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Do government audits reduce dengue? Estimating the impact of federal monitoring lotteries program on dengue incidence.

Authors :
Benini Duarte G
de Souza Melo A
Firmino Costa da Silva D
Source :
International journal of health economics and management [Int J Health Econ Manag] 2019 Dec; Vol. 19 (3-4), pp. 359-369. Date of Electronic Publication: 2018 Dec 17.
Publication Year :
2019

Abstract

The paper examines the relationship between the supervision carried out in the municipalities by the main Brazilan supervisory institution (Controladoria Geral da União-CGU, in portuguese) and the incidence of dengue cases in them. Since the audited municipalities were randomized, this allows the identification of a control group that adequately represents the counterfactual of the treated group. The sample was composed of all municipalities that could be selected for that CGU inspection cycle, that is, 1520 municipalities, of which 70 were drawn and therefore belong to the study treatment group. We identified a negative effect of the policy on the incidence of the disease. However, when we consider a model with lags, we note that this initial impact from the drawing did not persist throughout the year of the inspection. Our analysis suggests that when federal resources are monitored, municipalities reduce irregularities, which may contribute to a decrease in the number of dengue cases.

Details

Language :
English
ISSN :
2199-9031
Volume :
19
Issue :
3-4
Database :
MEDLINE
Journal :
International journal of health economics and management
Publication Type :
Academic Journal
Accession number :
30560427
Full Text :
https://doi.org/10.1007/s10754-018-9259-7