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Which socio-economic groups benefit most from public health expenditure in Senegal? A dynamic benefit incidence analysis

Author

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  • Mouhamed Samba
  • Ibrahima Thiam
  • Elisabeth Paul

Abstract

Despite efforts to enhance public investment in Senegal’s health sector, the equitable distribution of benefits between socioeconomic groups remains largely unexplored. To address this gap, our study examines the progressive (or regressive) nature of public health expenditure. Utilizing data from the latest survey on household living conditions (2018–2019) in conjunction with administrative data on health expenditure from the same period (provided by the Ministry of Health of Senegal), we performed a benefit incidence analysis. This entailed segmenting the population by poverty quintiles and subsequently estimating how each group utilized and benefitted from public health expenditure, according to level of care and geographical location. Additionally, we performed a marginal benefit analysis to discern the impact of an increase in public health expenditure on various socioeconomic groups. Our findings unveil a pro-rich distribution of benefits at both primary healthcare and hospital levels, observable both at national and regional levels. Moreover, disparities in the distribution of resource allocation between Senegal's 14 administrative regions were observed. Ultimately, our results indicate that under prevailing conditions, increasing public health expenditure would not yield a pro-poor distribution of benefits. Therefore, our research underscores the imperative of better targeting populations for greater equity between regions and social groups.

Suggested Citation

  • Mouhamed Samba & Ibrahima Thiam & Elisabeth Paul, 2024. "Which socio-economic groups benefit most from public health expenditure in Senegal? A dynamic benefit incidence analysis," ULB Institutional Repository 2013/378404, ULB -- Universite Libre de Bruxelles.
  • Handle: RePEc:ulb:ulbeco:2013/378404
    Note: SCOPUS: ar.j
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    References listed on IDEAS

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    1. Mr. Ke-young Chu & Mr. Hamid R Davoodi & Mr. Sanjeev Gupta, 2000. "Income Distribution and Tax and Government Social Spending Policies in Developing Countries," IMF Working Papers 2000/062, International Monetary Fund.
    2. Chris Atim & Eric Arthur & Daniel Malik Achala & Jacob Novignon, 2020. "An Assessment of Domestic Financing for Reproductive, Maternal, Neonatal and Child Health in Sub-Saharan Africa: Potential Gains and Fiscal Space," Applied Health Economics and Health Policy, Springer, vol. 18(6), pages 789-799, December.
    3. Reuben Adeolu Alabi & Oshobugie Ojor Admas, 2014. "Who benefits from spending on water and electricity in Nigeria? A benefit incidence analysis," Journal of Developing Areas, Tennessee State University, College of Business, vol. 48(1), pages 177-197, January-M.
    4. Kanayo K. Ogujiuba, 2022. "Which Demographic Quintile Benefits from Public Health Expenditure in Nigeria: A Marginal Benefit Analysis," Economies, MDPI, vol. 10(10), pages 1-17, October.
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    Keywords

    Benefit incidence analysis; Senegal;

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