Research / BFI Working PaperJul 11, 2017

Governance and the effectiveness of public health subsidies: Evidence from Ghana, Kenya and Uganda

Rebecca Dizon-Ross, Pascaline Dupas, Jonathan Robinson

Distributing subsidized health products through existing health infrastructure could substantially and cost-effectively improve health in sub-Saharan Africa. There is, however, widespread concern that poor governance – in particular, limited health worker accountability – seriously undermines the effectiveness of subsidy programs. We audit targeted bednet distribution programs to quantify the extent of agency problems. We find that around 80% of the eligible receive the subsidy as intended, and up to 15% of subsidies are leaked to ineligible people. Supplementing the program with simple financial or monitoring incentives for health workers does not improve performance further and is thus not cost-effective in this context.

More Research From These Scholars

BFI Working Paper Feb 10, 2020

Not Playing Favorites: An Experiment on Parental Fairness Preferences

James Berry, Rebecca Dizon-Ross, Maulik Jagnani
Topics:  Uncategorized
BFI Working Paper Jan 4, 2019

Parents’ Beliefs About Their Children’s Academic Ability: Implications for Educational Investments

Rebecca Dizon-Ross
Topics:  Economic Mobility & Poverty, Early Childhood Education