IDEAS home Printed from https://ideas.repec.org/p/npf/wpaper/12-111.html
   My bibliography  Save this paper

Public Expenditure Benefit Incidence on Health: Selective Evidence from India

Author

Listed:
  • Chakraborty, Lekha

    (National Institute of Public Finance and Policy)

  • Singh, Yadawendra
  • Jacob, Jannet Farida

Abstract

Effectiveness of public spending still remains relatively an elusive empirical issue. This preliminary analysis is an attempt on the topic, using benefit incidence methodology, at the subnational government level in health sector of India. The results revealed public health system is `seemingly' more equitable in a few States, while a regressivity in pattern of utilization of public health care services is observed in other States. Both these evidences were to be considered with caution, as the underdeveloped market for private inpatient care in some states might be the factor for disproportionate crowding-in of inpatients, which made the public health care system looked `seemingly' more equitable. However, the `voting with feet' to better private services seems evident only for the affordable higher income quintiles. Results also suggest that polarization is distinctly evident in the public provisioning of heath care services, more related to the in-patient services than the ambulatory services.

Suggested Citation

  • Chakraborty, Lekha & Singh, Yadawendra & Jacob, Jannet Farida, 2012. "Public Expenditure Benefit Incidence on Health: Selective Evidence from India," Working Papers 12/111, National Institute of Public Finance and Policy.
  • Handle: RePEc:npf:wpaper:12/111
    Note: Working Paper 111, 2012
    as

