Health Equity and Financial Protection: Part I
(2007). Marginal BIA tries to assess how different income groups benefit from an expansion of the budget (Lanjouw and Ravallion 1999). A pro-rich distribution of average benefits need not translate into a prorich distribution of marginal benefits, since additional spending may disproportionately benefit the poor rather than the rich. ADePT does not currently implement marginal BIA. However, analysts can easily repeat the same BIA on data sets from multiple years or regions within the country and see how incidence changes as budgets change. 10. Wagstaff (2010) extends the analysis in O’Donnell and others (2008).
References Fleurbaey, M., and E. Schokkaert. 2009. “Unfair Inequalities in Health and Health Care.” Journal of Health Economics 28 (1): 73–90. Gravelle, H. 2003. “Measuring Income-Related Inequality in Health: Standardisation and the Partial Concentration Index.” Health Economics 12 (10): 803–19. Hammer, J., I. B. Nabi, and J. Cercone. 1995. “Distributional Effects of Social Sector Expenditures in Malaysia 1974–89.” In Public Spending and the Poor: Theory and Evidence, ed. D. van de Walle and K. Nead. Baltimore, MD: Johns Hopkins University Press. Lanjouw, P., and M. Ravallion. 1999. “Benefit Incidence, Public Spending Reforms, and the Timing of Program Capture.” World Bank Economic Review 13 (2): 257–73. O’Donnell, O., E. van Doorslaer, R. P. Rannan-Eliya, A. Somanathan, S. R. Adhikari, D. Harbianto, C. G. Garg, P. Hanvoravongchai, M. N. Huq, A. Karan, G. M. Leung, C. W. Ng, B. R. Pande, K. Tin, L. Trisnantoro, C. Vasavid, Y. Zhang, and Y. Zhao. 2007. “The Incidence of Public Spending on Healthcare: Comparative Evidence from Asia.” World Bank Economic Review 21 (1): 93–123. O’Donnell, O., E. van Doorslaer, A. Wagstaff, and M. Lindelow. 2008. Analyzing Health Equity Using Household Survey Data: A Guide to Techniques and Their Implementation. Washington, DC: World Bank. van de Walle, D. 1995. “The Distribution of Subsidies through Public Health Services in Indonesia.” In Public Spending and the Poor: Theory and Evidence, ed. D. van de Walle and K. Nead. Baltimore, MD: Johns Hopkins University Press.
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