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Open Access Publications from the University of California

Scholarly Works (2 results)

  • Article
CLACS Working Papers (2009)

A central claim in favor of decentralization is that it will improve access to public services, but few studies examine this question empirically. This paper explores the effects of decentralization on access to health and education in Colombia. We benefit from an original database that includes over 95 percent of Colombian municipalities. Our results show that decentralization improved enrollment rates in public schools and access of the poor to public health services. In both sectors, improving access was driven by the financial contributions of local governments. Our theoretical findings imply that local governments with better information about local preferences will concentrate their resources in the areas their voters care about most. The combination of empirical and theoretical results implies that decentralization provides local officials with the information and incentives they need to allocate resources in a manner responsive to voters’ needs, and improve the quality of expenditures so as to maximize their impact. The end result is greater usage of local services by citizens.

    Cover page: Decentralization and Access to Social Services in Colombia
    • Article
    • Peer Reviewed
    UC Davis Previously Published Works (2021)
    The rapid spread of the new SARS-CoV-2 virus triggered a global health crisis, disproportionately impacting people with pre-existing health conditions and particular demographic and socioeconomic characteristics. One of the main concerns of governments has been to avoid health systems becoming overwhelmed. For this reason, they have implemented a series of non-pharmaceutical measures to control the spread of the virus, with mass tests being one of the most effective controls. To date, public health officials continue to promote some of these measures, mainly due to delays in mass vaccination and the emergence of new virus strains. In this research, we studied the association between COVID-19 positivity rate and hospitalization rates at the county level in California using a mixed linear model. The analysis was performed in the three waves of confirmed COVID-19 cases registered in the state to September 2021. Our findings suggest that test positivity rate is consistently associated with hospitalization rates at the county level for all study waves. Demographic factors that seem to be related to higher hospitalization rates changed over time, as the profile of the pandemic impacted different fractions of the population in counties across California.
      Cover page: The Role of SARS-CoV-2 Testing on Hospitalizations in California
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