Aid Impacts Using a Preanalysis Plan," The Quarterly Journal of Economics, Oxford University Press, vol. 127(4), pages 1755-1812.
    7. Karthik Muralidharan & Venkatesh Sundararaman, 2011. "Teacher Performance Pay: Experimental Evidence from India," Journal of Political Economy, University of Chicago Press, vol. 119(1), pages 39-77.
    8. Jishnu Das & Jeffrey Hammer & Kenneth Leonard, 2008. "The Quality of Medical Advice in Low-Income Countries," Journal of Economic Perspectives, American Economic Association, vol. 22(2), pages 93-114, Spring.
    9. Benjamin A. Olken, 2007. "Monitoring Corruption: Evidence from a Field Experiment in Indonesia," Journal of Political Economy, University of Chicago Press, vol. 115, pages 200-249.
    10. Claudia Goldin, 1999. "A Brief History of Education in the United States," NBER Historical Working Papers 0119, National Bureau of Economic Research, Inc.
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    Cited by:

    1. Paul Collier & Stefan Dercon & John Mackinnon, 2002. "Density versus Quality in Health Care Provision: Using Household Data to Make Budgetary Choices in Ethiopia," World Bank Economic Review, World Bank Group, vol. 16(3), pages 425-448, December.

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