Using data from South Asia for the period 1990–2017, this paper examines the effectiveness of the health sector aid on infant mortality, neonatal mortality, child mortality and a new composite index of child mortality. The investigation of South Asia is interesting not only because it accounts for roughly one quarter of the world population and has attracted significant aid over the years but also because of the significant variations in health outcomes between countries in the region. Applying the instrumental variables method to account for the endogeneity of aid, we find that health-focused aid assists in improving child health outcomes in South Asian countries. The effect operates mainly through female literacy and is robust to a variety of specifications. Our findings have significant policy implications for achieving the post-MDG target and point to the importance of the health sector aid to improve child health for countries swamped with poorer health status.
AhmedS., & FieldingD. (2019). Changes in maternity leave coverage: Implications for fertility, labour force participation and child mortality. Social Science & Medicine, 241, 112573.
2.
AlesinaA., & DollarD. (2000). Who gives foreign aid to whom and why? Journal of Economic Growth, 5(1), 33–63.
3.
AlesinaA., & WederB. (2002). Do corrupt governments receive less foreign aid? American Economic Review, 92(4), 1126–1137.
4.
ArndtC., JonesS., & TarpF. (2015a). Assessing foreign aid’s long-run contribution to growth and development. World Development, 69(5), 6–18.
5.
ArndtC., JonesS., & TarpF. (2015b). What is the aggregate economic rate of return to foreign aid?World Bank Economic Review, 30(3), 446–474.
6.
AskarovZ., & DoucouliagosH. (2015). Development aid and growth in transition countries. World Development, 66(C), 383–399.
7.
AsonguS. A., & NwachukwuJ. C. (2018). Increasing foreign aid for inclusive human development in Africa. Social Indicators Research, 138(2), 443–466.
8.
AzarnertL. V. (2020). Health capital provision and human capital accumulation. Oxford Economic Papers, 72(3), 663–650.
9.
BauerP. (1971). Dissent on development. Weidenfield and Nicholson.
10.
BbaaleE., & BuyinzaF. (2012). Micro-analysis of mother’s education and child mortality: Evidence from Uganda. Journal of International Development, 24(S1), 138–158.
11.
BesleyT., & KudamatsuM. (2006). Health and democracy. American Economic Review, 96(2), 313–318.
12.
BhaumikS. K. (2005). Does the World Bank have any impact on human development of the poorest countries? Some preliminary evidence from Africa. Economic Systems, 29(4), 422–432.
13.
BlochC. (2020). Social spending in South Asia – An overview of government expenditure on health, education and social assistance(Research Report No. 44). International Policy Centre for Inclusive Growth and UNICEF Regional Office for South Asia.
14.
BooneP. (1996). Politics and the effectiveness of foreign aid. European Economic Review, 40(2), 289–329.
15.
BreitwieserA., & WickK. (2016). What we miss by missing data: Aid effectiveness revisited. World Development, 78(C), 554–571.
16.
BrindaE. M., RajkumarA. P., & EnemarkU. (2015). Association between gender inequality index and child mortality rates: A cross-national study of 138 countries. BMC Public Health, 15, 97.
17.
BurnsideC., & DollarD. (2000). Aid, policies, and growth. American Economic Review, 90(4), 847–868.
18.
CruzC., KeeferP., & ScartasciniC. (2018). The database of political institutions DPI2017. Inter-American Development Bank.
19.
DielmanJ. L., GravesC. M., & HanlonM. (2013). The fungibility of health aid: Reconsidering the reconsidered. Journal of Development Studies, 49(12), 1755–1762.
20.
DielmanJ. L., & HanlonM. (2014). Measuring the displacement and replacement of government health Expenditure. Health Economics, 23(2), 129–140.
21.
DreherA., & LanglotzS. (2015). Aid and growth: New evidence using an excludable instrument. CESIFO Working Paper Series, No. 5515.
22.
DreherA., & SturmJ.-E. (2012). Do IMF and World Bank influence voting in the UN general assembly?Public Choice, 151(1), 363–397.
23.
DreherA., SturmJ.-E., & VreelandJ. R. (2009). Development aid and international politics: Does membership on the UN security council influence World Bank decisions? Journal of Development Economics, 88(1), 1–18.
24.
DysonM., & MooreM. (1983). On kinship structure, female autonomy, and demographic behaviour in India. Population and Development Review, 9(1), 35–60.
25.
FaragM., NandakumarA. K., WallackS., GaumerG., & HodgkinD. (2009). Does funding from donors displace government spending for health in developing countries. Health Affairs, 28(4), 1045–1055.
26.
FaragM., NandakumarA. K., WallackS., HodgkinD., GaumerG., & ErbilC. (2013). Health expenditures, health outcomes and the role of good governance. International Journal of Health Care Finance and Economics, 13(1), 33–52.
27.
FeyziogluT., SwaroopV., & ZhuM. (1998). A panel data analysis of the fungibility of foreign aid. World Bank Economic Review, 12(1), 29–58.
28.
