Open Access
Subscription Access
Open Access
Subscription Access
Decentralised Curative Health Service Delivery in India:Evidence from Public Expenditure Benefit Incidence
Subscribe/Renew Journal
To critically evaluate the decentralised public health service delivery in India, this paper analyses the benefit incidence from public health expenditure on curative health care provided as inpatient care for three states of Bihar, West Bengal and Kerala to examine whether the spending is pro-poor. Using unit record data of NSS, it compares two points of time, i.e., 2004-2005 and 2014- 2015, to find out whether the decentralised spending has led to improved targeting. The concentration curves and computed unit costs show regional and gender differentials across economic classes in access to inpatient health care.
Keywords
Curative Care, Concentration Curve, Public Health Spending, Benefit Incidence Analysis, Decentralisation, Regional and Gender Differentials.
Subscription
Login to verify subscription
User
Font Size
Information
- Banerjee, A., A. Deaton and E. Duflo (2004), Health Care Delivery in Rural Rajasthan, Economic and Political Weekly, 39(9): 944-949.
- Castro-Leal, F., J. Dayton, L. Demery and K. Mehra (1999), Public Social Spending in Africa: Do the Poor Benefit?, The World Bank Research Observer, 14(1): 49-72.
- Chakraborty, A. and S. Mukherjee (2003), Health Care in West Bengal: What is Happening?, Economic and Political Weekly, 38(48): 5021-5023.
- Chakraborty, L.S., Y. Singh and J.F. Jacob (2013), Analyzing Public Expenditure Benefit Incidence in Health Care: Evidence from India, Levy Economics Institute of Bard College, Working Paper No. 748.
- Chakraborty, P., L. Chakraborty and A.N. Mukherjee (2016), Social Sector in a Decentralized Economy: India in the Era of Globalization, Cambridge University Press, New Delhi.
- Davoodi, H.R., E.R. Tiongson and S.S. Asawanuchit (2003), How Useful Are Benefit Incidence Analysis of Public Education and Health Spending?, IMF Working Paper 03/22733.
- Demery, L. (2000), Benefit Incidence: A Practitioner’s Guide, Washington, D.C: The World Bank.
- Filmer, D., J. Hammer and L. Pritchett (1998), Health Policy in Poor Countries: Weak Links in the Chain, Policy Research Working Paper no. 1874, The World Bank.
- Government of India (2009), Report of the Thirteenth Finance Commission, New Delhi.
- ---------- (2015), Indian Public Finance Statistics 2014-2015, Ministry of Finance, New Delhi.
- ---------- (2015), Report of the Fourteenth Finance Commission, New Delhi.
- Lanjouw, P. and M. Ravallion (1999), Benefit Incidence, Public Spending Reforms, and the Timing of Program Capture, World Bank Economic Review, 13(2): 257–273.
- Lustig, N. (2015), The Redistributive Impact of Government Spending on Education and Health: Evidence from Thirteen Developing Countries in the Commitment to Equity Project, CEQ Working Paper No. 30.
- Mahal, A., J. Singh, F. Afridi, V. Lamba, A. Gumberand V. Selvaraju (2000), Who “Benefits” From Public Sector Health Spending In India? Results of a Benefit Incidence Analysis for India, National Council of Applied Economic Research, mimeo.
- Manasan, R.G., J.S. Cuenca and E.C. Villanueva (2007), Benefit Incidence of Public Spending on Education in the Philippines, Philippine Institute for Development Studies, Discussion Paper No. 2007-09.
- Mukherjee, S. and J-F. Levesque (2010), Changing Inequalities in Utilisation of Inpatient Care in Rural India: Evidence from the NSS, Economic and Political Weekly, 45(46): 84-91.
- O’Donnell, O., E. van Doorslaer, A. Wagstaff and M. Lindelow (2008), Analyzing Health Equity Using Household Survey Data: A Guide to Techniques and Their Implementation, WBI Learning Resources Series, The World Bank.
- Oommen, M. A. (2004), Basic Services, Functional Assignments and Own Revenue of Panchayats – Some Issues in Fiscal Decentralization for the consideration of the Twelfth Finance Commission, National Seminar on Panchayati Raj Finances (sponsored by the Twelfth Finance Commission), Hyderabad, January 23.
- Planning Commission (2011), High Level Expert Group Report on Universal Health Coverage for India. New Delhi.
- Rao, M.G., T.R. Raghunandan, M. Gupta, P. Datta, P.R. Jena and H.K. Amarnath (2011), Fiscal Decentralization to Rural Local Governments in India: Selected Issues and Reform Options, National Institute of Public Finance and Policy (NIPFP), mimeo.
- Sen, G. (2012), Universal Health Coverage in India: A Long and Winding Road, Economic and Political Weekly, 43(7): 54-58.
- Sen, G., A. Iyer and A. George (2002), Structural Reforms and Health Equity: A Comparison of NSS Surveys, 1986-87 and 1995-96, Economic and Political Weekly, 37(14): 1342-1352.
- Shah, A., T. Thompson and H. Zou (2004), The Impact of Decentralisation on Service Delivery, Corruption, Fiscal Management and Growth in Developing and Emerging Market Economies: A Synthesis of Empirical Evidence, CESifo DICE Report 1/2004.
- World Bank (2004), World Development Report 2004: Making Services Work for Poor People, New York: Oxford University Press.
- Younger, S.D. (2003), Benefits on the Margin: Observations on Marginal Benefit Incidence Analysis, World Bank Economic Review, 17(1): 89-106
Abstract Views: 623
PDF Views: 0