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Managing Healthcare Provision and Health Outcomes Through Local Governance

39 Pages Posted: 16 Jul 2014 Last revised: 7 Aug 2014

Hans P Binswanger-Mkhize

University of PRETORIA

Hari K. Nagarajan

Institute of Rural Management Anand (IRMA)

Anirudh Tagat

Department of Economics, Monk Prayogshala

Date Written: June 1, 2014

Abstract

This paper examines the impact of devolution of responsibilities and finances to local governments in India on the health status and incomes of men and women. Using a national dataset with details on health, health-seeking behaviour and local governance, we estimate a system of simultaneous equations to show that healthcare expenditures at the household level, choice of healthcare provider, and the incidence of illness will jointly impact individual incomes. We find positive impacts of participation in local governance, reserving the position of village head for women, and family inheritance for women on health outcomes, choice of healthcare provider, and expenditure on healthcare.

Keywords: Political agency, Gender, healthcare, health, India

JEL Classification: H41, I18, O15

Suggested Citation

Binswanger-Mkhize, Hans P and Nagarajan, Hari K. and Tagat, Anirudh, Managing Healthcare Provision and Health Outcomes Through Local Governance (June 1, 2014). Available at SSRN: https://ssrn.com/abstract=2466523 or http://dx.doi.org/10.2139/ssrn.2466523

Hans P Binswanger (Contact Author)

University of PRETORIA ( email )

Pretoria 0002
South Africa

Hari K Nagarajan

Institute of Rural Management Anand (IRMA) ( email )

Anand - 388 001
India

HOME PAGE: http://https://www.irma.ac.in/ifaculty/facultydetails.php?fid=428

Anirudh Tagat

Department of Economics, Monk Prayogshala ( email )

Powai
Mumbai, Maharashtra 400072
India

HOME PAGE: http://www.monkprayogshala.in

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