Working for God? Evaluating Service Delivery of Religious Not-for-Profit Health Care Providers in Uganda

Reinikka and Svensson exploit a unique micro-level data set on primary health care facilities in Uganda to address the question: What motivates religious not-for-profit (RNP) health care providers? The authors use two approaches to identify whether...

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Main Authors: Reinikka, Ritva, Svensson, Jakob
Format: Policy Research Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2014
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2003/05/2384817/working-god-evaluating-service-delivery-religious-not-for-profit-health-care-providers-uganda
http://hdl.handle.net/10986/18183
id okr-10986-18183
recordtype oai_dc
spelling okr-10986-181832021-04-23T14:03:41Z Working for God? Evaluating Service Delivery of Religious Not-for-Profit Health Care Providers in Uganda Reinikka, Ritva Svensson, Jakob PRIMARY HEALTH CARE HEALTH CARE RESOURCES MEDICAL EQUIPMENT MALARIA SOCIAL SERVICES EDUCATION SECTOR RELIGIOUS ORGANIZATIONS CHARITIES POOR NEIGHBORHOODS FINANCIAL ASSISTANCE BEDS CERTIFICATION CITIES CLINICS COMMUNITIES DEATHS DISPENSARIES DISTRICTS DOCTORS EQUILIBRIUM FIXED ASSETS HEALTH CARE HEALTH CARE PROVIDERS HEALTH CARE PROVISION HEALTH CARE SECTOR HEALTH CENTERS HEALTH FACILITIES HEALTH INDICATORS HEALTH NEEDS HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICES HIGH FERTILITY HOSPITAL PATIENTS HOSPITALS IMMUNIZATION INCOME INFANT MORTALITY INFANT MORTALITY RATE INPATIENT CARE MALARIA MARGINAL COST MEDICAL PERSONNEL MORTALITY NONGOVERNMENTAL ORGANIZATIONS NURSING OUTPATIENT CARE PARENTS PATIENTS PHARMACIES PHYSICIANS POLICY RESEARCH PRIMARY HEALTH CARE PUBLIC HEALTH PUBLIC SECTOR SCHOOLS SERVICE DELIVERY SOCIAL RESEARCH SOCIAL SERVICES URBAN AREAS WORKERS FINANCIAL ASSISTANCE BEDS Reinikka and Svensson exploit a unique micro-level data set on primary health care facilities in Uganda to address the question: What motivates religious not-for-profit (RNP) health care providers? The authors use two approaches to identify whether an altruistic (religious) effect exists in the data. First, examining cross-section variation, they show that RNP facilities hire qualified medical staff below the market wage, are more likely to provide propoor services and services with a public good element, and charge lower prices for services than for-profit facilities, although they provide a similar (observable) quality of care. RNP and for-profit facilities both provide better quality care than their government counterparts, although government facilities have better equipment. These findings are consistent with the view that RNP facilities are driven in part by altruistic concerns and that these preferences matter quantitatively. Second, the authors exploit a near natural experiment in which the government initiated a program of financial aid for the RNP sector. They show that financial aid leads to more laboratory testing of suspected malaria and intestinal worm cases, and hence higher quality of service and lower prices, but only in RNP facilities. The findings suggest that working for God matters. 2014-05-05T20:59:39Z 2014-05-05T20:59:39Z 2003-05 http://documents.worldbank.org/curated/en/2003/05/2384817/working-god-evaluating-service-delivery-religious-not-for-profit-health-care-providers-uganda http://hdl.handle.net/10986/18183 English en_US Policy Research Working Paper;No. 3058 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research Africa Uganda
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic PRIMARY HEALTH CARE
HEALTH CARE RESOURCES
MEDICAL EQUIPMENT
MALARIA
SOCIAL SERVICES
EDUCATION SECTOR
RELIGIOUS ORGANIZATIONS
CHARITIES
POOR NEIGHBORHOODS
FINANCIAL ASSISTANCE BEDS
CERTIFICATION
CITIES
CLINICS
COMMUNITIES
DEATHS
DISPENSARIES
DISTRICTS
DOCTORS
EQUILIBRIUM
FIXED ASSETS
HEALTH CARE
HEALTH CARE PROVIDERS
HEALTH CARE PROVISION
HEALTH CARE SECTOR
HEALTH CENTERS
HEALTH FACILITIES
HEALTH INDICATORS
HEALTH NEEDS
HEALTH PROVIDERS
HEALTH SECTOR
HEALTH SERVICES
