Measuring the willingness to pay for social services in developing countries /

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Bibliographic Details
Author / Creator:Gertler, Paul, 1955-
Imprint:Washington, D.C., U.S.A. : World Bank, ©1988.
Description:vii, 30 pages ; 28 cm.
Language:English
Series:LSMS working paper, 0253-4517 ; no. 45
LSMS working papers ; no. 45.
Subject:
Format: Print Book
URL for this record:http://pi.lib.uchicago.edu/1001/cat/bib/903302
Hidden Bibliographic Details
Other authors / contributors:Gaag, J. van der.
ISBN:0821310496
9780821310496
Notes:Includes bibliographical references (pages 29-30).
Access may be restricted to World Bank Group staff.
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.

MARC

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100 1 |a Gertler, Paul,  |d 1955-  |0 http://id.loc.gov/authorities/names/n88063981  |1 http://viaf.org/viaf/110352269 
245 1 0 |a Measuring the willingness to pay for social services in developing countries /  |c Paul Gertler, Jacques van der Gaag. 
260 |a Washington, D.C., U.S.A. :  |b World Bank,  |c ©1988. 
300 |a vii, 30 pages ;  |c 28 cm. 
336 |a text  |b txt  |2 rdacontent  |0 http://id.loc.gov/vocabulary/contentTypes/txt 
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490 1 |a LSMS working paper,  |x 0253-4517 ;  |v no. 45 
504 |a Includes bibliographical references (pages 29-30). 
506 |a Access may be restricted to World Bank Group staff. 
520 |a 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. 
650 0 |a Rural health services  |x Utilization  |z Côte d'Ivoire  |x Econometric models. 
650 0 |a Medical care, Cost of  |z Côte d'Ivoire. 
650 0 |a Rural health services  |x Fees  |z Côte d'Ivoire  |x Evaluation. 
650 0 |a Rural health services  |z Developing countries  |x Finance  |x Evaluation. 
650 2 |a Fees, Medical.  |0 (DNLM)D005251 
650 2 |a Health Services Accessibility  |x economics.  |0 (DNLM)D006297Q000191 
650 2 |a Health Services  |x statistics & numerical data.  |0 (DNLM)D006296Q000706 
651 2 |a Cote d'Ivoire.  |0 (DNLM)D007560 
650 6 |a Santé rurale, Services de  |z Côte-d'Ivoire  |x Utilisation  |x Modèles économétriques. 
650 6 |a Soins médicaux  |x Coût  |z Côte-d'Ivoire. 
650 6 |a Santé rurale, Services de  |z Côte-d'Ivoire  |x Honoraires  |x Évaluation. 
650 6 |a Santé rurale, Services de  |z Pays en voie de développement  |x Finances  |x Évaluation. 
650 7 |a Medical care, Cost of.  |2 fast  |0 (OCoLC)fst01013902 
650 7 |a Rural health services  |x Finance  |x Evaluation.  |2 fast  |0 (OCoLC)fst01101677 
650 7 |a Rural health services  |x Utilization  |x Econometric models.  |2 fast  |0 (OCoLC)fst01101696 
651 7 |a Côte d'Ivoire.  |2 fast  |0 (OCoLC)fst01219323 
651 7 |a Developing countries.  |2 fast  |0 (OCoLC)fst01242969 
700 1 |a Gaag, J. van der.  |0 http://id.loc.gov/authorities/names/n81035522  |1 http://viaf.org/viaf/19770325 
830 0 |a LSMS working papers ;  |v no. 45. 
856 4 1 |3 Full text  |u http://documents.worldbank.org/record?docid=000178830_98101902171753 
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