nep-ara New Economics Papers
on Arab World
Issue of 2009‒04‒25
two papers chosen by
Quentin Wodon
World Bank

  1. Equity of health care financing in Iran By Hajizadeh, Mohammad; Connelly, Luke B
  2. Stockpiles of obsolete pesticides and cleanup priorities : a methodology and application for Tunisia By Dasgupta, Susmita; Meisner, Craig; Wheeler, David

  1. By: Hajizadeh, Mohammad; Connelly, Luke B
    Abstract: This study presents the rst analyses of the equity of health care financing in Iran. Kakwani Progressivity Indices (KPIs) and concentration indices (CIs) are estimated using ten national household expenditure surveys, which were conducted in Iran from 1995/96 to 2004/05. The indices are used to analyze the progressivity of two sources of health care financing: health insurance premium payments and consumer co-payments (and the sum of these), for Iran as a whole, and for rural and urban areas of Iran, separately. The results suggest that health insurance premium payments became more progressive over the study period; however the KPIs for consumer co-payments suggest that these are still mildly regressive or slightly progressive, depending upon whether household income or expenditure data are used to generate the indices. Interestingly, the Urban Inpatient Insurance Scheme (UIIS), which was introduced by the Iranian government in 2000 to extend insurance to uninsured urban dwellers, appears to have had a regressive impact on health care nancing, which is contrary to expectations. This result sounds a cautionary note about the potential for public programs to crowd out private sector, charitable activity, which was prevalent in Iran prior to the introduction of the UIIS.
    Keywords: Equity; Health care nancing; Kakwani progressivity index; Iran.
    JEL: D31 D63 P43 I18
    Date: 2009–03
  2. By: Dasgupta, Susmita; Meisner, Craig; Wheeler, David
    Abstract: Obsolete pesticides have accumulated in almost every developing country or economy in transition over the past several decades. Public health and environmental authorities are eager to reduce health threats by removing and decontaminating stockpile sites, but there are many sites, cleanup can be costly, and public resources are scarce. Under these conditions, it seems sensible to develop a methodology for prioritizing sites and treating them sequentially, as budgetary resources permit. This paper presents a methodology that develops cleanup priority indices for Tunisia. The approach integrates information on populations at risk, their proximity to stockpiles, and the relative toxic hazards of the stockpiles. The robustness of this approach is tested by varying model parameters widely and testing for stability in the rank-ordering of results.
    Keywords: Information Security&Privacy,Food&Beverage Industry,Population Policies,Environmental Governance,Disease Control&Prevention
    Date: 2009–04–01

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