Do the Poor Benefit from Public Spending on Healthcare in India? Results from Benefit (Utilisation) Incidence Analysis in Tamil Nadu and Orissa
Abstract
This study addresses a set of related questions in public policy: How well are we spending the public resources on health care? Are the benefits of public spending reaching the poor? Is public spending on health care becoming more or less pro-颅poor over time? What factors might be contributing to the pro-颅poor or pro-颅rich nature of public spending and their distributions? The present study is motivated by these questions and attempts to provide evidence from the states of Tamil Nadu and Orissa over the period 1995 to 2004. The study employs the data sets of the National Sample Surveys (NSS) carried out in 1995-颅96 and 2004 and a modified version of the methodology of BIA and Decomposition Analysis (DA) to answer the above research questions. Overall, the study has provided many insights into the pattern of utilisation of public facilities (for in-颅patient, out-颅patient and maternity services) in rural and urban areas of Tamil Nadu and Orissa. Public spending on healthcare in Tamil Nadu has become much more pro-颅poor by 2004-颅05 than it was a decade earlier (1995-颅96). Public spending on health care in Orissa has become more pro-颅poor for out-patient services, but continues to be pro-颅rich (although to a much lesser extent) for in-patient and maternity services over the same period.
Citation
Acharya, D.; Vaidyanathan, G.; Muraleedharan, V.R.; Dheenadayalan, D.S.; Dash, U. Do the Poor Benefit from Public Spending on Healthcare inIndia? Results from Benefit (Utilisation) Incidence Analysis inTamil Nadu and Orissa. (2011) 38 pp.
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