Public Service Provision, User Fees, and Political Turmoil∗
نویسندگان
چکیده
Following an electoral dispute, the central highlands of the island of Madagascar were subjected to an economic blockade during the first half of 2002. After the blockade ended in June 2002, user fees for health services and school fees were progressively eliminated. This paper examines the provision of schooling and health services to rural areas of Madagascar before, during, and after the blockade. We find that public services were more resilient to the blockade than initially anticipated, but that health services were more affected than schools. The removal of user fees had a large significant effect on public services that is distinct from the end of the blockade and the increase in school book
منابع مشابه
User Fees for Recreation Services on Public Lands: A National Assessment
A-portion of the 1995 National Survey on Recreation and the Environment examined public opinion toward user fees as a means of funding recreation services on public lands, including campgrounds, boat ramps, trails, picnic areas, historic sites, restrooms, parking areas, special exhibi ts SC presentat ions, visi tor centers, and other facil i t ies. Respondents were offered five choices to fund ...
متن کاملFrom institutionalization of user fees to their abolition in West Africa: a story of pilot projects and public policies
This article analyzes the historical background of the institutionalization of user fees and their subsequent abolition in West Africa. Based on a narrative review, we present the context that frames the different articles in this supplement. We first show that a general consensus has emerged internationally against user fees, which were imposed widely in Africa in the 1980s and 1990s; at that ...
متن کاملEfficient Mechanisms for Public Goods with Use Exclusions
Constrained efficient provision of an excludable public good is studied in a model where preferences are private information. The provision level is asymptotically deterministic, making it possible to approximate the optimal mechanism with a mechanism that provides a fixed quantity of the good and charges fixed user fees for access. In general, the fixed fees involve third degree price discrimi...
متن کاملThe financing of the health system in the Islamic Republic of Iran: A National Health Account (NHA) approach
Background: The National Health Accounts keep track of all healthcare related activities from the beginning (i.e. resource provision), to the end (i.e. service provision). This study was conducted to address following questions: How is the Iranian health system funded? Who distribute the funds? For what services are the funds spent on?, What service providers receive the funds? Methods: The...
متن کاملGlobal Health Systems: Pricing and User Fees
This chapter is concerned with the issue of user fees (or user charges) for public health services. We discuss the implications of user fees for cost-e¤ectiveness, allocative e¢ ciency, equity, progressivity of public health care spending, and quality of service. Each of these is a desirable end in itself, and so each is an important factor in the optimal pricing decision. They are not always c...
متن کامل