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Distribution of the benefits from public health expenditures in Ghana

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  • Micheal Kofi Boachie

    (Annamalai University)

  • K. Ramu

    (Annamalai University)

Abstract

Government intervention in the healthcare market is, partly, justified on grounds of equity and redistribution. The intervention usually comes in the form of expenditures—direct provision of care and subsidies—in many developing countries. Given the expected redistributive impact of public health expenditures, the aim of this paper was to establish the beneficiaries of public health spending in Ghana using utilisation data for outpatient care. We applied utilisation incidence analysis on outpatient healthcare utilisation data from the Study on Global AGEing and Adult Health, Ghana Wave 1 to conduct the analysis. The results show that ill-health was high in the rural areas, particularly among low income groups. While utilisation of public healthcare facilities for outpatient care was generally high, there was some disparities in utilisation. That is, utilisation of public health services, especially hospital care, was unfairly distributed among various income/wealth groups. Implications of these findings are that policymakers should continue to devise means to ensure equitable and even distribution of healthcare services, particularly hospital care, so that the poor and other vulnerable groups, whose plight call for government intervention, benefit.

Suggested Citation

  • Micheal Kofi Boachie & K. Ramu, 2018. "Distribution of the benefits from public health expenditures in Ghana," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(1), pages 415-430, January.
    • Handle: RePEc:spr:qualqt:v:52:y:2018:i:1:d:10.1007_s11135-017-0475-x
    DOI: 10.1007/s11135-017-0475-x
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    1. Castro-Leal, Florencia & Dayton, Julia & Demery, Lionel & Mehra, Kalpana, 1999. "Public Social Spending in Africa: Do the Poor Benefit?," The World Bank Research Observer, World Bank, vol. 14(1), pages 49-72, February.
    2. Owen O'Donnell & Eddy van Doorslaer & Adam Wagstaff & Magnus Lindelow, 2008. "Analyzing Health Equity Using Household Survey Data : A Guide to Techniques and Their Implementation," World Bank Publications - Books, The World Bank Group, number 6896, December.
    3. Richard Auster & Irving Leveson & Deborah Sarachek, 1969. "The Production of Health, an Exploratory Study," Journal of Human Resources, University of Wisconsin Press, vol. 4(4), pages 411-436.
    4. Farasat A. S. Bokhari & Yunwei Gai & Pablo Gottret, 2007. "Government health expenditures and health outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 16(3), pages 257-273, March.
    5. Besley, Timothy & Coate, Stephen, 1991. "Public Provision of Private Goods and the Redistribution of Income," American Economic Review, American Economic Association, vol. 81(4), pages 979-984, September.
    6. Bidani, Benu & Ravallion, Martin, 1997. "Decomposing social indicators using distributional data," Journal of Econometrics, Elsevier, vol. 77(1), pages 125-139, March.
    7. Chakraborty, Lekha & Singh, Yadawendra & Jacob, Jannet Farida, 2012. "Public Expenditure Benefit Incidence on Health: Selective Evidence from India," Working Papers 12/111, National Institute of Public Finance and Policy.
    8. Filmer, Deon & Pritchett, Lant, 1999. "The impact of public spending on health: does money matter?," Social Science & Medicine, Elsevier, vol. 49(10), pages 1309-1323, November.
    9. James M. Poterba, 1996. "Government Intervention in the Markets for Education and Health Care: How and Why?," NBER Chapters, in: Individual and Social Responsibility: Child Care, Education, Medical Care, and Long-Term Care in America, pages 277-308, National Bureau of Economic Research, Inc.
    10. Mark Berger & Jodi Messer, 2002. "Public financing of health expenditures, insurance, and health outcomes," Applied Economics, Taylor & Francis Journals, vol. 34(17), pages 2105-2113.
    11. Mr. Erwin H Tiongson & Mr. Hamid R Davoodi & Sawitree S. Asawanuchit, 2003. "How Useful Are Benefit Incidence Analyses of Public Education and Health Spending," IMF Working Papers 2003/227, International Monetary Fund.
    12. Mingsheng Chen & Guixia Fang & Lidan Wang & Zhonghua Wang & Yuxin Zhao & Lei Si, 2015. "Who Benefits from Government Healthcare Subsidies? An Assessment of the Equity of Healthcare Benefits Distribution in China," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-15, March.
    13. Ruggles, Patricia & O'Higgins, Michael, 1981. "The Distribution of Public Expenditure among Households in the United States," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 27(2), pages 137-164, June.
    14. Michael O'Higgins & Patricia Ruggles, 1981. "The Distribution Of Public Expenditures And Taxes Among Households In The United Kingdom," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 27(3), pages 298-326, September.
    15. Le Grand, Julian, 1978. "The Distribution of Public Expenditure: The Case of Health Care," Economica, London School of Economics and Political Science, vol. 45(178), pages 125-142, May.
    16. David E. Sahn & Stephen D. Younger, 2000. "Expenditure incidence in Africa: microeconomic evidence," Fiscal Studies, Institute for Fiscal Studies, vol. 21(3), pages 329-347, September.
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    1. Micheal Kofi Boachie & K. Ramu & Tatjana Põlajeva, 2018. "Public Health Expenditures and Health Outcomes: New Evidence from Ghana," Economies, MDPI, vol. 6(4), pages 1-25, October.
    2. Mihaela Onofrei & Anca-Florentina Vatamanu & Georgeta Vintilă & Elena Cigu, 2021. "Government Health Expenditure and Public Health Outcomes: A Comparative Study among EU Developing Countries," IJERPH, MDPI, vol. 18(20), pages 1-13, October.
    3. Micheal Kofi Boachie & Tatjana Põlajeva & Albert Opoku Frimpong, 2020. "Infant Mortality in Low- and Middle-income Countries: Does Government Health Spending Matter?," Journal of Development Policy and Practice, , vol. 5(1), pages 54-73, January.
    4. Ayoade Olabisi Simeon & Monica Alagbile Orisadare & Adeyemi Taiwo George & Adediwura Micheal Olamide, 2021. "An Assessment of Public Health Expenditure, Health Outcome and Economic Growth in Nigeria (1980 -2019)," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 5(1), pages 508-514, January.

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