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

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...

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Bibliographic Details
Main Author: Gertler, Paul, 1955-
Other Authors: Gaag, J. van der
Format: Book
Language:English
Published: Washington, D.C., U.S.A. : World Bank, c1988
Washington, D.C., U.S.A. : ©1988
Series:LSMS working paper ; no. 45
LSMS working papers ; no. 45
LSMS working papers no. 45
Subjects:
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100 1 |a Gertler, Paul,  |d 1955-  |1 http://viaf.org/viaf/110352269 
100 1 |a Gertler, Paul,  |d 1955- 
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 c1988 
260 |a Washington, D.C., U.S.A. :  |b World Bank,  |c ©1988 
300 |a vii, 30 p. ;  |c 27 cm 
300 |a vii, 30 p. ;  |c 28 cm 
300 |a vii, 30 pages ;  |c 28 cm 
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490 1 |a LSMS working paper,  |x 0253-4517 ;  |v no. 45 
490 1 |a LSMS working papers,  |x 0253-4517 ;  |v no. 45 
504 |a Bibliography: p. 29-30 
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 
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650 0 |a Medical care, Cost of  |z Côte d'Ivoire 
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  |x Fees  |z Côte d'Ivoire  |x Evaluation 
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650 2 |a Health Services  |x utilization 
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700 1 |a Gaag, J. van der 
830 0 |a LSMS working paper ;  |v no. 45 
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