Do Local Government Units (LGUS) Interact Fiscally While Providing Public Health Services In The Philippines?
Article first published online: 17 AUG 2012
2012 Policy Studies Organization
World Medical & Health Policy
Volume 4, Issue 2, pages 1–33, July 2012
How to Cite
Kelekar, U. (2012), Do Local Government Units (LGUS) Interact Fiscally While Providing Public Health Services In The Philippines?. World Medical & Health Policy, 4: 1–33. doi: 10.1515/1948-4682.1233
- Issue published online: 17 AUG 2012
- Article first published online: 17 AUG 2012
- fiscal decentralization;
- spatial interactions;
- public health expenditures
The aim of this paper is to better understand the impacts of a decentralized public health delivery system of the Philippines on local government spending. Specifically, it investigates determinants of local government public health expenditures for the year 2007. Within the context of the Philippines' decentralized health system, particular emphasis is given to horizontal fiscal interactions. The research addresses these issues in an empirical spatial econometric framework utilizing public finance local government data. A key finding is the positive fiscal interaction among local governments that is consistent with competition for scarce resources such as doctors, as well as competition among political actors prior to elections. The policy implications of these results are also discussed.