Geidson Uilson Seixas Santana , Gervásio Ferreira dos Santos
{"title":"Location and health in an inequal city: Evidence for Salvador in Brazil","authors":"Geidson Uilson Seixas Santana , Gervásio Ferreira dos Santos","doi":"10.1016/j.rspp.2024.100047","DOIUrl":null,"url":null,"abstract":"<div><p>The objective of this paper is to verify the effect of the location of health facilities on amenable and child mortality in the city of Salvador in Brazil. Based on the theory of local public goods, we consider that the provision of public health facilities affects the local health condition, and should therefore be decentralized to achieve better outcomes and avoid congestion costs. Panel data with mortalities data, socioeconomic variables, and the georeferenced location and internal structure of local health facilities for 163 neighbourhoods of the city were used to estimate a panel Poisson model. Simultaneity bias between mortality rate and location of health facilities was controlled using an instrumental variable based on the location of day-care centres, pre-schools, and public elementary schools. The results show that the homogenous spatial urban coverage of health care facilities contributes to reducing mortality. An increase of one unit in the coverage of public health facilities can reduce amenable mortality by 2.57% and under-five mortality by 23.06%. This effect may be greater for neighbourhoods with less unequal socioeconomic conditions.</p></div>","PeriodicalId":45520,"journal":{"name":"Regional Science Policy and Practice","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1757780224000829/pdfft?md5=5f81b4d33ceb43ef530dbf391d233171&pid=1-s2.0-S1757780224000829-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Regional Science Policy and Practice","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1757780224000829","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GEOGRAPHY","Score":null,"Total":0}
引用次数: 0
Abstract
The objective of this paper is to verify the effect of the location of health facilities on amenable and child mortality in the city of Salvador in Brazil. Based on the theory of local public goods, we consider that the provision of public health facilities affects the local health condition, and should therefore be decentralized to achieve better outcomes and avoid congestion costs. Panel data with mortalities data, socioeconomic variables, and the georeferenced location and internal structure of local health facilities for 163 neighbourhoods of the city were used to estimate a panel Poisson model. Simultaneity bias between mortality rate and location of health facilities was controlled using an instrumental variable based on the location of day-care centres, pre-schools, and public elementary schools. The results show that the homogenous spatial urban coverage of health care facilities contributes to reducing mortality. An increase of one unit in the coverage of public health facilities can reduce amenable mortality by 2.57% and under-five mortality by 23.06%. This effect may be greater for neighbourhoods with less unequal socioeconomic conditions.
期刊介绍:
Regional Science Policy & Practice (RSPP) is the official policy and practitioner orientated journal of the Regional Science Association International. It is an international journal that publishes high quality papers in applied regional science that explore policy and practice issues in regional and local development. It welcomes papers from a range of academic disciplines and practitioners including planning, public policy, geography, economics and environmental science and related fields. Papers should address the interface between academic debates and policy development and application. RSPP provides an opportunity for academics and policy makers to develop a dialogue to identify and explore many of the challenges facing local and regional economies.