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The political economy of health epidemics: Evidence from the Ebola outbreak

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  • Maffioli, Elisa M.

Abstract

This paper investigates whether political incentives affect the government's response during a health epidemic and the subsequent effects on citizens' voting behavior. Leveraging novel data, I study this question in the context of the 2014 Ebola outbreak in Liberia. The national incumbent government appropriately prioritized the allocation of resources to villages affected by the epidemic. By building a spatiotemporal epidemiological model that estimates the ex-ante optimal allocation of relief efforts, there is also evidence that resources were misallocated toward electoral swing villages. Instead, no resources were diverted toward core supporters or co-ethnic villages. Voters, in turn, reacted by rewarding the national incumbent party in areas where additional resources were misallocated.

Suggested Citation

  • Maffioli, Elisa M., 2021. "The political economy of health epidemics: Evidence from the Ebola outbreak," Journal of Development Economics, Elsevier, vol. 151(C).
  • Handle: RePEc:eee:deveco:v:151:y:2021:i:c:s0304387821000304
    DOI: 10.1016/j.jdeveco.2021.102651
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    2. Archibong, Belinda & Annan, Francis & Ekhator-Mobayode, Uche, 2023. "The epidemic effect: Epidemics, institutions and human capital development," Journal of Economic Behavior & Organization, Elsevier, vol. 211(C), pages 549-566.
    3. Emilio Depetris-Chauvin & Felipe González, 2023. "The Political Consequences of Vaccines: Quasi-experimental Evidence from Eligibility Rules," Documentos de Trabajo 572, Instituto de Economia. Pontificia Universidad Católica de Chile..
    4. Gonzalez, Robert & Maffioli, Elisa M., 2024. "Is the phone mightier than the virus? Cellphone access and epidemic containment efforts," Journal of Development Economics, Elsevier, vol. 167(C).
    5. Bessho, S., 2023. "Elections and COVID-19 benefit payments," Journal of Asian Economics, Elsevier, vol. 87(C).
    6. Francis Annan & Belinda Archibong & Uche Ekhator-Mobayode, 2023. "The Epidemic Effect: Epidemics, Institutions and Human Capital Development," Opportunity and Inclusive Growth Institute Working Papers 076, Federal Reserve Bank of Minneapolis.
    7. Flückiger, Matthias & Ludwig, Markus, 2023. "Mobile phone coverage and infant mortality in sub-Saharan Africa," Journal of Economic Behavior & Organization, Elsevier, vol. 211(C), pages 462-485.
    8. Widmer, Philine & Zurlinden, Noémie, 2022. "Ministers Engage in Favoritism Too," Journal of Public Economics, Elsevier, vol. 213(C).
    9. , 2023. "The Political Consequences of Vaccines: Quasi-experimental Evidence from Eligibility Rules," Working Papers 953, Queen Mary University of London, School of Economics and Finance.

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