Freedom House. (2018). Freedom in the world. https://freedomhouse.org/content/freedom-world-data-and-resources
29.
GomaneeK., GirmaS., & MorrisseyO. (2005a). Aid, public spending and human welfare: Evidence from quantile regressions. Journal of International Development, 17(3), 299–309.
30.
GomaneeK., MorrisseyO., MosleyP., & VerschoorA. (2005b). Aid, government expenditure, and aggregate welfare. World Development, 33(3), 355–370.
31.
GrépinK., Leach-KemonK., SchneiderM., & SridharD. (2011). How to do (or not to do)... Tracking data on development assistance for health. Health Policy and Planning, 27(6), 527–534.
32.
HadiA. S. (1992). A modification of a method for the detection of outliers in multivariate samples. Journal of the Royal Statistical Society Series B (Methodological), 56(2), 393–396.
33.
Institute for Health Metrics and Evaluation. (2019). Development assistance for health database 1990–2018.
34.
International Country Risk Guide. (2016). PRS group, international country risk guide (ICRG). http://www.prsgroup.com
35.
JuseliusK., MøllerN. F., & TarpF. (2013). The long-run impact of foreign aid in 36 African countries: Insights from multivariate time series analysis. Oxford Bulletin of Economics and Statistics, 76(2), 153–184.
36.
KizhakethalackalE. T., MukherjeeD., & AlviE. (2013). Quantile regression analysis of health-aid and infant mortality: A note. Applied Economic Letters, 20(13), 1197–1201.
37.
LevineR., & KinderM. (2004). The what works working group. Million saved: Proven success in global health. Peterson Institute.
38.
LuC., SchneiderM. T., GubbinsP., Leach-KemonK., JamisonD., & MurrayC. J. (2010). Public financing of health in developing countries: A cross-national systematic analysis. Lancet, 375(9723), 1375–1387.
39.
MilnerH. V., & TingleyD. H. (2010). The political economy of U.S. foreign aid: American legislators and the domestic politics of aid. Economics and Politics, 22(2), 200–232.
40.
MishraP., & NewhouseD. (2009). Does health aid matter? Journal of Health Economics, 28(4), 855–872.
41.
MukherjeeD., & KizhakethalackalE. T. (2013). Empirics of health-aid, education and infant mortality: A semiparametric study. Applied Economics, 45(22), 3137–3150.
42.
MurthiM., GuioA.-C., & DrezeJ. (1995). Mortality, fertility, and gender bias in India: A district level analysis. Population and Development Review, 21(4), 745–782.
43.
NunnN., & QianN. (2014). US food aid and civil conflict. American Economic Review, 104(6), 1630–1666.
44.
OdokonyeroT., MartyR., MuhumuzaT., IjjoA. T., & MosesG. O. (2018). The impact of aid on health outcomes in Uganda. Health Economics, 27(4), 733–745.
45.
Organisation for Economic Co-operation and Development. (2020). OECD international development statistics. https://data.oecd.org/
46.
PickbournL., & NdikumanaL. (2018). Does health aid reduce infant and child mortality from diarrhoea in sub-Saharan Africa? The Journal of Development Studies, 55(10), 2212–2231.
47.
PrestonS. H. (1975). The changing relation between mortality and level of economic development. Population Studies, 29(2), 231–248.
48.
RosenzweigM. R., & WolpinK. I. (1988). Heterogeneity, intrafamily distribution, and child health. Journal of Human Resources, 23(4), 437–461.
49.
RugerJ. P. (2005). Democracy and health. QJM: An International Journal of Medicine, 98(4), 299–304.
50.
RuhmC. J. (2000). Parental leave and child health. Journal of Health Economics, 19(6), 931–960.
51.
SachsJ. (2005). The end of poverty: Economic possibilities for our time. Penguin Press.
52.
SweeneyR., & MortimerD. (2016). Has the swap influenced aid flows in the health sector? Health Economics, 25(5), 559–577.
53.
TarverdiY., & RammohanA. (2017). On the role of governance and health aid on child mortality: A cross-country analysis. Applied Economics, 49(9), 845–859.
54.
Van de SijpeN. (2013a). Is foreign aid fungible? Evidence from the education and health sectors. The World Bank Economic Review, 27(2), 320–356.
55.
Van de SijpeN. (2013b). The fungibility of health aid reconsidered. Journal of Development Studies, 49(12), 1746–1754.
56.
WilliamsonC. (2008). Foreign aid and human development: The impact of foreign aid to the health sector. Southern Economic Journal, 75(1), 188–207.
57.
WilsonS. E. (2011). Chasing success: Health sector aid and mortality. World Development, 39(11), 2032–2043.
58.
WolfS. (2007). Does aid improve public service delivery? Review of World Economics, 143(4), 650–672.
59.
World Bank. (2019). World development indicators. https://datacatalog.worldbank.org/dataset/world-development-indicators
60.
YogoU. T., & MallayeD. (2015). Health aid and health improvement in sub-Saharan Africa: Accounting for heterogeneity between stable states and post-conflict states. Journal of International Development, 27(7), 1178–1196.
