Leakage of Public Resources in the Health Sector: An Empirical Investigation of Chad

Posted: 31 Dec 2008

Multiple version iconThere are 2 versions of this paper

Date Written: January 2009


In the public sector in developing countries, leakage of public resources could prove detrimental to users and affect the well-being of the population. This paper empirically examines the importance of leakage of government resources in the health sector in Chad, and its effects on the prices of drugs. The analysis uses data collected in Chad as part of a Health Facilities Survey organised by the World Bank in 2004. The survey covered 281 primary health care centres and contained information on the provision of medical material, financial resources and medicines allocated by the Ministry of Health to the regional administration and primary health centres. Although the regional administration is officially allocated 60% of the ministry's non-wage recurrent expenditures, the share of the resources that actually reach the regions is estimated to be only 18%. The health centres, which are the frontline providers and the entry point for the population, receive less than 1% of the ministry's non-wage recurrent expenditures. Accounting for the endogeneity of the level of competition among health centres, the leakage of government resources has a significant and negative impact on the price mark-up that health centres charge patients for drugs. Furthermore, it is estimated that had public resources earmarked for frontline providers reached them in their entirety, the number of patients seeking primary health care in Chad would have more than doubled.

Keywords: H51, K49

Suggested Citation

Gauthier, Bernard and Wane, Waly, Leakage of Public Resources in the Health Sector: An Empirical Investigation of Chad (January 2009). Journal of African Economies, Vol. 18, Issue 1, pp. 52-83, 2009, Available at SSRN: https://ssrn.com/abstract=1318101 or http://dx.doi.org/ejn011

Bernard Gauthier (Contact Author)

HEC Montreal ( email )

3000, Chemin de la Côte-Sainte-Catherine
Montreal, Quebec H3T 2A7
514-340-6809 (Phone)
514-340-6469 (Fax)

HOME PAGE: http://https://www.hec.ca/en/profs/bernard.gauthier.html

Waly Wane

World Bank ( email )

1818 H Street, N.W.
Washington, DC 20433
United States

HOME PAGE: http://econ.worldbank.org/staff/wwane

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