    Download full text from publisher

    File URL: http://www.nipfp.org.in/newweb/sites/default/files/wp_2012_111.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Grosh, Margaret E., 1992. "The Jamaican food stamps programme : A case study in targeting," Food Policy, Elsevier, vol. 17(1), pages 23-40, February.
    2. David Coady & Margaret Grosh & John Hoddinott, 2004. "Targeting of Transfers in Developing Countries : Review of Lessons and Experience," World Bank Publications - Books, The World Bank Group, number 14902.
    3. Rosario G. Manasan & Janet S. Cuenca & Eden C. Villanueva, 2007. "Benefit Incidence of Public Spending on Education in the Philippines," Governance Working Papers 21930, East Asian Bureau of Economic Research.
    4. Giovanni Andrea Cornia & Frances Stewart, 1993. "Two errors of targeting," Journal of International Development, John Wiley & Sons, Ltd., vol. 5(5), pages 459-496, September.
      • Giovanni Andrea Cornia & Frances Stewart, 1993. "Two Errors of Targeting," Papers iopeps93/54, Innocenti Occasional Papers, Economic Policy Series.
    5. Lanjouw, Peter & Ravallion, Martin, 1995. "Poverty and Household Size," Economic Journal, Royal Economic Society, vol. 105(433), pages 1415-1434, November.
    6. van de Walle, Dominique, 1995. "Public spending and the poor : what we know, what we need to know," Policy Research Working Paper Series 1476, The World Bank.
    7. Mr. Erwin H Tiongson & Mr. Hamid R Davoodi & Sawitree S. Asawanuchit, 2003. "How Useful Are Benefit Incidence Analyses of Public Education and Health Spending," IMF Working Papers 2003/227, International Monetary Fund.
    8. Lanjouw, Peter & Ravallion, Martin, 1998. "Benefit incidence and the timing of program capture," Policy Research Working Paper Series 1956, The World Bank.
    9. Younger, Stephen D, et al, 1999. "Tax Incidence in Madagascar: An Analysis Using Household Data," The World Bank Economic Review, World Bank, vol. 13(2), pages 303-331, May.
    10. David E. Sahn & Stephen D. Younger, 2000. "Expenditure incidence in Africa: microeconomic evidence," Fiscal Studies, Institute for Fiscal Studies, vol. 21(3), pages 329-347, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Micheal Kofi Boachie & K. Ramu, 2018. "Distribution of the benefits from public health expenditures in Ghana," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(1), pages 415-430, January.
    2. Uzochukwu Amakom, 2016. "Nigeria’s Government Spending on Basic Education and Healthcare in the Last Decade: What has Changed After Reforms?," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 127(3), pages 1085-1102, July.
    3. S.N. Yashin & N.I. Yashina & E.V. Poyushcheva & E.S. Malysheva & N.N. Pronchatova-Rubtsova & O.I. Kashina, 2018. "Evaluating the Effectiveness of Public Health Financing Based on Financial and Non-Financial Indicators in Terms of the Knowledge Economy," European Research Studies Journal, European Research Studies Journal, vol. 0(Special 2), pages 112-123.
    4. Bhadra, Kaushik K., 2015. "Inequality Effects of Fiscal Policy: Analysing the Benefit Incidence on Health Sector in India," Working Papers 15/158, National Institute of Public Finance and Policy.
    5. Hakhu, Antra Bhatt, 2015. "Productive Public Expenditure and Debt Dynamics: An Error Correction Representation using Indian Data," Working Papers 15/149, National Institute of Public Finance and Policy.
    6. Lekha Chakraborty, 2016. "Asia: A Survey of Gender Budgeting Efforts," IMF Working Papers 2016/150, International Monetary Fund.
    7. Runu Bhatka, 2016. "Educational Attainment of Young Adults in India: Measures, Trends and Determinants," Working Papers id:8435, eSocialSciences.
    8. Kausik K. Bhadra, 2016. "Inequality Effects of Fiscal Policy: Analysing the Benefit Incidence on Health Sector in India," Working Papers id:8433, eSocialSciences.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Stoeffler, Quentin & Mills, Bradford & del Ninno, Carlo, 2016. "Reaching the Poor: Cash Transfer Program Targeting in Cameroon," World Development, Elsevier, vol. 83(C), pages 244-263.
    2. Cuenca, Janet S., 2008. "Benefit Incidence Analysis of Public Spending on Education in the Philippines: A Methodological Note," Discussion Papers DP 2008-09, Philippine Institute for Development Studies.
    3. Mohammad Rezaul Karim, 2021. "Distributional effects of public healthcare and education expenditure: A case of Thailand," Journal of Community Positive Practices, Catalactica NGO, issue 2, pages 15-30.
    4. Uzochukwu Amakom, 2016. "Nigeria’s Government Spending on Basic Education and Healthcare in the Last Decade: What has Changed After Reforms?," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 127(3), pages 1085-1102, July.
    5. Tabi Atemnkeng Johannes & Tafah Akwi & Peter Etoh Anzah, 2006. "The Distributive Impact of Fiscal Policy in Cameroon: Tax and Benefit Incidence," Working Papers PMMA 2006-16, PEP-PMMA.
    6. Francken, Nathalie & Minten, Bart & Swinnen, Johan F.M., 2012. "The Political Economy of Relief Aid Allocation: Evidence from Madagascar," World Development, Elsevier, vol. 40(3), pages 486-500.
    7. Jorge Martinez-Vazquez, 2001. "The Impact of Budgets on the Poor: Tax and Benefit," International Center for Public Policy Working Paper Series, at AYSPS, GSU paper0110, International Center for Public Policy, Andrew Young School of Policy Studies, Georgia State University.
    8. Yamauchi, Futoshi & Larson, Donald F., 2019. "Long-term impacts of an unanticipated spike in food prices on child growth in Indonesia," World Development, Elsevier, vol. 113(C), pages 330-343.
    9. González-Flores, Mario & Heracleous, Maria & Winters, Paul, 2012. "Leaving the Safety Net: An Analysis of Dropouts in an Urban Conditional Cash Transfer Program," World Development, Elsevier, vol. 40(12), pages 2505-2521.
    10. van de Walle, Dominique, 1998. "Assessing the welfare impacts of public spending," World Development, Elsevier, vol. 26(3), pages 365-379, March.
    11. Ravallion, Martin, 2003. "Targeted transfers in poor countries : revisiting the tradeoffs and policy options," Policy Research Working Paper Series 3048, The World Bank.
    12. T. M. Maleva & E. E. Grishina & E. A. Tsatsura, 2017. "Regional social assistance systems: Why and how targeting policy is introduced," Regional Research of Russia, Springer, vol. 7(4), pages 363-371, October.
    13. Muhammad Akram & Faheem Jehangir Khan, 2007. "Public Provision of Education and Government Spending in Pakistan," Governance Working Papers 22183, East Asian Bureau of Economic Research.
    14. Rosario G. Manasan & Janet S. Cuenca & Eden C. Villanueva, 2007. "Benefit Incidence of Public Spending on Education in the Philippines," Governance Working Papers 21930, East Asian Bureau of Economic Research.
    15. Tieguhong, Julius Chupezi & Grouwels, Sophie & Ndoye, Ousseynou & Mala, Armand William & Fokou Sakam, Ignace & Useni, Marcel & Betti, Jean Lagarde, 2012. "Financial status of small and medium scale enterprises based on non-wood forest products (NWFP) in Central Africa," Forest Policy and Economics, Elsevier, vol. 20(C), pages 112-119.
    16. repec:phd:pjdevt:pjd_2007_vol__xxxiv_no__1-a is not listed on IDEAS
    17. Olomola, Aderbigbe & Mogues, Tewodaj & Olofinbiyi, Tolulope & Nwoko, Chinedum & Udoh, Edet & Alabi, Reuben Adeolu & Onu, Justice & Woldeyohannes, Sileshi, 2014. "Analysis of agricultural public expenditures in Nigeria: Examination at the federal, state, and local government levels:," IFPRI discussion papers 1395, International Food Policy Research Institute (IFPRI).
    18. Asri, Viola, 2019. "Targeting of social transfers: Are India’s poor older people left behind?," World Development, Elsevier, vol. 115(C), pages 46-63.
    19. Kausik K. Bhadra, 2016. "Inequality Effects of Fiscal Policy: Analysing the Benefit Incidence on Health Sector in India," Working Papers id:8433, eSocialSciences.
    20. Iris Claus & Jorge Martinez-Vazquez & VIoleta Vulovic, 2012. "Government Fiscal Policies and Redistribution in Asian Countries," International Center for Public Policy Working Paper Series, at AYSPS, GSU paper1213, International Center for Public Policy, Andrew Young School of Policy Studies, Georgia State University.
    21. Edward Anderson & Maria Ana Jalles D'Orey & Maren Duvendack & Lucio Esposito, 2017. "Does Government Spending Affect Income Inequality? A Meta-Regression Analysis," Journal of Economic Surveys, Wiley Blackwell, vol. 31(4), pages 961-987, September.

    More about this item

    Keywords

    Effectiveness of public spending ; Benefit incidence;

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:npf:wpaper:12/111. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: S.Siva Chidambaram (email available below). General contact details of provider: http://www.nipfp.org.in .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.