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POLITICAL INSTABILITY IN CENTRAL AFRICAN REPUBLIC (CAR) AND HEALTH STATE OF THE CAMEROON POPULATION

Year 2015, Volume: 2 Issue: 2, 113 - 129, 30.04.2015
https://doi.org/10.15637/jlecon.73

Abstract

Since independence (1960s), African countries are regularly animated by crisis (political
alternation, ethnic conflicts, tribalism, wars, coup d’états). These plagues that consume African
society have serious impact on the economic growth of these countries, and diversely affect
neighboring countries known for their relative stability. Thus, the purpose of this study was to
evaluate the impact of political crises in Central African Republic (CAR) on the Cameroon health
performances. We used Nafziger crude mortality model based on famine, conflict and population
displacement. The econometric analysis of the model shows a strong contribution of the critical
political situation in CAR on the degradation of the health state of people living in Cameroon. Several
reasons justify this argument: the influx of refugees from one country to another and the dissemination
of diseases amplified by the precariousness of their living condition on the Cameroon territory. This
proofs that political instability in Central African Republic (CAR) negatively affects the health state of
the Cameroonian population. 

References

  • ABESSOLO, Y. (2003), « Instabilité politique et performance économique : une évaluation du ca du Tchad », Yaoundé II, Cameroun. Disponible sur : http://harribey.ubordeaux4.fr/colloques/abessolo.pdf
  • ADES A., CHUA H. B. (1997), “Thy neighbor’s curse: Regional instability and economic growth”, Journal of Economic Growth, Vol. 2, No. 3, pp. 279-304.
  • ALESINA A., ÖZLER S., ROUBINI N., SWAGEL P. (1992), “Political instability and Economic Growth”, NBER, Working paper N° 4173.
  • ALESINA, A., PEROTTI, R. (1993), “Income distribution, political instability and Investment”, NBER, Working paper N° 4486.
  • ARROW (1963), “ Uncertainty and the Welfare Economics of Medical Care”, The American Economic Review, Vol. 53, No. 5, pp. 941-973
  • AZAM, J-P., BERTHELEMY, J-C., CALIPEL, S. (1996), “Risque politique et croissance en Afrique”, Revue économique, Vol. 47, No. 3, pp. 819-829.
  • BARRO, R. J. (1996a), “Determinants of Economic Growth: A Cross-Country Empirical Study”, National Bureau of Economic Research, Working Paper N° 5698.
  • BARRO, R. J. (1996b), “Democracy and Growth”, Journal of Economic Growth 1, pp. 1-21.
  • BENEFO, Kofi and SCHULTZ, T. Paul (1996), “Fertility and Child Mortality in Cote d'Ivoire and Ghana”, The World Bank Economic Review, 10(1): 123-158.
  • CAMPOS, N. F., NUGENT, J.B. (2003), “Agregate investment and political instability: An econometric Investigation”, Economica, pp. 533-549.
  • CAMPOS, N. F., KARANASOS, G. M. (2007), “Growth, Volatility and political instability: Non-linear Times-Series Evidence for Argentina, 1896-2000”, IZA DP, N° 3087.
  • CENTERS FOR DISEASE CONTROL AND PREVENTION. (1992). “Famine-affected, refugee, and displaced populations: Recommendations for public health issues.” Morbidity and Mortality Weekly Report (RR-13), 41, 1-76.
  • CORNIA, G. A. (1996), “Labour market Shock, Psychosocial Stress and the Transition Mortality Crisis”, Research in Progress No. 4, UNU/WIDER, Helsinki, Finland.
  • CORNIA, Giovanni A, RICHARD, J, and FRANCES, S. (1987), “Adjustment with a Human Face”, Vol. I., Clarendon Press, Oxford.
