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Bribery in Health Care in Peru and Uganda

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  • Hunt, Jennifer

Abstract

In this paper, I examine the role of household income in determining who bribes and how much they bribe in health care in Peru and Uganda. I find that rich patients are more likely than other patients to bribe in public health care: doubling household consumption increases the bribery probability by 0.2-0.4 percentage points in Peru, compared to a bribery rate of 0.8%; doubling household expenditure in Uganda increases the bribery probability by 1.2 percentage points compared to a bribery rate of 17%. The income elasticity of the bribe amount cannot be precisely estimated in Peru, but is about 0.37 in Uganda. Bribes in the Ugandan public sector appear to be fees-for-service extorted from the richer patients amongst those exempted by government policy from paying the official fees. Bribes in the private sector appear to be flat-rate fees paid by patients who do not pay official fees. I do not find evidence that the public health care sector in either Peru or Uganda is able to price-discriminate less effectively than public institutions with less competition from the private sector.

Suggested Citation

  • Hunt, Jennifer, 2007. "Bribery in Health Care in Peru and Uganda," CEPR Discussion Papers 6274, C.E.P.R. Discussion Papers.
  • Handle: RePEc:cpr:ceprdp:6274
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    References listed on IDEAS

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    Cited by:

    1. Deepa Narayan & Lant Pritchett & Soumya Kapoor, 2009. "Moving Out of Poverty : Volume 2. Success from the Bottom Up," World Bank Publications, The World Bank, number 11838, July.
    2. Cherecheş, Răzvan M. & Ungureanu, Marius I. & Sandu, Petru & Rus, Ioana A., 2013. "Defining informal payments in healthcare: A systematic review," Health Policy, Elsevier, vol. 110(2), pages 105-114.
    3. Lewis, Maureen & Pettersson, Gunilla, 2009. "Governance in health care delivery : raising performance," Policy Research Working Paper Series 5074, The World Bank.
    4. Quoc-Anh Do & Trang Van Nguyen & Anh N. Tran, 2013. "Do People Pay Higher Bribes for Urgent Services ?: Evidence from Informal Payements to Doctors in Vietnam," Sciences Po publications info:hdl:2441/3tk4fhvbi18, Sciences Po.

    More about this item

    Keywords

    bribery; corruption; governance; health care;

    JEL classification:

    • H4 - Public Economics - - Publicly Provided Goods
    • K4 - Law and Economics - - Legal Procedure, the Legal System, and Illegal Behavior
    • O1 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development

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