|
|
|
|
|
| Asfaw, Abay; Frohberg, Klaus; James, K.S.; Jutting, Johannes Paul. |
| Over the last two decades, many countries around the world have been enthusiastically embarking on the path of decentralization. Decentralization has been advocated as a powerful means to improve the provision of health care services and health outcomes in developing countries. However, due to a preconceived idea that decentralization will result in efficient allocation of public resources and lack of an analytical framework to systematically analyze its impact on health outcomes, very little empirical works have been done in this area. Scant attention has also been given to analyze factors enabling or constraining its outcomes. In this paper, we develop a theoretical model and use it to test empirically the impact of fiscal decentralization on rural... |
| Tipo: Working or Discussion Paper |
Palavras-chave: Health Economics and Policy; Political Economy. |
| Ano: 2004 |
URL: http://purl.umn.edu/18731 |
| |
|
|
| Jutting, Johannes Paul; Msuya, John M.; Asfaw, Abay. |
| In 1996 the Tanzanian government initiated community health insurance schemes to improve the access to health care and to protect people against the financial cost of illness in an environment with shrinking budgets for the health sector. This study aims to evaluate the role of the community health funds (CHF) in lowering the barriers to access health care. Three important results emerge from this study: First, the results show that income is amongst the most important factors determining household participation in the schemes. This means that despite exemption mechanisms, the poorest of the poor within the society are not reached as they can not afford to pay regular insurance premiums. Secondly, though we find no significant differences between members... |
| Tipo: Working or Discussion Paper |
Palavras-chave: Health Economics and Policy. |
| Ano: 2004 |
URL: http://purl.umn.edu/18722 |
| |
|
|
| Asfaw, Abay. |
| Very limited empirical analyses are done on evaluating how changes in the retail environment affect diet and health status of consumers, especially in developing countries. The major objective of this study is to shed some light on some of these neglected but crucial issues. The study examines the impact of supermarket purchases on dietary practices (defined as the calorie share of different food groups) of Guatemalan households using the 2000 Guatemalan household survey. I use an instrumental variable method to take into account the potential endogeneity of the supermarket-purchase variable in the calorie share equations. The identification strategy relies on two variables: the wife’s occupation (working or housewife) and the overall socioeconomic... |
| Tipo: Working or Discussion Paper |
Palavras-chave: Supermarket; Diet instrumental variable; Guatemala; Food Consumption/Nutrition/Food Safety. |
| Ano: 2007 |
URL: http://purl.umn.edu/42418 |
| |
|
|
|