  • CORNIA, G. A. et HELLEINGER G. K. (1997), “From Adjustment to Development in Africa: Conflict, Controversy, Convergence, Consensus?”, The International Journal of African Historical Studies, Vol. 29, No. 3 (1997), pp. 632-633
  • DAVIS, D., & KURITSKY, J. (2002). “Violent conflict and its impact on health indicators in Sub-Saharan Africa, 1980 to 1997.” Paper presented at the annual meeting of the International Studies Association, New Orleans, LA.
  • DEVEREUX M. B., WEN J-F. (1998), “political instability, capital taxation and growth”, European Economic Review 42, pp. 1635-1651.
  • FOSU, A. K. (1992), “Political instability and economic growth: Evidence from Sub-Saharan Africa”, Economic Development and Cultural Change, pp. 829-841.
  • GERDTHAM U. G., JOHANNESSON M., LUNDBERG L., ISACSON D. (1999), “The Demand for Health: results from new measures of health capital”, European Journal of Political Economy, Vol. 15, pp. 501-521.
  • GHOBARAH, H., HUTH, P., & RUSSETT, B. (2004). “Comparative public health: The political economy of human misery and well-being.” International Studies Quarterly, 39.
  • GROSSMAN M. (1972a), “The Demand for Health: A Theorical and Empirical Investigation”, NBER, Cambridge.
  • GROSSMAN M. (1972b), “On the Concept of Health Capital and the Demand for Health”, The Journal of Political Economy, Vol. 80, N°. 2, pp. 223-255.
  • GROSSMAN M. et HELPMAN (1991), “Quality Ladders in the Theory of Growth”, The Review of Economic Studies, Vol. 58, No. 1 (Jan., 1991), pp. 43-61
  • GUILLAUMONT P., GUILLAUMONT J-S., BRUN J-F (1999), “How instability lowers African Growth”, Journal of African Economics, Vol. 8, n°1.
  • GUSTAFSON, P., GOMES V., VEIIRA, C., JAENSEN, H., SENG, R., NORBERG, R., et al (2001). «Tuberculosis mortality during a civil war in Guinea-Bissau”. Journal of American Medical Association, N°286, pp. 599-603
  • HORTON, R. (1999). “Croatia and Bosnia: the Imprints of War. I: Consequences”. Lancet. 353(9170):2139-2144.
  • JACKMAN R. W, MILLER R. A. (1996), «A Renaissance of Political Culture? », American Journal of Political Science, Vol. 40, No. 3 (Aug., 1996), pp. 632-659.
  • KAGO LELE, J. (1995). « Tribalisme et exclusion au Cameroun. Le cas des Bamilékés. », Yaoundé, Cameroun: CRAC.
  • KREVASDOUE J. (2005), « Cohésion sociale et espérance de vie », in LE MONDE édition du 19.05.05.
  • KHAN, M.M, VAN DIJK J.P, & VAN DEN HEUVEL, W. (2005). “The Impact of Economic and Socio-cultural Context upon Health Policy Outcome in Pakistan”. Eastern Mediterranean Health Journal, accepted pending revisions.
  • LANJOUW, S., MACRAE, J., & ZWI, A.B. (1999). “Rehabilitating Health Services in Cambodia: the Challenge of Coordination in Chronic Political Emergencies”. Health Policy and Planning 14(3):229-242.
  • LEVASSEUR M. (1995), “Perception de l’état de santé”, in Santé Québec, et la santé, ça va en 1992-1993, Rapport de l’Enquête sociale et de santé, Volume 1. Chapitre 11, pp. 199-209.
  • MEDIA 21 (2008). “Access to Health, Rights, needs and realities”, journalist workshop, May 25- June 6. Migration forcée (Octobre 2006), Revue.
  • MOSLEY and CHEN (1984), “An Analytical Framework for the Study of Child Survival in Developing Countries”, Population and Development Review, 10 (suppl.): 25-45.
  • MWABU, G. (1996), “Health Effects of Market-Based Reforms in Developing Countries”, Working Paper No 120, UNU/WIDER, Helsinki.
