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Public Service Provision, User Fees, and Political Turmoil

  • Marcel Fafchamps

    (Centre for the Study of African Economies)

  • Bart Minten

    (Cornell University)

Following an electoral dispute, the central highlands of the island of Madagascar were subjected to an economic blockade during the first half of 2002. After the blockade ended in June 2002, user fees for health services and school fees were progressively eliminated. This paper examines the provision of schooling and health services to rural areas of Madagascar before, during, and after the blockade. We find that public services were more resilient to the blockade than initially anticipated, but that health services were more affected than schools. The removal of user fees had a large significant effect on public services that is distinct from the end of the blockade and the increase in school book provision.

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File URL: http://128.118.178.162/eps/dev/papers/0409/0409039.pdf
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Paper provided by EconWPA in its series Development and Comp Systems with number 0409039.

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Length: 29 pages
Date of creation: 23 Sep 2004
Date of revision:
Handle: RePEc:wpa:wuwpdc:0409039
Note: Type of Document - pdf; pages: 29
Contact details of provider: Web page: http://128.118.178.162

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  1. Glewwe, Paul & Hall, Gillette, 1998. "Are some groups more vulnerable to macroeconomic shocks than others? Hypothesis tests based on panel data from Peru," Journal of Development Economics, Elsevier, vol. 56(1), pages 181-206, June.
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  3. Thomas, Duncan & Beegle, Kathleen & Frankenberg, Elizabeth & Sikoki, Bondan & Strauss, John & Teruel, Graciela, 2004. "Education in a crisis," Journal of Development Economics, Elsevier, vol. 74(1), pages 53-85, June.
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  5. Gertler, Paul & Glewwe, Paul, 1990. "The willingness to pay for education in developing countries : Evidence from rural Peru," Journal of Public Economics, Elsevier, vol. 42(3), pages 251-275, August.
  6. Jacoby, Hanan G & Skoufias, Emmanuel, 1997. "Risk, Financial Markets, and Human Capital in a Developing Country," Review of Economic Studies, Wiley Blackwell, vol. 64(3), pages 311-35, July.
  7. Alderman, Harold & Orazem, Peter & Paterno, Elizabeth M., 2001. "School Quality, School Cost, and the Public/Private School Choices of Low-Income Households in Pakistan," Staff General Research Papers 1970, Iowa State University, Department of Economics.
  8. Menno Pradhan & Nicholas Prescott, 2002. "Social risk management options for medical care in Indonesia," Health Economics, John Wiley & Sons, Ltd., vol. 11(5), pages 431-446.
  9. Lisa A. Cameron, 2001. "The Impact of the Indonesian Financial Crisis on Children: An analysis using the 100 villages data," Innocenti Working Papers inwopa01/10, UNICEF Innocenti Research Centre.
  10. Glick, Peter & Sahn, David E., 2006. "The demand for primary schooling in Madagascar: Price, quality, and the choice between public and private providers," Journal of Development Economics, Elsevier, vol. 79(1), pages 118-145, February.
  11. Marcel Fafchamps & Bart Minten, 2004. "Crime and Poverty: Evidence from a Natural Experiment," Development and Comp Systems 0409025, EconWPA.
  12. Deininger, Klaus, 2003. "Does cost of schooling affect enrollment by the poor? Universal primary education in Uganda," Economics of Education Review, Elsevier, vol. 22(3), pages 291-305, June.
  13. Cameron, Lisa A., 2002. "The impact of the Indonesian financial crisis on children : data from 100 villages survey," Policy Research Working Paper Series 2799, The World Bank.
  14. Sahn, David & Bernier, Rene, 1995. "Have structural adjustments led to health sector reform in Africa?," Health Policy, Elsevier, vol. 32(1-3), pages 193-214.
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