The Impact of Health Service Delivery on Political Support: Evidence from the Nigerian Subsidy Re-investment and Empowerment Programme
May 24, 2018
Adanna Chukwama, Thomas J. Bossert
Chukwama, Adanna and Thomas J. Bossert. 2018. The Impact of Health Service Delivery on Political Support: Evidence from the Nigerian Subsidy Re-investment and Empowerment Programme. AidData Working Paper #51. Williamsburg, VA: AidData at William & Mary.
Sub-Saharan African governments need to make substantial investments to expand access to quality health services, necessitating research that examines the incentives before politicians to make these investments. This paper examined the implications of a national maternal and child health intervention in Nigeria for trust in the President and the ruling party in geographically-matched households and facilities using difference-in-difference models. We show that proximity to intervention health facilities led to increases in trust in the President and the ruling party. Our findings also indicate that the effect of service delivery on trust did not significantly interact with patronage relationships between the President and citizens. More broadly, our findings contribute to the evidence on positive returns to improving physical access to quality health services in similar contexts in Africa.
Geocoded Afrobarometer Surveys
Geocoded Afrobarometer Data, Version 1.0
This subnationally geocoded dataset, available via request from Afrobarometer, covers Rounds One through Six of Afrobarometer's surveys in 37 African countries between 1999 and 2015. It provides hyperlocal, time-varying information about the priorities, preferences, experiences, and opinions of more than 200,000 African citizens in 28,000 localities.