Munich Personal RePEc Archive

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

Coulombe, Harold and Wodon, Quentin (2012): Benefit incidence of public health spending for public and faith-inspired health facilities in Ghana.

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Abstract

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.

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