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Quality versus quantity in health care and educational reforms: combating poverty

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Abstract

Health care and educational reforms, with its emphasis on rewarding quality and cutting costs, could change the landscape of how health care and education is delivered in the developing countries like Pakistan. This study investigate the effects of health indicators (i.e., health expenditure, fertility rate, life expectancy by birth, number of doctors, hospital beds, malnutrition prevalence and mortality rate); education indicators (i.e. primary school enrollment, literacy rate, income inequality); growth factors (i.e. age dependency ratio, GDP, FDI, labor force participation rate, unemployment) on poverty reduction (i.e., headcount ratio) in Pakistan. In order to determine the relationship, this study uses time-series data from 1975 to 2011. Johansen cointegration technique is used to determine long-run relationship while error correction model is used to find short-run dynamics of the model. The results show that there exists a long-run relationship among health, education, economic growth and poverty reduction. In the short-run, there is observed unpredictable change in poverty due to some factors because of inherited inequality factor in the economy. The cumulative impact of all these factors, if financed and monitored accordingly, reduces poverty in Pakistan. In order to reduce poverty, the impact of positive economic trends has to be diversified in poverty hit areas of the state.

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References

  • AERC: Health, economic growth and poverty reduction in sub-Saharan Africa. http://www.aercafrica.org/news/spsxiv.asp (2012). Accessed 17 June 2012

  • Afzal, M., Malik, M.E., Begum, I., Sarwar, K., Fatima, H.: Relationship among education, poverty and economic growth in Pakistan: an econometric analysis. J. Elementary Education 22(1), 23–45 (2010)

    Google Scholar 

  • Ahluwalia, M.S.: Inequality, poverty and development. J. Dev. Econ. 3(4), 307–342 (1976)

    Article  Google Scholar 

  • Ahmad, H.S., Berma, M., Bakar, N.A.: On the causal links between poverty and HIV in Nigeria, 1990–2009: an application of Granger causality and co-integration techniques. Geografia Malays. J. Soc. Space 8(1), 50–50 (2012)

    Google Scholar 

  • Ahmed, V., Wahab, M.A.: Foreign assistance and economic growth: evidence from Pakistan 1972–2010. MPRA Paper No. 30344. http://mpra.ub.uni-muenchen.de/30344/ (2011). Accessed 17 Oct 2012

  • Akhtar, M, N.: Long run relationship between poverty and macro-economic variables in Pakistan. http://works.bepress.com/muhammad_akhtar/6 (2012). Accessed 17 Oct 2012

  • Akram, N., Padda, I, H., Khan, M.: The long term impact of health on economic growth in Pakistan, Working Paper series 14. http://www.pide.org.pk/psde24/pdf/06.pdf (2009). Accessed 18 Oct 2012

  • Arif, G. M., Farooq, S., Nazir, S., Satti, M. N.: Child malnutrition and poverty: the case study of Pakistan (No. 2012: 03). Pakistan Institute of Development Economics, Working Paper series 03, Islamabad, Pakistan (2012)

  • Arimah, B.: Poverty reduction and human development in Africa. J. Hum. Dev. 5(3), 399–415 (2004)

    Article  Google Scholar 

  • Asghar, N., Hussain, Z., Rehman, H.U.: The impact of government spending on poverty reduction: evidence from Pakistan 1972 to 2008. Afr. J. Bus. Manag. 6(3), 845–853 (2012)

    Google Scholar 

  • Asian Development Bank: Mongolia: health and Social Protection. Manila, Philippine. Online available at: http://www.oecd.org/countries/mongolia/42227662.pdf (2008). Accessed 17 Aug 2013

  • Awan, M.S., Malik, N., Sarwar, H., Waqas, M.: Impact of education on poverty reduction. Int. J. Acad. Res. 3(1), 659–664 (2011)

    Google Scholar 

  • Ayashagba, G.I., Abachi, P.I.: The impact of Foreign Direct Investment (FDI) on economic growth of the less developed countries (LDCs): a case of Nigeria (1980–1997). J. Econ. Soc. Res. 1, 108–125 (2002)

    Google Scholar 

  • Babatunde, A.: Climate change and poverty in Nigeria. Reg. Dev. Dialogue 32(1), 54–81 (2011)

  • Bigsten, A., Levin, J.: Growth, income distribution, and poverty: a review. Working Paper in Economics No 32; Göteborg University. https://gupea.ub.gu.se/bitstream/2077/2853/1/gunwpe0032.pdf (2000). Accessed 17 Oct 2012