  • MWABU, G., J. MWANZIA and W. LIAMBILA (1995), “User Charges in Government Health Facilities in Kenya: Effect on Attendance and Revenue”, Health Policy and Planning, 10(2): 164-70.
  • NAFZIGER, W. E. (1996), “The Economics of Complex Humanitarian Emergencies: Preliminary Approaches and Findings”, Working Paper No.119, UNU/WIDER, Helsinki.
  • NAVARRO, V. (2000). “Assessment of the World Health Report”. Lancet. 356:1598-1601.
  • ORGANISATION MONDIALE DE LA SANTE (OMS), (2000). “The world health report 2000: Health systems: Improving performance”, Geneva, Switzerland.
  • ORGANISATION MONDIALE DE LA SANTE (OMS), (1997). “Inter-sectoral Action for Health: A Cornerstone for Health-for-All in the Twenty-first Century”. Report of the International Conference, Geneva.
  • ORGANISATION MONDIALE DE LA SANTÉ (OMS), (1998), “World Gender and Health: Technical paper”. Reference: WHO/FRH/WHD/98.16
  • PEROTTI R. (1996), “Growth, Income distribution, and democracy: What the data say”, Journal of Economic Growth, Vol. 1, No. 2, pp. 149-187.
  • PHILLIPS, K.A., MORRISON, K.R., ANDERSEN, R., & ADAY, L.A. (1998). “Understanding the Context of Healthcare Utilization: Assessing Environmental and Provider-Related Variables in the Behavioral Model of Utilization”. Health Services Research. 33:571-596.
  • PONZIO C. A. (2005), “Looking at the Dark Side of Things: Political Instability and Economic Growth in Post-Independence Mexico”, Universidad Autonoma de Nuevo Leon, and Secretaria de Desarrollo Economico.
  • PORTEOUS C. J. (2003), “L'évolution des conflits en Afrique subsaharienne”, Politique étrangère N°2, pp. 307-320.
  • PRASAD B. C. (2002), “Structural Reforms, Political Instability and Economic Growth in Fiji: Sustainability in the long-run”, Development Bulletin, N° 60, pp. 79-82.
  • PRITCHETT, Lant and Lawrence H. SUMMERS (1996), “Wealthier is Healthier”, The Journal of Human Resources, pp. 841-868.
  • ROBERTS, L., HALE, C., BELYAKDOUMI, F., COBEY, L., ONDEKO, R., DESPINES, M. (2001). “Mortality in Eastern Democratic Republic of Congo”. New York: International Rescue Committee.
  • ROBINSON, Mark and Gordon WHITE (1997), “The Role of Civic Organizations in Provision of Social Services: Towards Synergy”, Research for Action No. 37,UNU/WIDER, Helsinki, July.
  • TOOLE, M. J. (1997). “Complex Emergencies: Refugee and other populations”. In E. Noji (Ed.), “The Public Health Consequences of Disasters”. New York: Oxford University Press.
  • TORRANCE G. W. (1986), “Measurement of health state utilities for economic appraisal: A Review”, Journal of Health Economics 5, pp. 1-30.
  • TOUNA M. et KAMGNIA, B. D. (2000), “L’Ajustement Structurel en Afrique: l’Investissement Sacrifié?”, Revue Africaine des Sciences Économiques et de Gestion, Vol. 2, Juillet-Décembre, pp. 5-37.
  • TOUNA M. et KAMGNIA, B. D. (1999), "Le Comportement d'Investissement Privé au Cameroun: un Resserrement de la Contrainte Financière", Recherche et Développement, n°003, FSEG, Université de Yaoundé II.
  • WALT, G., & GILSON, L. (1994). “Reforming the Health Sector in Developing Countries: The Central Role of Policy Analysis”. Health Policy and Planning. 9(4):353-370.
  • YIL Feng (1997), « Democracy, political stability and economic growth », British Journal of Political Science, Vol. 27, N° 3, pp. 391-418.
  • ZWI, A., & UGALDE, A. (1989). “Towards an Epidemiology of Political Violence in the Third World”. Social Science and Medicine. 28(7):633-642.

