Distribution Impact of Public Spending in Cameroon: The Case of Health Care
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Date
2008-05-07
Authors
Bernadette Dia Kamgnia
Journal Title
Journal ISSN
Volume Title
Publisher
AERC
Abstract
The study assessed Cameroonians’ participation in public health care services in order to
grasp the distributional effects of those services. Three specific objectives are specified:
determine the extent to which public spending on health care may constitute a targeted
means for poverty reduction; identify the determinants of participation in health care
services in general and in public services in particular; and propose alternative health
care policies compatible with the government’s concern for poverty alleviation. In a
benefit incidence analysis, it is shown that the benefits acquired from using publicly
funded health care services are globally progressive. Integrated health care centres are
chosen because of their nearness. Households appreciate the quality of services provided
at the peripheral health care centres. Private health care is chosen because of the quality
of the service, and people go to traditional healers or resort to self-medication because of
the low cost. The majority of the considered factors – cost, nearness, revenue, education,
age, gender and illness – had the expected sign and significantly affect the choice of
health care providers. But for educated individuals who are employed in the formal
sector, nearness and cost are the key variables in the design of health care policies.
Description
RA 352 .C17 K36 2008
Keywords
Public health - Cameroon - Finance , Finance, Public - Cameroon- Mathematical models , Finance Public - Mathematical Models , health care providers , distributional impact, , benefit incidence analysis