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Bribery in Health Care in Peru and Uganda

  • Hunt, Jennifer

    ()

    (Rutgers University)

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.

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Paper provided by Institute for the Study of Labor (IZA) in its series IZA Discussion Papers with number 2757.

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Length: 37 pages
Date of creation: Apr 2007
Date of revision:
Publication status: published as "Bribery in Health Care in Uganda" in: Journal of Health Economics, 2010, 29 (5), 699-707
Handle: RePEc:iza:izadps:dp2757
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