Where to go from here? African Governments should continue to favour access of the poor to health care and reverse the inequality trends in access to water, sanitation and electricity. Our main contribution is to shed a new light on the welfare-inequality-health nexus in Africa, how it evolves over time and how it compares to other regions around the world, using all available information. The present dissertation contains four papers that are related to these questions. We show that the index shares basically the same properties with monetary metrics and roughly scales households in the same way as does the consumption or income variables. Who are indeed the poor?
In some countries as we will see later in this thesis, while observing an improvement in the population? Schultz and Tansel , for instance showed that ill-health causes a loss of revenues in rural Cote d? During his life, this stock is submitted to depreciation due to health shocks and aging Becker? The Purpose of the Study. Results show that, while almost all countries have made great efforts in improving coverage in, and access to, these indicators, almost all the gains have been captured by the better-offs of the society, especially in SSA. If health and poverty are so closely related, they should theoretically move in the same direction.
Overall, inequality in all variables considered is more pronounced in SSA than the rest of the world expect for death and malnutrition. Schultz and Tanselfor instance showed that ill-health causes a loss of revenues in rural Cote d? But the high level of inequality tends to be reducing at the margin over time, as the poor have increasing access.
Our hypothesis is that these phenomena have destabilized the organization of the health care system, cut its funding and hampered its performance.
Conversely, lack of income and the poverty state it implies leads unambiguously to poor health. However, this is justified, due to its purpose. That is, poverty implies poor health because of a low investment in health, a bad environment and sanitation and other living conditions due to poverty, a poor nutrition thus a greater risk of illnessa limited access to, and use of, health care, a lower health education and investment in health, etc2.
We are therefore measuring an indirect health inequality. Therefore, as access to health care services and health-related sanitation services is essential to child survival, our findings call for vigorous policies to promote access of the poor groups and rural areas to these services. Lower child mortality rates lead to higher life expectancy and vice versa.
Contribution of this Thesis. Pour le tiers secteur. How to weight each of them? African Governments should continue to favour access of the poor to health care and reverse the inequality trends in access to water, sanitation and electricity.
Who are indeed the poor? In this chapter, we concentrate solely on inequality issues in health and health-related infrastructures and services. We explore the 16 Ghana Living Standard Surveys. During his life, this stock is submitted to depreciation due to health shocks and aging Becker? We show, using that index and DHS data, that poverty, at least from an assets point of view, was also decreasing in SSA as well as in other regions of the world.
But we consider that this direct effect is rather small disseetation negligible, as compared to the indirect effect through inequality in health. The roots of the gradient will often arise from various types of discrimination, prejudice, and other legal, social, and economic norms that may contribute to stratification and fragmentation, and subsequently inequality in access to expliquerr resources and various correlated welfare outcomes?.
However, it sometimes, if not often, happens that we lack this essential information in household survey datasets.
Concerning access to health care services, rich and urban groups tend to be more favoured than poor and urban ones. It uses the factor analysis FA method of Chapter 1 to rank household according to their economic gradient status19 and then studies inequalities in various health indicators in relation with these groups.
Where to go from here? It then compared these trends with the monetary expliqufr over roughly the same period. The intention is to analyze inequality rates between rich and poor for various health variables.
Only on these conditions the Sub-Continent could hope to eradicate poverty and promote health for all.
The second part of our dissertation seeks how to define and measure health and inequality in health.
Les causes du déclin économique à Madagascar · Global Voices en Français
Based on the study of these three key processes, this thesis seeks to offer a new insight into the metamorphosis of the organized civil society of the social and solidarity economy on both French and European levels, articulated around three main events: We show how one can obtain robust results using assets or wealth variables.
Amadou Bassirou Diallo 1 AuthorId: It also conditions health facility? It is commonly agreed that their methodology follows a? We could think that the poorer you are, the more difficult is your capacity to invest in your croisswnce.
Our main hypothesis that will be tested is that poverty impacts health through inequality effects9.