  • Bloom, D, E., Canning, D., Sevilla, J.: The effect of health on economic growth: theory and evidence: Journal; National Bureau of Economic Research Working Paper 8587. http://www.nber.org/papers/w8587 (2001). Accessed 17 Oct 2012

  • Bourguignon, F.: The pace of economic growth and poverty reduction. The World Bank and Delta (unpublished), Paris (2000)

  • Castilho, M., Menéndez, M., Sztulman, A.: Trade liberalization, inequality, and poverty in Brazilian states. World Dev. 40(4), 821–835 (2011)

    Article  Google Scholar 

  • Cheema, A.R.: Poverty, income inequality, and growth in Pakistan: a pooled regression analysis. Lahore J. Econ. 17(2), 137–157 (2012)

    Google Scholar 

  • Dickey, D.A., Fuller, W.A.: Distribution of the estimator for autoregressive time series with a unit root. J. Am. Stat. Assoc. 74, 427–431 (1979)

    Google Scholar 

  • Dickey, D.A., Fuller, W.A.: Distribution of the estimators for autoregressive time series with a unit root. Econometrica 49, 1057–1072 (1981)

    Google Scholar 

  • Economic Survey of Pakistan: Chapter “Education”. http://www.finance.gov.pk/survey/chapter_11/10-Education.pdf (2010–2011). Accessed 27 Oct 2012

  • Economic Survey of Pakistan: Chapter “Poverty”. http://www.finance.gov.pk/survey/chapter_11/13-Poverty.pdf (2010–2011). Accessed 18 March 2013

  • Economic Survey of Pakistan: Pakistan economic survey, 2012–13, planning commission wing, Islamabad, Pakistan (2012–2013)

  • Enders, W.: Applied Econometric Time Series, 3rd edn, pp. 385–389. University of Alabama, Tuscaloosa (2010)

    Google Scholar 

  • Engle, R.F., Granger, C.W.J.: Cointegration and error correction: representation, estimation and testing. Econometrica 55, 251–276 (1987)

    Google Scholar 

  • Europa: Health: health and poverty reduction. http://europa.eu/legislation_summaries/development/sectoral_development_policies/r12516_en.htm (2002). Accessed 27 Oct 2012

  • FAO: The state of food insecurity in the world: eradicating world hunger key to achieving the millennium development goals. Food and Agricultural Organization (FAO), Rome, Italy (2005)

  • Flanagan, J.: Government spending and the equality of growth and poverty reduction in Kazakhstan. http://aladinrc.wrlc.org/bitstream/handle/1961/10536/Flanagan%20Julianna-%20Fall%2011.pdf?sequence=1 (2012). Accessed 27 Oct 2012

  • Granger, C.W.J.: Some properties of time series data and their use in econometric model specification. J. Econom. 16, 121–130 (1981)

    Google Scholar 

  • Gelaw, F.: The relationship between poverty, inequality, and growth in the rural Ethiopia: micro evidence; International Association of Agricultural Economists Conference, Beijing, Chinal, August 16–22, 2009. http://ageconsearch.umn.edu/bitstream/51915/2/648%20Fekadu%20G%20-%203.pdf (2009). Accessed 27 Dec 2012

  • Gillani, S.Y.M., Rehman, H., Gill, A.R.: Unemployment, poverty, inflation and crime nexus: cointegration and causality analysis of Pakistan. Pak. Econ. Soc. Rev. 47(1), 79–98 (2009)

    Google Scholar 

  • Gohou, G., Soumaré, I.: Does foreign direct investment reduce poverty in Africa and are there regional differences? World Dev. 40(1), 75–95 (2011)

    Article  Google Scholar 

  • Gounder, R., Xing, Z.: Impact of education and health on poverty reduction: monetary and non-monetary evidence from Fiji. Econ. Model. 29(3), 787–794 (2012)

    Article  Google Scholar 

  • Gul, A., Zaman, K., Khan, M., Ahmad, M.: Measuring unemployment costs on socio economic life of urban Pakistan. J. Am. Sci. 8(5), 703–714 (2012)

    Google Scholar 

  • Gupta, I., Mitra, A.: Economic growth, health and poverty: an exploratory study for India. Dev. Policy Rev. 22(2), 193–206 (2004)

    Article  Google Scholar 

  • Herman, E., Georgescu, M.A.: Employment strategy for poverty reduction. A Romanian perspective. Procedia Soc. Behav. Sci. 58(2012), 406–415 (2012)

    Article  Google Scholar 

  • Ho, S.Y., Odhiambo, N.M.: Finance and poverty reduction in China: an empirical investigation. Int. Bus. Econ. Res. J. (IBER) 10(8), 103–114 (2011)