HIGH FERTILITY
HOSPITAL PATIENTS
HOSPITALS
IMMUNIZATION
INCOME
INFANT MORTALITY
INFANT MORTALITY RATE
INPATIENT CARE
MALARIA
MARGINAL COST
MEDICAL PERSONNEL
MORTALITY
NONGOVERNMENTAL ORGANIZATIONS
NURSING
OUTPATIENT CARE
PARENTS
PATIENTS
PHARMACIES
PHYSICIANS
POLICY RESEARCH
PRIMARY HEALTH CARE
PUBLIC HEALTH
PUBLIC SECTOR
SCHOOLS
SERVICE DELIVERY
SOCIAL RESEARCH
SOCIAL SERVICES
URBAN AREAS
WORKERS
FINANCIAL ASSISTANCE
BEDS
spellingShingle PRIMARY HEALTH CARE
HEALTH CARE RESOURCES
MEDICAL EQUIPMENT
MALARIA
SOCIAL SERVICES
EDUCATION SECTOR
RELIGIOUS ORGANIZATIONS
CHARITIES
POOR NEIGHBORHOODS
FINANCIAL ASSISTANCE BEDS
CERTIFICATION
CITIES
CLINICS
COMMUNITIES
DEATHS
DISPENSARIES
DISTRICTS
DOCTORS
EQUILIBRIUM
FIXED ASSETS
HEALTH CARE
HEALTH CARE PROVIDERS
HEALTH CARE PROVISION
HEALTH CARE SECTOR
HEALTH CENTERS
HEALTH FACILITIES
HEALTH INDICATORS
HEALTH NEEDS
HEALTH PROVIDERS
HEALTH SECTOR
HEALTH SERVICES
HIGH FERTILITY
HOSPITAL PATIENTS
HOSPITALS
IMMUNIZATION
INCOME
INFANT MORTALITY
INFANT MORTALITY RATE
INPATIENT CARE
MALARIA
MARGINAL COST
MEDICAL PERSONNEL
MORTALITY
NONGOVERNMENTAL ORGANIZATIONS
NURSING
OUTPATIENT CARE
PARENTS
PATIENTS
PHARMACIES
PHYSICIANS
POLICY RESEARCH
PRIMARY HEALTH CARE
PUBLIC HEALTH
PUBLIC SECTOR
SCHOOLS
SERVICE DELIVERY
SOCIAL RESEARCH
SOCIAL SERVICES
URBAN AREAS
WORKERS
FINANCIAL ASSISTANCE
BEDS
Reinikka, Ritva
Svensson, Jakob
Working for God? Evaluating Service Delivery of Religious Not-for-Profit Health Care Providers in Uganda
geographic_facet Africa
Uganda
relation Policy Research Working Paper;No. 3058
description Reinikka and Svensson exploit a unique micro-level data set on primary health care facilities in Uganda to address the question: What motivates religious not-for-profit (RNP) health care providers? The authors use two approaches to identify whether an altruistic (religious) effect exists in the data. First, examining cross-section variation, they show that RNP facilities hire qualified medical staff below the market wage, are more likely to provide propoor services and services with a public good element, and charge lower prices for services than for-profit facilities, although they provide a similar (observable) quality of care. RNP and for-profit facilities both provide better quality care than their government counterparts, although government facilities have better equipment. These findings are consistent with the view that RNP facilities are driven in part by altruistic concerns and that these preferences matter quantitatively. Second, the authors exploit a near natural experiment in which the government initiated a program of financial aid for the RNP sector. They show that financial aid leads to more laboratory testing of suspected malaria and intestinal worm cases, and hence higher quality of service and lower prices, but only in RNP facilities. The findings suggest that working for God matters.
format Publications & Research :: Policy Research Working Paper
author Reinikka, Ritva
Svensson, Jakob
author_facet Reinikka, Ritva
Svensson, Jakob
author_sort Reinikka, Ritva
title Working for God? Evaluating Service Delivery of Religious Not-for-Profit Health Care Providers in Uganda
title_short Working for God? Evaluating Service Delivery of Religious Not-for-Profit Health Care Providers in Uganda
title_full Working for God? Evaluating Service Delivery of Religious Not-for-Profit Health Care Providers in Uganda
title_fullStr Working for God? Evaluating Service Delivery of Religious Not-for-Profit Health Care Providers in Uganda
title_full_unstemmed Working for God? Evaluating Service Delivery of Religious Not-for-Profit Health Care Providers in Uganda
title_sort working for god? evaluating service delivery of religious not-for-profit health care providers in uganda
publisher World Bank, Washington, DC
publishDate 2014
url http://documents.worldbank.org/curated/en/2003/05/2384817/working-god-evaluating-service-delivery-religious-not-for-profit-health-care-providers-uganda
http://hdl.handle.net/10986/18183
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