Does Fiscal Decentralization Improve Health Outcomes? Evidence from a Cross-Country Analysis
Decentralization of fiscal responsibilities has emerged as a primary objective on the agendas of national governments, and international organizations alike. Yet there is little empirical evidence on the potential benefits of this intervention. The...
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| Format: | Policy Research Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2014
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| Online Access: | http://documents.worldbank.org/curated/en/2001/03/1047444/fiscal-decentralization-improve-health-outcomes-evidence-cross-country-analysis http://hdl.handle.net/10986/19698 |
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okr-10986-196982021-04-23T14:03:44Z Does Fiscal Decentralization Improve Health Outcomes? Evidence from a Cross-Country Analysis Robalino, David A. Picazo, Oscar F. Voetberg, Albertus ACCOUNTABILITY ADMINISTRATIVE COSTS ALLOCATION OF RESOURCES ANTI-CORRUPTION AUTONOMY BANKING CRISES CENTRAL AGENCIES CENTRAL GOVERNMENT CENTRAL GOVERNMENTS CIVIL RIGHTS COLLATERALIZATION COMPETITIVENESS CORRUPTION DEBT DECENTRALIZATION PROCESS DECISION-MAKING DEMOCRACY DEPOSIT INSURANCE DEVELOPMENT INDICATORS DEVOLUTION DISTRICTS ECONOMIC ANALYSIS ECONOMIC EFFICIENCY ECONOMIC PERFORMANCE ECONOMICS ECONOMIES OF SCALE ELASTICITY ETHNIC GROUPS EXOGENOUS VARIABLES EXPENDITURE EXPORTS FINANCIAL CRISES FINANCIAL PLANNING FISCAL FISCAL DECENTRALIZATION GDP GDP PER CAPITA GROSS DOMESTIC PRODUCT PER CAPITA HEALTH OUTCOMES HEALTH SECTOR HEALTH SERVICES INCOME INCOME DISTRIBUTION INEFFICIENCY INFANT MORTALITY INSTITUTIONAL CAPACITY INSTITUTIONAL REFORMS INSURANCE INVENTORIES LEGITIMACY LOCAL AUTHORITIES LOCAL GOVERNMENT LOCAL GOVERNMENTS LOW-INCOME COUNTRIES MARGINAL BENEFITS MORTALITY NATIONAL ELECTIONS NATIONAL GOVERNMENTS NATIONAL POLICIES POLICY RESEARCH POSITIVE EFFECTS PRIMARY HEALTH CARE PUBLIC ADMINISTRATION PUBLIC EXPENDITURE PUBLIC EXPENDITURES PUBLIC INSTITUTIONS PUBLIC POLICIES PUBLIC RESOURCES PURCHASING POWER REAL GROSS DOMESTIC PRODUCT RESOURCE ALLOCATION RETIREMENT RISK MANAGEMENT SAVINGS SOCIAL SERVICES SOCIAL WELFARE SOCIOECONOMIC INDICATORS TAXATION TOTAL EXPENDITURES TRANSITION ECONOMIES Decentralization of fiscal responsibilities has emerged as a primary objective on the agendas of national governments, and international organizations alike. Yet there is little empirical evidence on the potential benefits of this intervention. The authors fill in some quantitative evidence. Using panel data on infant mortality rates, GDP per capita, and the share of public expenditures managed by local governments, they find greater fiscal decentralization is consistently associated with lower mortality rates. The results suggest that the benefits of fiscal decentralization are particularly important for poor countries. They suggest also that the positive effects of fiscal decentralization on infant mortality, are greater in institutional environments that promote political rights. Fiscal decentralization also appears to be a mechanism for improving health outcomes in environments with a high level of ethno-linguistic fractionalization, however, the benefits from fiscal decentralization tend to be smaller. 2014-08-26T18:43:13Z 2014-08-26T18:43:13Z 2001-03 http://documents.worldbank.org/curated/en/2001/03/1047444/fiscal-decentralization-improve-health-outcomes-evidence-cross-country-analysis http://hdl.handle.net/10986/19698 English en_US Policy Research Working Paper;No. 2565 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 |
| 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 |
ACCOUNTABILITY ADMINISTRATIVE COSTS ALLOCATION OF RESOURCES ANTI-CORRUPTION AUTONOMY BANKING CRISES CENTRAL AGENCIES CENTRAL GOVERNMENT CENTRAL GOVERNMENTS CIVIL RIGHTS COLLATERALIZATION COMPETITIVENESS CORRUPTION DEBT DECENTRALIZATION PROCESS DECISION-MAKING DEMOCRACY DEPOSIT INSURANCE DEVELOPMENT INDICATORS DEVOLUTION DISTRICTS ECONOMIC ANALYSIS ECONOMIC EFFICIENCY ECONOMIC PERFORMANCE ECONOMICS ECONOMIES OF SCALE ELASTICITY ETHNIC GROUPS EXOGENOUS VARIABLES EXPENDITURE EXPORTS FINANCIAL CRISES FINANCIAL PLANNING FISCAL FISCAL DECENTRALIZATION GDP GDP PER CAPITA GROSS DOMESTIC PRODUCT PER CAPITA HEALTH OUTCOMES HEALTH SECTOR HEALTH SERVICES INCOME INCOME DISTRIBUTION INEFFICIENCY INFANT MORTALITY INSTITUTIONAL CAPACITY INSTITUTIONAL REFORMS INSURANCE INVENTORIES LEGITIMACY LOCAL AUTHORITIES LOCAL GOVERNMENT LOCAL GOVERNMENTS LOW-INCOME COUNTRIES MARGINAL BENEFITS MORTALITY NATIONAL ELECTIONS NATIONAL GOVERNMENTS NATIONAL POLICIES POLICY RESEARCH POSITIVE EFFECTS PRIMARY HEALTH CARE PUBLIC ADMINISTRATION PUBLIC EXPENDITURE PUBLIC EXPENDITURES PUBLIC INSTITUTIONS PUBLIC POLICIES PUBLIC RESOURCES PURCHASING POWER REAL GROSS DOMESTIC PRODUCT RESOURCE ALLOCATION RETIREMENT RISK MANAGEMENT SAVINGS SOCIAL SERVICES SOCIAL WELFARE SOCIOECONOMIC INDICATORS TAXATION TOTAL EXPENDITURES TRANSITION ECONOMIES |
