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Does local democracy improve public health interventions? Evidence in India

Costa-Font, Joan ORCID: 0000-0001-7174-7919 and Parmar, Divya (2021) Does local democracy improve public health interventions? Evidence in India. Governance. ISSN 0952-1895 (In Press)

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Health system reforms in many low-income countries entail the enhancement of the political agency relationship between healthcare decision-makers and constituents, this is especially the case for essential public services such as health care. This paper examines the effect of the introduction of the National Rural Health Mission in India, introducing village level health and sanitation committees (VHSNC), a self-governance mechanism strengthening of the political agency in village health care decision-making. We examine the effect of VHSC on both maternal and preventative child health care. We find that VHSNC’s increase the utilization of several maternal health care services, but not preventive health care measured by immunization services. The effect of VHSC is more intense in larger villages and those areas closer to district headquarters. The effect is driven by an increase in the utilization of the public healthcare network.

Item Type: Article
Official URL:
Additional Information: © 2021 Wiley Periodicals, LLC
Divisions: Health Policy
Subjects: R Medicine > RA Public aspects of medicine
J Political Science > JS Local government Municipal government
J Political Science > JQ Political institutions Asia
Date Deposited: 14 Apr 2021 07:57
Last Modified: 14 Apr 2021 23:16

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