Social capital and access to primary health care in developing countries: Evidence from Sub-Saharan Africa
Guillaume Hollard and
Omar Sene ()
No 2015-6, EconomiX Working Papers from University of Paris Nanterre, EconomiX
We test the causal role of social capital, as measured by self-reported trust, in determining access to basic health facilities in Sub-Saharan Africa. To skirt reverse-causality problems between social capital and basic health, we rely on instrumental variable (IV) estimates. The results show that a one standard deviation increase in the level of localized trust leads to a 0.221 standard deviation decrease in the predicted value of doctor absenteeism, a 0.307 standard deviation decreases in the predicted value of waiting time and a 0.301 standard deviation decreases in the predicted value of bribes. As a robustness check, we also use a different database regarding a different health issue, namely access to clean water. We find that a one standard deviation increase in the level of localized trust leads to a 0.330 standard deviation increase in the access on clean water. All in all, social capital is found to have an important causal effect on health, even stronger that the one found in western countries.
Keywords: Social Capital; Health; Africa; Causality. (search for similar items in EconPapers)
JEL-codes: D71 H41 I12 I15 I18 (search for similar items in EconPapers)
Pages: 30 pages
New Economics Papers: this item is included in nep-afr, nep-dev, nep-hea and nep-soc
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Journal Article: Social capital and access to primary health care in developing countries: Evidence from Sub-Saharan Africa (2016)
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Persistent link: https://EconPapers.repec.org/RePEc:drm:wpaper:2015-6
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