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The Unintended Consequences of NGO-Provided Aid on Government Services in Uganda

Author

Listed:
  • Erika Deserranno
  • Aisha Nansamba
  • Nancy Qian

Abstract

This paper studies the impact of the entry of a large foreign NGO which provides basic health services on the government’s capacity to provide similar services in rural Uganda. In villages with a government health worker at baseline, the NGO hires the government worker in half of the villages it enters. Where “poaching” occurs, overall healthcare and infant mortality worsen. In villages where the NGO hires a second worker who is not the government worker, health outcomes improve. In villages with no government health worker at baseline, NGO entry improves healthcare and health outcomes, but increases the closure of village schools, the other public good that relies on skilled labor, and reduces school attendance. Our results support the concern that NGOs can have unintended adverse effects on government services in contexts where skilled labor is scarce.

Suggested Citation

  • Erika Deserranno & Aisha Nansamba & Nancy Qian, 2020. "The Unintended Consequences of NGO-Provided Aid on Government Services in Uganda," NBER Working Papers 26928, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:26928
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    References listed on IDEAS

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    1. Wagner, Zachary & Asiimwe, John Bosco & Levine, David I., 2020. "When financial incentives backfire: Evidence from a community health worker experiment in Uganda," Journal of Development Economics, Elsevier, vol. 144(C).
    2. Bigsten, Arne & Tengstam, Sven, 2015. "International Coordination and the Effectiveness of Aid," World Development, Elsevier, vol. 69(C), pages 75-85.
    3. Knack, Stephen & Rahman, Aminur, 2007. "Donor fragmentation and bureaucratic quality in aid recipients," Journal of Development Economics, Elsevier, vol. 83(1), pages 176-197, May.
    4. Alesina, Alberto & Dollar, David, 2000. "Who Gives Foreign Aid to Whom and Why?," Journal of Economic Growth, Springer, vol. 5(1), pages 33-63, March.
    5. Pfeiffer, J. & Johnson, W. & Fort, M. & Shakow, A. & Hagopian, A. & Gloyd, S. & Gimbel-Sherr, K., 2008. "Strengthening health systems in poor countries: A code of conduct for nongovernmental organizations," American Journal of Public Health, American Public Health Association, vol. 98(12), pages 2134-2140.
    6. Nancy Qian, 2015. "Making Progress on Foreign Aid," Annual Review of Economics, Annual Reviews, vol. 7(1), pages 277-308, August.
    7. James Levinsohn & Margaret McMillan, 2007. "Does Food Aid Harm the Poor? Household Evidence from Ethiopia," NBER Chapters, in: Globalization and Poverty, pages 561-598, National Bureau of Economic Research, Inc.
    8. Martina Björkman Nyqvist & Andrea Guariso & Jakob Svensson & David Yanagizawa-Drott, 2019. "Reducing Child Mortality in the Last Mile: Experimental Evidence on Community Health Promoters in Uganda," American Economic Journal: Applied Economics, American Economic Association, vol. 11(3), pages 155-192, July.
    9. Ashraf, Nava & Bandiera, Oriana & Jack, B. Kelsey, 2014. "No margin, no mission? A field experiment on incentives for public service delivery," Journal of Public Economics, Elsevier, vol. 120(C), pages 1-17.
    10. Benjamin A. Olken & Junko Onishi & Susan Wong, 2014. "Should Aid Reward Performance? Evidence from a Field Experiment on Health and Education in Indonesia," American Economic Journal: Applied Economics, American Economic Association, vol. 6(4), pages 1-34, October.
    11. Ilyana Kuziemko & Eric Werker, 2006. "How Much Is a Seat on the Security Council Worth? Foreign Aid and Bribery at the United Nations," Journal of Political Economy, University of Chicago Press, vol. 114(5), pages 905-930, October.
    12. Koch, Dirk-Jan & Schulpen, Lau, 2018. "An exploration of individual-level wage effects of foreign aid in developing countries," Evaluation and Program Planning, Elsevier, vol. 68(C), pages 233-242.
    13. William Easterly, 2009. "Can the West Save Africa?," Journal of Economic Literature, American Economic Association, vol. 47(2), pages 373-447, June.
    14. Miriam N. Mukasa & Ozge Sensoy Bahar & Fred M. Ssewamala & Gwyn KirkBride & Apollo Kivumbi & Flavia Namuwonge & Christopher Damulira, 2019. "Examining the organizational factors that affect health workers' attendance: Findings from southwestern Uganda," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(2), pages 644-656, April.
    15. Janzen, Joseph, 2015. "The Effect of U.S. International Food Aid on Prices for Dry Peas and Lentils," 2015 Conference, August 9-14, 2015, Milan, Italy 211797, International Association of Agricultural Economists.
    16. Jennifer L Brenner & Jerome Kabakyenga & Teddy Kyomuhangi & Kathryn A Wotton & Carolyn Pim & Moses Ntaro & Fred Norman Bagenda & Ndaruhutse Ruzazaaza Gad & John Godel & James Kayizzi & Douglas McMilla, 2011. "Can Volunteer Community Health Workers Decrease Child Morbidity and Mortality in Southwestern Uganda? An Impact Evaluation," PLOS ONE, Public Library of Science, vol. 6(12), pages 1-9, December.
    17. Büthe, Tim & Major, Solomon & Souza, André de Mello e, 2012. "The Politics of Private Foreign Aid: Humanitarian Principles, Economic Development Objectives, and Organizational Interests in NGO Private Aid Allocation," International Organization, Cambridge University Press, vol. 66(4), pages 571-607, October.
    18. Erika Deserranno, 2019. "Financial Incentives as Signals: Experimental Evidence from the Recruitment of Village Promoters in Uganda," American Economic Journal: Applied Economics, American Economic Association, vol. 11(1), pages 277-317, January.
    19. Benjamin Crost & Joseph Felter & Patrick Johnston, 2014. "Aid under Fire: Development Projects and Civil Conflict," American Economic Review, American Economic Association, vol. 104(6), pages 1833-1856, June.
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    Cited by:

    1. Cruzatti C., John & Dreher, Axel & Matzat, Johannes, 2023. "Chinese aid and health at the country and local level," World Development, Elsevier, vol. 167(C).
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    3. Francis Annan & Belinda Archibong & Uche Ekhator-Mobayode, 2023. "The Epidemic Effect: Epidemics, Institutions and Human Capital Development," Opportunity and Inclusive Growth Institute Working Papers 076, Federal Reserve Bank of Minneapolis.
    4. Archibong, Belinda & Annan, Francis & Ekhator-Mobayode, Uche, 2023. "The epidemic effect: Epidemics, institutions and human capital development," Journal of Economic Behavior & Organization, Elsevier, vol. 211(C), pages 549-566.

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    More about this item

    JEL classification:

    • O1 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development
    • O2 - Economic Development, Innovation, Technological Change, and Growth - - Development Planning and Policy

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