Does corruption affect health outcomes in the Philippines?

Abstract

We examine the effect of corruption on health outcomes in the Philippines. We find that corruption reduces the immunization rates, delays the vaccination of newborns, discourages the use of public health clinics, reduces satisfaction of households with public health services, and increases waiting time at health clinics. We also find that corruption affects public services in rural areas in different ways than urban areas, and that corruption harms the poor more than the wealthy.

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References

  1. Acemoglu D, Johnson S, Robinson JA (2001) Colonial origins of comparative development: an empirical investigation. Am Econ Rev 91:1369–1401

    Article  Google Scholar 

  2. Azfar O (2004) Corruption and the delivery of health and education services. In: Spector B (ed) Pervasive corruption: strategies for prevention in developing and transitional countries. Kumarian Press

  3. Azfar O, Gurgur T (2000) Decentralization and corruption in the Philippines. Mimeo, IRIS, University of Maryland, College Park

  4. Azfar O, Gurgur T, Meagher P (2004) Political disciplines on local government: evidence from the Philippines. In: Kimenyi MS, Meagher P (eds) Devolution and development, governance prospects in decentralizing states. Ashagate, London

    Google Scholar 

  5. Batalla E (2000) The social cancer: corruption as a way of life. Philippine daily inquirer, August 27

  6. Bidani B, Ravallion M (1997) Decomposing social indicators using distributional data. J Econ 77:125–139

    Google Scholar 

  7. Department of Interior, Philippines, Local Government Code of 1991, Republic Act No. 7160, Department of Interior and Local Government, Manila

  8. Di Tella R, Savedoff W (2001) Diagnosis corruption: fraud in Latin America’s Public Hospitals. IADB Press

  9. Filmer D, Hammer J, Pritchett L (1998) Health policy in poor countries: weak links in the Chain. Policy Research Working Paper 1874, World Bank, Washington DC

  10. Filmer D, Pritchett L (1999) The impact of public spending on health: does money matter?. Soc Sci Med 49(1):1309–1323

    Article  Google Scholar 

  11. Friedman E, Johnson S, Kaufmann D, Zoido-Lobaton P (2000) Dodging the grabbing hand: the determinants of unofficial activity in 69 countries. J Publ Econ 76(3):459–493

    Article  Google Scholar 

  12. Giedon U, Morales LG, Acosta OL (2001) The impact of health reforms on irregularities in Bogota hospitals. In: Di Tella, Savedoff (eds) Diagnosis corruption: fraud in Latin America’s Public Hospitals. IADB Press

  13. Guerrero LL, Rood SA (1999) An Explanatory Study of Graft and Corruption in The Philippines. Soc Sci Informat 27(1):110–141

    Google Scholar 

  14. Gupta S, Verhoeven M, Tiongson E (2002) The effectiveness of government spending on education and healthcare in developing and transition countries. Eur J Polit Econ 18:717–737

    Article  Google Scholar 

  15. Klitgaard R, MacLean-Abaroa R, Parris HL (2000) Corrupt cities: a practical guide to cure and prevention. ICS Press, Boston

    Google Scholar 

  16. Heckman J (1979) Sample selection bias as a specification error. Econometrica 47:153–161

    Article  Google Scholar 

  17. Kim K, Moody PM (1992) More resources, better health? A cross-national perspective. Soc Sci Med 34:837–842

    Article  Google Scholar 

  18. Lewis M (2000) Informal health payments in eastern Europe and central Asia: issues, trends and policy implications. In: Mossiales, Saltman (eds) Funding health care: options in Europe, WHO

  19. Manasan R (1997) Local government financing of social service sectors in a decentralized regime: special focus on provincial governments in 1993 and 1994. Discussion Paper 97-04, Philippine Institute for Development Studies, Manila

  20. Mauro P (1997) Corruption and Growth. Quart J Econ 110(3):681–712

    Google Scholar 

  21. McGuire A, Parkin D, Hughes D, Gerard K (1993) Econometric analysis of national health expenditures: can positive economics help answer normative questions. Health Econ 2:113–126

    Article  Google Scholar 

  22. Miller T (1997) Fiscal federalism in theory and practice: the Philippines case. USAID Economists Working Papers Series No. 4, Washington DC

  23. Olken Ben (2004) Monitoring corruption: evidence from a field experiment in Indonesia (November)

  24. Pritchett L (1996) Mind your P’s and Q’s: the cost of public investment is not the value of public capital. Policy Research Working Paper 1660, World Bank, Washington DC

  25. Rajkumar AS, Swaroop V (2002) Public spending and outcomes: does governance matter? Mimeo. World Bank, Washington DC

    Google Scholar 

  26. Reinikka R, Svensson J (2001) Explaining leakage of public funds. World Bank Policy Research Paper 2709, Washington, DC

  27. Ruzindana A (1998) The importance of leadership in fighting corruption in Uganda. In: Kimberly Ann Elliot (ed) Corruption and the global Economy. Institute for International Economics, Washington DC

  28. World Bank (1994) The Philippines devolution and health services: managing risks and opportunities. Washington DC

  29. World Bank (2000) Combating corruption in the Philippines. Washington DC

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Correspondence to Tugrul Gurgur.

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The research underlying this paper was supported by a grant from the World Bank, financed by the Netherlands Trust Fund.

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Azfar, O., Gurgur, T. Does corruption affect health outcomes in the Philippines?. Econ Gov 9, 197–244 (2008). https://doi.org/10.1007/s10101-006-0031-y

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Keywords

  • Corruption
  • Decentralization
  • Health care
  • Service delivery

JEL Classifications

  • H4
  • I1
  • I2