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Benefit incidence of public health spending for public and faith-inspired health facilities in Ghana


  • Coulombe, Harold
  • Wodon, Quentin


This paper uses the fifth round of the Ghana Living Standards Survey collected in 2005-2006 to conduct a benefit incidence analysis of public spending for health. District-level financial data on public transfers are combined with household survey data on the use of various types of facilities by the population to assess whether public health spending reaches equally various segments of the population. The estimates of benefit incidence are presented separately for public and faith-inspired facilities, given that the later also benefit from public funding. The analysis suggests substantial variation in transfers and unit costs by districts, with higher costs in areas with the lowest and highest poverty measures, and lower costs in-between. Public health funding is also found to be regressive, in large part because hospitals and clinics still benefited the better off more than the poor, whether they are operated by the government or faith-inspired providers.

Suggested Citation

  • Coulombe, Harold & Wodon, Quentin, 2012. "Benefit incidence of public health spending for public and faith-inspired health facilities in Ghana," MPRA Paper 45390, University Library of Munich, Germany.
  • Handle: RePEc:pra:mprapa:45390

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    References listed on IDEAS

    1. Fran├žois Bourguignon & Maurizio Bussolo & Luiz A. Pereira da Silva, 2008. "The Impact of Macroeconomic Policies on Poverty and Income Distribution : Macro-Micro Evaluation Techniques and Tools," World Bank Publications, The World Bank, number 6586.
    2. Castro-Leal, Florencia & Dayton, Julia & Demery, Lionel & Mehra, Kalpana, 1999. "Public Social Spending in Africa: Do the Poor Benefit?," World Bank Research Observer, World Bank Group, vol. 14(1), pages 49-72, February.
    3. Shojo, Mari & Tsimpo, Clarence & Wodon, Quentin, 2012. "Satisfaction with and reasons for choosing faith-inspired health care provision in Ghana," MPRA Paper 45376, University Library of Munich, Germany.
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    Cited by:

    1. Olivier, Jill & Tsimpo, Clarence & Wodon, Quentin, 2012. "Do faith-inspired health care providers in Africa reach the poor more than other providers?," MPRA Paper 45379, University Library of Munich, Germany.
    2. Jill Olivier & Mari Shojo & Quentin Wodon, 2014. "Faith-Inspired Health Care Provision In Ghana: Market Share, Reach To The Poor, And Performance," The Review of Faith & International Affairs, Taylor & Francis Journals, vol. 12(1), pages 84-96, January.

    More about this item


    Health; Faith; Benefit Incidence; Private Provision; Ghana; Christian Health Association;

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health


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