Social capital and access to primary health care in developing countries: Evidence from Sub-Saharan Africa
Guillaume Hollard and
Omar Sene ()
Journal of Health Economics, 2016, vol. 45, issue C, 1-11
We test for a causal role of social capital, as measured by self-reported trust, in determining access to basic health facilities in Sub-Saharan Africa. To skirt the reverse-causality problems between social capital and basic health, we rely on instrumental-variable (IV) estimates. A one standard-deviation increase in trust is predicted to lead to a 0.22 standard-deviation fall in doctor absenteeism, a 0.31 standard-deviation fall in waiting time and a 0.30 standard-deviation fall in bribes. As a robustness check, we also use a different database regarding a different health issue, access to clean water. We find that a one standard-deviation rise in trust leads to a 0.33 standard-deviation rise in access to clean water. The variety of public goods considered provides insights about the possible channels through which social capital is converted into health improvements.
Keywords: Social capital; Health; Africa; Causality (search for similar items in EconPapers)
JEL-codes: D7 H4 I1 (search for similar items in EconPapers)
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Working Paper: Social capital and access to primary health care in developing countries: Evidence from Sub-Saharan Africa (2015)
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Persistent link: https://EconPapers.repec.org/RePEc:eee:jhecon:v:45:y:2016:i:c:p:1-11
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