Service Delivery in Fragile States: The Case of Health Sector in Zimbabwe

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Date
2022
Authors
Atieno, Rosemary
Moyo, Theresa
Nyang'oro, Owen
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Abstract
This study examines the effect of fragility on health service delivery in Zimbabwe, during a period when the country displayed characteristics that mirror the definitions of a fragile state. Using the Zimbabwe Demographic and Health Survey (DHS) 2015 complemented with data from Afrobarometer survey round 6 of 2014 Measures of fragility are found not to be statistically significant, whether measured by trust in institutions or economic conditions, but have the expected sign. We observe that this result could mainly be attributed to the fact that while macroeconomic and political instability negatively affected government’s contribution to the health sector, it did not affect health infrastructure and the contribution by other stakeholders to the health sector.
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