title: Public spending on health care in Africa: do the poor benefit?
abstract: Health care is a basic service essential in any effort to combat poverty, and is often subsidized with public funds to help achieve that aim. This paper examines public spending on curative health care in several African countries and finds that this spending favours mostly the better-off rather than the poor. It concludes that this targeting problem cannot be solved simply by adjusting the subsidy allocations. The constraints that prevent the poor from taking advantage of these services must also be addressed if the public subsidies are to be effective in reaching the poor.
authors.affiliation: World Bank, Latin America and Caribbean Region, Washington DC, USA.
authors.forename: F
authors.initials: F
authors.lastname: Castro-Leal
authors.forename: J
authors.initials: J
authors.lastname: Dayton
authors.forename: L
authors.initials: L
authors.lastname: Demery
authors.forename: K
authors.initials: K
authors.lastname: Mehra
mesh_terms: D000349:Africa; D003695:Delivery of Health Care / Q000191:economics* / Q000458:organization & administration; D005260:Female; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D011203:Poverty; D011634:Public Health / Q000191:economics*; D012935:Social Justice