| spellingShingle |
ACCOUNTABILITY ADMINISTRATIVE COSTS ALLOCATION OF RESOURCES ANTI-CORRUPTION AUTONOMY BANKING CRISES CENTRAL AGENCIES CENTRAL GOVERNMENT CENTRAL GOVERNMENTS CIVIL RIGHTS COLLATERALIZATION COMPETITIVENESS CORRUPTION DEBT DECENTRALIZATION PROCESS DECISION-MAKING DEMOCRACY DEPOSIT INSURANCE DEVELOPMENT INDICATORS DEVOLUTION DISTRICTS ECONOMIC ANALYSIS ECONOMIC EFFICIENCY ECONOMIC PERFORMANCE ECONOMICS ECONOMIES OF SCALE ELASTICITY ETHNIC GROUPS EXOGENOUS VARIABLES EXPENDITURE EXPORTS FINANCIAL CRISES FINANCIAL PLANNING FISCAL FISCAL DECENTRALIZATION GDP GDP PER CAPITA GROSS DOMESTIC PRODUCT PER CAPITA HEALTH OUTCOMES HEALTH SECTOR HEALTH SERVICES INCOME INCOME DISTRIBUTION INEFFICIENCY INFANT MORTALITY INSTITUTIONAL CAPACITY INSTITUTIONAL REFORMS INSURANCE INVENTORIES LEGITIMACY LOCAL AUTHORITIES LOCAL GOVERNMENT LOCAL GOVERNMENTS LOW-INCOME COUNTRIES MARGINAL BENEFITS MORTALITY NATIONAL ELECTIONS NATIONAL GOVERNMENTS NATIONAL POLICIES POLICY RESEARCH POSITIVE EFFECTS PRIMARY HEALTH CARE PUBLIC ADMINISTRATION PUBLIC EXPENDITURE PUBLIC EXPENDITURES PUBLIC INSTITUTIONS PUBLIC POLICIES PUBLIC RESOURCES PURCHASING POWER REAL GROSS DOMESTIC PRODUCT RESOURCE ALLOCATION RETIREMENT RISK MANAGEMENT SAVINGS SOCIAL SERVICES SOCIAL WELFARE SOCIOECONOMIC INDICATORS TAXATION TOTAL EXPENDITURES TRANSITION ECONOMIES Robalino, David A. Picazo, Oscar F. Voetberg, Albertus Does Fiscal Decentralization Improve Health Outcomes? Evidence from a Cross-Country Analysis |
| relation |
Policy Research Working Paper;No. 2565 |
| description |
Decentralization of fiscal
responsibilities has emerged as a primary objective on the
agendas of national governments, and international
organizations alike. Yet there is little empirical evidence
on the potential benefits of this intervention. The authors
fill in some quantitative evidence. Using panel data on
infant mortality rates, GDP per capita, and the share of
public expenditures managed by local governments, they find
greater fiscal decentralization is consistently associated
with lower mortality rates. The results suggest that the
benefits of fiscal decentralization are particularly
important for poor countries. They suggest also that the
positive effects of fiscal decentralization on infant
mortality, are greater in institutional environments that
promote political rights. Fiscal decentralization also
appears to be a mechanism for improving health outcomes in
environments with a high level of ethno-linguistic
fractionalization, however, the benefits from fiscal
decentralization tend to be smaller. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Robalino, David A. Picazo, Oscar F. Voetberg, Albertus |
| author_facet |
Robalino, David A. Picazo, Oscar F. Voetberg, Albertus |
| author_sort |
Robalino, David A. |
| title |
Does Fiscal Decentralization Improve Health Outcomes? Evidence from a Cross-Country Analysis |
| title_short |
Does Fiscal Decentralization Improve Health Outcomes? Evidence from a Cross-Country Analysis |
| title_full |
Does Fiscal Decentralization Improve Health Outcomes? Evidence from a Cross-Country Analysis |
| title_fullStr |
Does Fiscal Decentralization Improve Health Outcomes? Evidence from a Cross-Country Analysis |
| title_full_unstemmed |
Does Fiscal Decentralization Improve Health Outcomes? Evidence from a Cross-Country Analysis |
| title_sort |
does fiscal decentralization improve health outcomes? evidence from a cross-country analysis |
| publisher |
World Bank, Washington, DC |
| publishDate |
2014 |
| url |
http://documents.worldbank.org/curated/en/2001/03/1047444/fiscal-decentralization-improve-health-outcomes-evidence-cross-country-analysis http://hdl.handle.net/10986/19698 |
| _version_ |
1764440387508764672 |