POLITICAL INSTABILITY IN CENTRAL AFRICAN REPUBLIC (CAR) AND HEALTH STATE OF THE CAMEROON POPULATION

Year 2015, Volume: 2 Issue: 2, 113 - 129, 30.04.2015
https://doi.org/10.15637/jlecon.73

Abstract

Since independence (1960s), African countries are regularly animated by crisis (political
alternation, ethnic conflicts, tribalism, wars, coup d’états). These plagues that consume African
society have serious impact on the economic growth of these countries, and diversely affect
neighboring countries known for their relative stability. Thus, the purpose of this study was to
evaluate the impact of political crises in Central African Republic (CAR) on the Cameroon health
performances. We used Nafziger crude mortality model based on famine, conflict and population
displacement. The econometric analysis of the model shows a strong contribution of the critical
political situation in CAR on the degradation of the health state of people living in Cameroon. Several
reasons justify this argument: the influx of refugees from one country to another and the dissemination
of diseases amplified by the precariousness of their living condition on the Cameroon territory. This
proofs that political instability in Central African Republic (CAR) negatively affects the health state of
the Cameroonian population. 

References

  • ABESSOLO, Y. (2003), « Instabilité politique et performance économique : une évaluation du ca du Tchad », Yaoundé II, Cameroun. Disponible sur : http://harribey.ubordeaux4.fr/colloques/abessolo.pdf
  • ADES A., CHUA H. B. (1997), “Thy neighbor’s curse: Regional instability and economic growth”, Journal of Economic Growth, Vol. 2, No. 3, pp. 279-304.
  • ALESINA A., ÖZLER S., ROUBINI N., SWAGEL P. (1992), “Political instability and Economic Growth”, NBER, Working paper N° 4173.
  • ALESINA, A., PEROTTI, R. (1993), “Income distribution, political instability and Investment”, NBER, Working paper N° 4486.
  • ARROW (1963), “ Uncertainty and the Welfare Economics of Medical Care”, The American Economic Review, Vol. 53, No. 5, pp. 941-973
  • AZAM, J-P., BERTHELEMY, J-C., CALIPEL, S. (1996), “Risque politique et croissance en Afrique”, Revue économique, Vol. 47, No. 3, pp. 819-829.
  • BARRO, R. J. (1996a), “Determinants of Economic Growth: A Cross-Country Empirical Study”, National Bureau of Economic Research, Working Paper N° 5698.
  • BARRO, R. J. (1996b), “Democracy and Growth”, Journal of Economic Growth 1, pp. 1-21.
  • BENEFO, Kofi and SCHULTZ, T. Paul (1996), “Fertility and Child Mortality in Cote d'Ivoire and Ghana”, The World Bank Economic Review, 10(1): 123-158.
  • CAMPOS, N. F., NUGENT, J.B. (2003), “Agregate investment and political instability: An econometric Investigation”, Economica, pp. 533-549.
  • CAMPOS, N. F., KARANASOS, G. M. (2007), “Growth, Volatility and political instability: Non-linear Times-Series Evidence for Argentina, 1896-2000”, IZA DP, N° 3087.
  • CENTERS FOR DISEASE CONTROL AND PREVENTION. (1992). “Famine-affected, refugee, and displaced populations: Recommendations for public health issues.” Morbidity and Mortality Weekly Report (RR-13), 41, 1-76.
  • CORNIA, G. A. (1996), “Labour market Shock, Psychosocial Stress and the Transition Mortality Crisis”, Research in Progress No. 4, UNU/WIDER, Helsinki, Finland.
