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Determinants of efficiency in reducing child mortality in developing countries. The role of inequality and government effectiveness

Bienvenido Ortega (), Jesús Sanjuán and Antonio Casquero
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Jesús Sanjuán: Universidad de Málaga
Antonio Casquero: Universidad de Málaga

Health Care Management Science, 2017, vol. 20, issue 4, 500-516

Abstract: Abstract The main aim of this article was to analyze the relationship of income inequality and government effectiveness with differences in efficiency in the use of health inputs to improve the under-five survival rate (U5SR) in developing countries. Robust Data Envelopment Analysis (DEA) and regression analysis were conducted using data for 47 developing countries for the periods 2000–2004, 2005–2009, and 2010–2012. The estimations show that countries with a more equal income distribution and better government effectiveness (i.e. a more competent bureaucracy and good quality public service delivery) may need fewer health inputs to achieve a specific level of the U5SR than other countries with higher inequality and worse government effectiveness.

Keywords: Under-five mortality rate (U5MR); Efficiency; Robust Data Envelopment Analysis (DEA); Income inequality; Government effectiveness; Developing countries (search for similar items in EconPapers)
Date: 2017
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Handle: RePEc:kap:hcarem:v:20:y:2017:i:4:d:10.1007_s10729-016-9367-1