I12

Health Production

The Demand for Cigarettes: New Evidence from South Africa

This paper provides an extensive analysis of the demand for cigarettes based on longitudinal data drawn from the South Africa National Income and Dynamic Study (NIDS: 2008 - 2014). We compare the results of the pooled OLS (POLS), the standard two-part model, the random and the fixed effect (RE, FE) panel regression. Like previous evidence into cigarette prices, we obtain negative price elasticity of demand for cigarettes, with the conditional elasticity (POLS and RE estimates) signicantly smaller than the total price elasticity (two-part model estimates).

Has South Africa’s Investment in Public Health Care Improved Health Outcomes?

South Africa’s total expenditure on health equates to almost 9% of its gross domestic product, which is above the average of other countries classified as middle-income countries. Notwithstanding this investment, indicators of health outcomes remain relatively lower when compared to the same countries. The aim of this paper is to investigate the effectiveness of public health expenditure in improving health outcomes in South Africa. Panel estimations techniques were used using data for the country’s nine provinces over the period 2005 to 2014.

The Relative (in)Efficiency of South African Municipalities in Providing Public Health Care

Previous studies in South Africa have not dis-aggregated efficiency analysis across municipalities which are health system components of the broader national health system. The purpose of this paper is therefore to assess whether the relative efficiency of South African municipalities in primary health care and hospital care is different and whether South African municipalities can learn from each other to improve on their efficiency.

Southern African Customs Union Revenue, Public Expenditures and HIV/AIDS in BLNS Countries

This study sets out to investigate how revenue from the Southern African Customs Union (SACU) common revenue pool affect efforts to contain HIV/AIDS in Botswana, Lesotho, Namibia and Swaziland (BLNS countries). Using a panel data set of the BLNS countries covering the period 1990-2007 in annual frequency and a health production function, we show that an increase in either SACU revenue or aggregate government expenditure increases HIV prevalence rates.

Dynamic Health Care Decisions and Child Health in South Africa

A large number of child deaths in developing countries could be averted if ill children received care sooner rather than later. This paper analyses the healthcare treatment pathway that is followed for children under the age of six. The majority of these children receive treatment within 24 hours. However, we find that income affects the probability of any treatment, despite freely available public healthcare, while delayed treatment for severely ill children is more likely to occur in more expensive private facilities.

DEA Applied to a Gauteng Sample of South African Public Hospitals

The ability of the South African government to provide antiretroviral medication to those in need will be determined by the ability of the public health services sector to efficiently provide that medication. If the delivery of other health services can be used as a guide, the goals of the anti-retroviral rollout will not be met. The research presented in this paper provides a preliminary analysis of the delivery of a few health care services by the public sector in Gauteng, South Africa.

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