Middle Income Countries (middle + income_country)

Distribution by Scientific Domains


Selected Abstracts


Catastrophic payments for health care in Asia

HEALTH ECONOMICS, Issue 11 2007
Eddy van Doorslaer
Abstract Out-of-pocket (OOP) payments are the principal means of financing health care throughout much of Asia. We estimate the magnitude and distribution of OOP payments for health care in fourteen countries and territories accounting for 81% of the Asian population. We focus on payments that are catastrophic, in the sense of severely disrupting household living standards, and approximate such payments by those absorbing a large fraction of household resources. Bangladesh, China, India, Nepal and Vietnam rely most heavily on OOP financing and have the highest incidence of catastrophic payments. Sri Lanka, Thailand and Malaysia stand out as low to middle income countries that have constrained both the OOP share of health financing and the catastrophic impact of direct payments. In most low/middle-income countries, the better-off are more likely to spend a large fraction of total household resources on health care. This may reflect the inability of the poorest of the poor to divert resources from other basic needs and possibly the protection of the poor from user charges offered in some countries. But in China, Kyrgyz and Vietnam, where there are no exemptions of the poor from charges, they are as, or even more, likely to incur catastrophic payments. Copyright © 2007 John Wiley & Sons, Ltd. [source]


Classical versus relational approaches to understanding controls on a contract with independent GPs in South Africa

HEALTH ECONOMICS, Issue 12 2003
Natasha Palmer
Abstract Contracts have played a central role in public sector reforms in developed countries over the last decade, and research increasingly highlights their varied nature. In low and middle income countries the use of contracts is encouraged but little attention has been paid to features of the setting that may influence their operation. A qualitative case study was used to examine different dimensions of a contract with private GPs in South Africa. Features of the contract are compared with the notions of classical and relational contracts. Formal aspects of the contract such as design, monitoring and resort to sanctions were found to offer little control over its outcome. The relational rather than classical model of contracting offered a more meaningful framework of analysis, with social and institutional factors found to play an important role. In particular, the individual nature of GP practices highlighted the role played by individual motivation where a contract exercised little formal control. Due to the similarity of factors likely to be present, results are argued to be relevant in many other LMIC settings, and policy-makers considering contracts for clinical services are advised to consider the possibility of experiencing a similar outcome. Copyright © 2003 John Wiley & Sons, Ltd. [source]


Promoting mental health nursing research in low and middle income countries

INTERNATIONAL NURSING REVIEW, Issue 4 2004
Margaret Grigg RN
No abstract is available for this article. [source]


A disaggregated empirical analysis of the determinants of IMF arrangements: Does one model fit all?

JOURNAL OF INTERNATIONAL DEVELOPMENT, Issue 7 2009
Graham Bird
JEL: F33, F3 Abstract Does one model fit all when it comes to the determinants of IMF programs? Certainly claims have been made by the IMF that capital account crisis (CAC) countries are discernibly different in terms of the characteristics that lead them to borrow from it, while other research has claimed that it is only Asian economies that are different from the rest. This paper sets out to examine these issues. It tests various forms of a fairly conventional model to see whether some forms better fit certain groups of countries than others. It then uses the favoured models to estimate the probability of countries having an IMF arrangement. In particular it examines countries that have been identified by the Fund as CAC countries, but it also looks at a number of comparator countries. The findings suggest that there are some differences between low income and middle income countries. Pressures in the foreign exchange market are significant for the latter but not for the former. The paper also discusses differences between regions and within regions. Broadly speaking the findings confirm that Asian economies around the time of the 1997/1998 crisis tended to turn to the IMF for financial support more quickly than would have been anticipated on the basis of the existing best-fitting models. The paper also discusses the implications of the findings for policy and for the reform of the IMF. Copyright © 2008 John Wiley & Sons, Ltd. [source]


How does economic empowerment affect women's risk of intimate partner violence in low and middle income countries?

JOURNAL OF INTERNATIONAL DEVELOPMENT, Issue 5 2009
A systematic review of published evidence
Abstract Objectives To identify whether individual and household economic empowerment is associated with lower intimate partner violence in low and middle income country settings. Methods Systematic PubMed and internet searches. Results Published data from 41 sites were reviewed. Household assets and women's higher education were generally protective. Evidence about women's involvement in income generation and experience of past year violence was mixed, with five finding a protective association and six documenting a risk association. Conclusion At an individual and household level, economic development and poverty reduction may have protective impacts on IPV. Context specific factors influence whether financial autonomy is protective or associated with increased risk. Copyright © 2008 John Wiley & Sons, Ltd. This article was published online on 6 October 2008. Errors were subsequently identified. This notice is included in the online and print versions to indicate that both have been corrected [17 April 2009]. [source]


Investment in Fixed Capital Stock: Testing for the Impact of Sectoral and Systemic Uncertainty*

OXFORD BULLETIN OF ECONOMICS & STATISTICS, Issue 2 2004
Johannes Fedderke
Abstract This paper applies current theory recognizing the irreversibility of investment, in order to test for the impact of uncertainty on investment expenditure for a middle income country. The contribution of the paper is unique in two respects. First, it employs dynamic heterogeneous panel estimation techniques not previously applied to investment functions. Secondly, it explicitly tests for the impact of both sectoral and systemic uncertainty on investment expenditure. We find that both sectoral (as measured by output volatility) and systemic uncertainty (as measured by political instability) have a negative impact on investment rates in a middle income country context. Liquidity constraints and growth in total factor productivity are found to have no impact on investment, while trade liberalization has the impact predicted by Heckscher-Ohlin trade theory. Finally, we find complementarity effects between physical capital and skilled human capital, suggesting that South African educational policies may have hampered investment in physical capital as well as the growth performance of the economy. Policy implications emphasize the importance of lowering uncertainty for investors, and the need for sound human capital investment. [source]