Research Catalog

Measuring the willingness to pay for social services in developing countries / Paul Gertler, Jacques van der Gaag.

Title
Measuring the willingness to pay for social services in developing countries / Paul Gertler, Jacques van der Gaag.
Author
Gertler, Paul, 1955-
Publication
Washington, D.C., U.S.A. : World Bank, c1988.

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StatusFormatAccessCall NumberItem Location
TextRequest in advance RA771.7.I9 G47 1988Off-site

Details

Additional Authors
Gaag, J. van der.
Description
vii, 30 p.; 28 cm.
Summary
This paper provides a methodology for the ex ante evaluation of the welfare effects of proposals to use user fees to finance improved access to social services in developing countries. The analysis requires estimation of demand functions, from which price elasticities and the willingness to pay for improved access can be obtained. The willingness to pay is the maximum price that can be charged without reducing individuals' welfare and utilization of medical services. The estimation is complicated by the problem that governments in developing countries often are the dominant suppliers of social services in their countries, and provide these services free of charge so that there is little price variation in the data. It is shown how variation in individuals' private time prices can be used to identify all of the parameters of the demand function. The methodology is used to evaluate the possible implementation of the user fee plan for medical health clinics in rural Cote d'Ivoire. The results show that it is likely to have regressive welfare effects. Specifically, the policy is shown to increase the welfare and medical care utilization of individuals in the top half of the income distribution, while reducing the health and medical care utilization of individuals in the bottom.
Series Statement
LSMS working paper, 0253-4517 ; no. 45
Uniform Title
LSMS working papers no. 45.
Subject
  • Cote d'Ivoire
  • Fees, Medical
  • Health Services > utilization
  • Health Services Accessibility > economics
  • Medical care, Cost of > Côte d'Ivoire
  • Rural health services > Developing countries > Evaluation
  • Rural health services > Econometric models. > Côte d'Ivoire
  • Rural health services > Econometric models. > Ivory Coast
  • Rural health services > Evaluation. > Côte d'Ivoire
Bibliography (note)
  • Bibliography: p. 29-30.
Processing Action (note)
  • committed to retain
ISBN
0821310496 (pbk.)
LCCN
^^^88014229^
Owning Institutions
Harvard Library