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Return to Treatment in the Formal Health Care Sector: Evidence from Tanzania

Author

Listed:
  • Achyuta Adhvaryu
  • Anant Nyshadham

Abstract

Improving access to the formal health care sector is a primary public health goal in many low-income countries. But the returns to this access are unclear, given that the quality of care at public health facilities is often considered inadequate. We exploit temporal and geographic variation in the cost of traveling to formal sector health facilities to show that treatment at these facilities improves short-term health outcomes for acutely ill children in Tanzania. Our results suggest that these improvements are driven in part by more timely receipt of and better adherence to antimalarial treatment. (JEL I11, I12, I15, I18, J13, O15)

Suggested Citation

  • Achyuta Adhvaryu & Anant Nyshadham, 2015. "Return to Treatment in the Formal Health Care Sector: Evidence from Tanzania," American Economic Journal: Economic Policy, American Economic Association, vol. 7(3), pages 29-57, August.
    • Handle: RePEc:aea:aejpol:v:7:y:2015:i:3:p:29-57
    Note: DOI: 10.1257/pol.20120262
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    Citations

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    Cited by:

    1. Aggarwal, Shilpa, 2021. "The long road to health: Healthcare utilization impacts of a road pavement policy in rural India," Journal of Development Economics, Elsevier, vol. 151(C).
    2. Wolfgang Stojetz & Tilman Brück, 2023. "Exposure to collective gender-based violence causes intimate partner violence," HiCN Working Papers 389, Households in Conflict Network.
    3. Ahmed, Haseeb & Cowan, Benjamin, 2021. "Mobile money and healthcare use: Evidence from East Africa," World Development, Elsevier, vol. 141(C).
    4. Stephen Kwasi Opoku Duku & Edward Nketiah‐Amponsah & Christine J. Fenenga & Wendy Janssens & Menno Pradhan, 2022. "The effect of community engagement on healthcare utilization and health insurance enrollment in Ghana: Results from a randomized experiment," Health Economics, John Wiley & Sons, Ltd., vol. 31(10), pages 2120-2141, October.
    5. Adhvaryu, Achyuta & Nyshadham, Anant, 2017. "Health, Enterprise, and Labor Complementarity in the Household," Journal of Development Economics, Elsevier, vol. 126(C), pages 91-111.
    6. Haseeb Ahmed & Benjamin W. Cowan, 2019. "Mobile Money and Healthcare Use: Evidence from East Africa," NBER Working Papers 25669, National Bureau of Economic Research, Inc.
    7. Anja Sautmann & Samuel Brown & Mark Dean, 2016. "Subsidies, Information, and the Timing of Childrenís Health Care in Mali," Working Papers 2016-2, Brown University, Department of Economics.
    8. Bancalari, Antonella & Bernal, Pedro & Celhay, Pablo & Martinez, Sebastian & Sánchez, María Deni, 2024. "An Ounce of Prevention for a Pound of Cure: Basic Health Care and Efficiency in Health Systems," IDB Publications (Working Papers) 13433, Inter-American Development Bank.
    9. PatriÌ cia Justino & Wolfgang Stojetz, 2018. "On the Legacies of Wartime Governance," HiCN Working Papers 263, Households in Conflict Network.
    10. Herrera-Almanza, Catalina & Rosales-Rueda, Maria F., 2020. "Reducing the Cost of Remoteness: Community-Based Health Interventions and Fertility Choices," Journal of Health Economics, Elsevier, vol. 73(C).
    11. Miller, Ray, 2017. "Childhood Health and Prenatal Exposure to Seasonal Food Scarcity in Ethiopia," World Development, Elsevier, vol. 99(C), pages 350-376.
    12. Igor Francetic & Günther Fink & Fabrizio Tediosi, 2021. "Impact of social accountability monitoring on health facility performance: Evidence from Tanzania," Health Economics, John Wiley & Sons, Ltd., vol. 30(4), pages 766-785, April.
    13. Godlonton, Susan & Okeke, Edward N., 2016. "Does a ban on informal health providers save lives? Evidence from Malawi," Journal of Development Economics, Elsevier, vol. 118(C), pages 112-132.
    14. Stojetz, Wolfgang & Brück, Tilman, 2023. "Exposure to collective gender-based violence causes intimate partner violence," Journal of Development Economics, Elsevier, vol. 164(C).
    15. Dawoon Jung & Booyuel Kim, 2024. "The effect of health facility births on newborn mortality in Malawi," International Journal of Health Economics and Management, Springer, vol. 24(3), pages 393-406, September.
    16. Syed Hasan & Tasnima Akter & Musharrat Jahan & Ashraf Dewan, 2023. "Proximity to healthcare centres and service use: The case of Community Clinics in Bangladesh," Economics of Transition and Institutional Change, John Wiley & Sons, vol. 31(3), pages 819-849, July.
    17. Okeke, Edward N. & Abubakar, Isa S., 2020. "Healthcare at the beginning of life and child survival: Evidence from a cash transfer experiment in Nigeria," Journal of Development Economics, Elsevier, vol. 143(C).
    18. Herrera-Almanza, Catalina & Rosales-Rueda, Maria F., 2023. "Community-based health programs and child vaccinations: Evidence from Madagascar," World Development, Elsevier, vol. 170(C).
    19. Bancalari, Antonella & Bernal, Pedro & Celhay, Pablo & Martinez, Sebastian & Sánchez, Maria Deni, 2023. "An Ounce of Prevention for a Pound of Cure: Efficiency of Community-Based Healthcare," IZA Discussion Papers 16350, Institute of Labor Economics (IZA).
    20. Banerjee, Rakesh & Maharaj, Riddhi, 2020. "Heat, infant mortality, and adaptation: Evidence from India," Journal of Development Economics, Elsevier, vol. 143(C).

    More about this item

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

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    1. Return to Treatment in the Formal Health Care Sector: Evidence from Tanzania (American Economic Journal: Economic Policy 2015) in ReplicationWiki

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