The publication presents the 1st ever accomplished empirical evaluation of the function that faith-inspired associations (FIIs) play within the provide of overall healthiness care and schooling providers in sub-Saharan Africa.
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Extra info for The Economics of Faith-Based Service Delivery: Education and Health in Sub-Saharan Africa
On the supply side, faith is often at the core of the ethos of FIIs and their workers, which can lead FIIs to behave differently from other (especially for-profit) providers. An example of this is provided by Reinikka and Svensson (2010) in their work on Uganda. The authors use a change in financing of not-for-profit healthcare providers through untied government grants to test two theories of organizational behavior. The first theory postulates that not-for-profit providers are intrinsically motivated to serve the poor and will therefore use new resources to expand their services or cut the cost of these services.
The only place in the study where the 30–70 percent estimate is mentioned is in the literature review, which states that “a handful of studies . . estimate that 30% and 70% of medical infrastructure is . . by religious organizations,” but this is immediately followed by a strong caveat to the effect that “the full scope of the religious health system is unknown, and . . information . . remains disparate and often conflicting” (ARHAP, 2006). The purpose of the statement in the ARHAP study was to highlight the fact that evidence of the market share of FIIs is lacking.
There is no doubt that the contribution of FIIs to service delivery in health and education is significant in Africa. In the colonial period, FIIs were the primary providers of hospitals, clinics, and schools. But in some countries these providers were nationalized into public systems at independence, and more generally, the networks of public—and to some extent other private providers—have been greatly expanded over the past 50 years, which is likely to have led to a substantial dilution of the market share of FIIs.
The Economics of Faith-Based Service Delivery: Education and Health in Sub-Saharan Africa by Wodon