Bribery in health care in Uganda

Journal of Health Economics
Jennifer Hunt

Abstract

I examine the role of household permanent income in determining who bribes and how much they bribe in health care in Uganda. I find that rich patients are more likely than other patients to bribe in public health care: doubling household expenditure increases the bribery probability by 1.2 percentage points compared to a bribery rate of 17%. The income elasticity of the bribe amount is about 0.37. Bribes in the Ugandan public sector appear to be fees-for-service extorted from the richer patients amongst those exempted by government policy from paying the official fees. Bribes in the private sector appear to be flat-rate fees paid by patients who do not pay official fees. I do not find evidence that the public health care sector is able to price discriminate less effectively than public institutions with less competition from the private sector.

References

Jul 10, 2003·Health Policy·Jessica JittaNathan Nshakira
Mar 5, 2005·Health Policy and Planning·J NabyongaO Walker

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Citations

Jun 25, 2015·Health Policy and Planning·Laetitia C RispelSharon Fonn
Jul 14, 2010·International Journal of Mental Health Nursing·Michelle Cleary, Glenn E Hunt
Feb 11, 2015·Journal of Pharmaceutical Policy and Practice·Catherine BirabwaAllyson Pollock
Aug 21, 2020·International Journal of Health Services : Planning, Administration, Evaluation·Sungkyoung ChoiSoyoon Kim
May 8, 2020·Maternal and Child Health Journal·Ruth NaraAngel M Foster
Mar 25, 2019·Health Policy and Planning·Marta Schaaf, Stephanie M Topp
Feb 11, 2021·International Journal of Health Economics and Management·Emmanuel Nshakira-RukundoJoachim von Braun
Oct 1, 2021·Sexual and Reproductive Health Matters·Katherine TumlinsonDickens Otieno Onyango

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