Click here for search results
Child mortality and public spending on health : how much does money matter?, Volume 1
 
Author:Filmer, Deon; Pritchett, Lant; Collection Title:Policy, Research working paper ; no. WPS 1864
Date Stored:2001/05/14Document Date:1997/12/31
Document Type:Policy Research Working PaperSubTopics:Health Monitoring & Evaluation; Health Systems Development & Reform; Inequality; Health Economics & Finance; Public Health Promotion; Statistical & Mathematical Sciences; Early Child and Children's Health
Language:EnglishMajor Sector:(Historic)Health, Nutrition & Population
Report Number:WPS1864Sub Sectors:Reform and Financing
Volume No:1  

Summary: The authors use cross-national data to examine the impact on child (under 5) and infant mortality of both nonhealth (economic, cultural, and educational) factors and public spending on health. They come up with two striking findings: 1) Roughly 95 percent of cross-national variation in mortality can be explained by a country's per capita income, the distribution of income, the extent of women's education, the level of ethnic fragmentation, and the predominant religion. 2) Public spending on health has relatively little impact, with a coefficient that is numerically small and statistically insignificant at conventional levels. Independent variations in public spending explain less than one-tenth of 1 percent of the observed differences in mortality across countries. The estimates imply that for a developing country at average income levels, actual public spending per child death averted is $50,000 to $100,000. This contrasts markedly with a typical range of estimates for the cost-effectiveness of medical interventions to avert the main causes of child mortality of $10 to $4,000. They outline three possible explanations for this divergence between the actual and apparent potential of public spending: the allocation of public spending, the net impact of additional public supply, and public sector efficacy.

Official Documents
Official, scanned versions of documents (may include signatures, etc.)
File TypeDescriptionFile Size (mb)
PDF 46 pagesOfficial version*3.22 (approx.)
TextText version**
How To Order
Light-Weight Documents
Lighter (less MB) documents which may or may not be the final, official version
File TypeDescriptionFile Size (mb)
PDF 47 pagesWPS18640.14

* The official version is derived from scanning the final, paper copy of the document and is the official,
archived version including all signatures, charts, etc.
** The text version is the OCR text of the final scanned version and is not an accurate representation of the final text.
It is provided solely to benefit users with slow connectivity.



Permanent URL for this page: http://go.worldbank.org/E86TPUM9S0