    Google Scholar 

  • Hoang, T.T., Wiboonchutikula, P., Tubtimtong, B.: Does foreign direct investment promote economic growth in Vietnam? ASEAN Econ. Bull. 27(3), 295–311 (2010)

    Article  Google Scholar 

  • Hussain, I.: Economic development and poverty alleviation in OIC Countries. http://www.google.com.pk/url?sa=t&rct=j&q=health%20economic%20growth%20and%20poverty%20reduction&source=web&cd=2&cad=rja&sqi=2&ved=0CDIQFjAB&url=http%3A%2F%2Fishrathusain.iba.edu.pk%2Fspeeches%2FOct2007%2FEconomic_Development_and_Poverty_Alleviation_in_OIC (2007). Accessed 7 June 2013

  • IPRSP: Prepared by policy wing, finance division poverty reduction cell, planning commission; Government of Pakistan. http://www.finance.gov.pk/poverty/iprsp_2.pdf (2011). Accessed 27June 2013

  • Johansen, S., Juselius, K.: Maximum likelihood estimation and inference on cointegration – with application to the demand for money. Oxford Bull. Econ. Stat. 52, 170–209 (1990)

    Google Scholar 

  • Johansen, S.: Statistical analysis of cointegrating vectors. J. Econ. Dyn. Control 12, 231–254 (1988)

    Google Scholar 

  • Khan, A.F.: Poverty in Pakistan: causes and cures. Daily Times News, Pakistan. http://www.dailytimes.com.pk/default.asp?page=2008/07/15/story_15-7-2008_pg5_23 (2008). Accessed 17 June 2013

  • Khan, A.H.: Growth, employment and poverty reduction. http://nbs.nust.edu.pk/research (2009). Accessed 17 June 2013

  • Koyuncu, C., Yilmaz, R.: Impact of private forest ownership on deforestation and poverty. Qual. Quant. 47, 1657–1664 (2013)

    Article  Google Scholar 

  • Loayza, N.V., Raddatz, C.: The composition of growth matters for poverty alleviation. J. Dev. Econ. 93(1), 137–151 (2010)

    Article  Google Scholar 

  • Lopez-Casasnovas, G., Costa-Font, J., Planas, I.: Diversity and regional inequalities in the Spanish System of health care services. Health Econ. 14, S221–S235 (2005)

  • Macur, M.: Quality in health care: possibilities and limitations of quantitative research instruments among health care users. Qual. Quant. 47, 1703–1716 (2013)

    Article  Google Scholar 

  • Mahmood, H., Chaudhary, A.R.: A contribution of foreign direct investment in poverty reduction in Pakistan. Middle East J. Sci. Res. 18(4), 23–34 (2012)

    Google Scholar 

  • Malik, G.: An examination of the relationship between health and economic growth.Published by Indian Council for Research on International Economic Relations (ICRIER). Working Paper No. 185 (2009)

  • Martin, G., Grant, A., D’Agostino, M.: Global health funding and economic development. Glob. Health 8(1), 8–15 (2012)

    Article  Google Scholar 

  • Mehmood, R., Sadiq, S.: The relationship between government expenditure and poverty: a cointegration analysis. Romanian J. Fiscal Policy 1(1), 35–41 (2010)

    Google Scholar 

  • Montalvo, J.G., Ravallion, M.: The pattern of growth and poverty reduction in China. J. Comp. Econ. 38(1), 2–16 (2010)

    Article  Google Scholar 

  • Moser, C., Norton, A., Conway, T., Ferguson, C., Vizard, P.: To claim our rights: livelihood security, human rights and sustainable development. ODI, London. http://www.odi.org.uk/publications/tcor.htm (2001). Accessed 17 Aug 2013

  • Nasir, J.: The economic choices of the poor. Source; The News (newspaper). http://www.thenews.com.pk/Todays-News-9-126015 (2012). Accessed 7 July 2013

  • OECD: Making poverty reduction work: OECD’s role in development partnership. Organization for Economic Co-operation and Development, Paris, France (2005)

  • Okpe, I.J., Abu, G.A.: Foreign private investment and poverty reduction in Nigeria (1975 to 2003). J. Soc. Sci. 19(3), 205–211 (2009)

    Google Scholar 

  • Pridemore, W.A.: Poverty matters: a reassessment of the inequality-homicide relationship in cross-national studies. Br. J. Criminol. 51(5), 739–772 (2011)

    Article  Google Scholar 

  • Ravallion, M.: Why don’t we see poverty convergence? Am. Econ. Rev. http://works.bepress.com/martin_ravallion/19 (2012). Accessed 7 July 2013

