Public Expenditure Allocation and Incidence under Health Care Market Liberalization: a Tanzanian Case Study
The arguments for health care commercialization in the international policy literature have been strongly reliant on the premise that promotion of the private sector ‘frees’ public sector resources for the poor (World Bank 1993). Concurrently, policies to address poverty, including those of the Tanzanian government, actively seek to shift public expenditure on health in a more ‘pro-poor’ direction (URT 2000, 2003b). Potential conflicts between health care commercialization (promoted through health sector reform policies) and poverty-focused public expenditure policies are widely remarked upon by African policy analysts (Mackintosh 2001), yet are insufficiently researched.
KeywordsPublic Expenditure District Level Public Health Care Facility Income Quintile Private Facility
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