  • Sabir, H.M., Tahir, S.H.: The impact of different macroeconomic variables on poverty in Pakistan. Interdiscip. J. Contemp. Res. Bus. 3(10), 15–21 (2012)

    Google Scholar 

  • Sennoga, E.B., Matovu, J.M.: Public spending composition in Uganda and its implications for growth and poverty reduction. Public Finance Rev. 41(2), 227–247 (2012)

    Article  Google Scholar 

  • Shaikh, F.M.: Impact of foreign direct investment on poverty alleviation in Pakistan by using CGE model. Department of Agricultural Economics Z.A.Bhutto Agricultural College-Dokri, Larkana Sindh Pakistan (2007)

  • Silva, G.R.P.: The study on exploring the relationship between education level and poverty in rural sector in Puttalam District. http://archive.cmb.ac.lk/research/bitstream/70130/1625/1/BEF_26_32.pdf (2011). Accessed 17 June 2013

  • Sims, M., Sims, T.L., Bruce, M.A.: Urban poverty and infant mortality rate disparities. J. Nat. Med. Assoc. 99(4), 349–256 (2007)

    Google Scholar 

  • Suryahadi, A., Hadiwidjaja, G., Sumarto, S.: Economic growth and poverty reduction in Indonesia before and after the asian financial crisis. Bull. Indonesian Econ. Stud. 48(2), 209–227 (2012)

    Article  Google Scholar 

  • Szucs, R.A.: Quality vs. quantity in health care reform. Richmond Times-Dispatch, Richmond. http://www.timesdispatch.com/news/quality-vs-quantity-in-health-care-reform/article_307d3e36-27c3-504e-97ad-191a21ba8337.html (2011). Accessed 11 Nov 2013

  • Szwarcwald, C.L., Andrade, C.L.T.D., Bastos, F.I.: Income inequality, residential poverty clustering and infant mortality: a study in Rio de Janeiro, Brazil. Soc. Sci. Med. 55(12), 2083–2092 (2006)

    Article  Google Scholar 

  • UNDP: UNDP Human Development Report 2007/2008. Washington, DC, USA. Online available at: http://www.wsscc.org/sites/default/files/publications/undp_human_development_report_20072008_2007.pdf (2008). Accessed on 14 May 2013

  • UNDP: A preliminary study of the impact of HIV on poverty and food security among HIV-affected households in Asia: hunger briefing paper series. Online available at: http://regionalcentrebangkok.undp.or.th/practices/hivaids/ (2009). Accessed 16 Aug 2013

  • University of Birmingham: Migration, human capital and labour productivity: The international maritime labour market in Europe, c. 1650-1815, UK. Online available at: http://www.birmingham.ac.uk/schools/historycultures/departments/history/research/projects/migration.aspx (2013). Accessed 1 Sept 2013

  • Vick, B., Jones, K., Mitra, S.: Poverty and severe psychiatric disorder in the US: evidence from the medical expenditure panel survey. J. Ment. Health Policy Econ. 15(2), 83–89 (2012)

    Google Scholar 

  • WHO: Health, economic growth, and poverty reduction. http://whqlibdoc.who.int/publications/9241590092.pdf (2002). Accessed 16 March 2013

  • World Bank: Summary of improving effectiveness and outcomes for the poor in health, nutrition and population (1997–2007). World Bank, Washington, DC (2007)

  • World Bank: Bangladesh: Bolstering Economic Growth to Reduce Poverty. http://go.worldbank.org/ABPLPK3LB0 (2010). Accessed 16 March 2013

  • World Bank: Education in the Republic of South Sudan. The World Bank, Washington, DC (2012)

  • Yousaf, M.M., Hussain, Z., Ahmad, N.: Economic evaluation of foreign direct investment in Pakistan. Pakistan Econ. Soc. Rev. 46(1), 37–56 (2008)

    Google Scholar 

  • Zaman, K., Khan, M.M., Ahmed, M.: The relationship between foreign direct investment and pro-poor growth policies in Pakistan: the new interface. Econ. Model. 29(4), 1220–1227 (2012)

    Article  Google Scholar 

  • Zaman, K., Khilji, B.A.: The relationship between growth and poverty in forecasting framework: Pakistan’s future in the year 2035. Econ. Model. 30, 468–491 (2013)

    Article  Google Scholar 

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Nazeem ud din, Zaman, K., Ashraf, S. et al. Quality versus quantity in health care and educational reforms: combating poverty. Qual Quant 49, 267–293 (2015). https://doi.org/10.1007/s11135-013-9986-2

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