  • CORNIA, Giovanni A, RICHARD, J, and FRANCES, S. (1987), “Adjustment with a Human Face”, Vol. I., Clarendon Press, Oxford.
  • CORNIA, G. A. et HELLEINGER G. K. (1997), “From Adjustment to Development in Africa: Conflict, Controversy, Convergence, Consensus?”, The International Journal of African Historical Studies, Vol. 29, No. 3 (1997), pp. 632-633
  • DAVIS, D., & KURITSKY, J. (2002). “Violent conflict and its impact on health indicators in Sub-Saharan Africa, 1980 to 1997.” Paper presented at the annual meeting of the International Studies Association, New Orleans, LA.
  • DEVEREUX M. B., WEN J-F. (1998), “political instability, capital taxation and growth”, European Economic Review 42, pp. 1635-1651.
  • FOSU, A. K. (1992), “Political instability and economic growth: Evidence from Sub-Saharan Africa”, Economic Development and Cultural Change, pp. 829-841.
  • GERDTHAM U. G., JOHANNESSON M., LUNDBERG L., ISACSON D. (1999), “The Demand for Health: results from new measures of health capital”, European Journal of Political Economy, Vol. 15, pp. 501-521.
  • GHOBARAH, H., HUTH, P., & RUSSETT, B. (2004). “Comparative public health: The political economy of human misery and well-being.” International Studies Quarterly, 39.
  • GROSSMAN M. (1972a), “The Demand for Health: A Theorical and Empirical Investigation”, NBER, Cambridge.
  • GROSSMAN M. (1972b), “On the Concept of Health Capital and the Demand for Health”, The Journal of Political Economy, Vol. 80, N°. 2, pp. 223-255.
  • GROSSMAN M. et HELPMAN (1991), “Quality Ladders in the Theory of Growth”, The Review of Economic Studies, Vol. 58, No. 1 (Jan., 1991), pp. 43-61
  • GUILLAUMONT P., GUILLAUMONT J-S., BRUN J-F (1999), “How instability lowers African Growth”, Journal of African Economics, Vol. 8, n°1.
  • GUSTAFSON, P., GOMES V., VEIIRA, C., JAENSEN, H., SENG, R., NORBERG, R., et al (2001). «Tuberculosis mortality during a civil war in Guinea-Bissau”. Journal of American Medical Association, N°286, pp. 599-603
  • HORTON, R. (1999). “Croatia and Bosnia: the Imprints of War. I: Consequences”. Lancet. 353(9170):2139-2144.
  • JACKMAN R. W, MILLER R. A. (1996), «A Renaissance of Political Culture? », American Journal of Political Science, Vol. 40, No. 3 (Aug., 1996), pp. 632-659.
  • KAGO LELE, J. (1995). « Tribalisme et exclusion au Cameroun. Le cas des Bamilékés. », Yaoundé, Cameroun: CRAC.
  • KREVASDOUE J. (2005), « Cohésion sociale et espérance de vie », in LE MONDE édition du 19.05.05.
  • KHAN, M.M, VAN DIJK J.P, & VAN DEN HEUVEL, W. (2005). “The Impact of Economic and Socio-cultural Context upon Health Policy Outcome in Pakistan”. Eastern Mediterranean Health Journal, accepted pending revisions.
  • LANJOUW, S., MACRAE, J., & ZWI, A.B. (1999). “Rehabilitating Health Services in Cambodia: the Challenge of Coordination in Chronic Political Emergencies”. Health Policy and Planning 14(3):229-242.
  • LEVASSEUR M. (1995), “Perception de l’état de santé”, in Santé Québec, et la santé, ça va en 1992-1993, Rapport de l’Enquête sociale et de santé, Volume 1. Chapitre 11, pp. 199-209.
  • MEDIA 21 (2008). “Access to Health, Rights, needs and realities”, journalist workshop, May 25- June 6. Migration forcée (Octobre 2006), Revue.
  • MOSLEY and CHEN (1984), “An Analytical Framework for the Study of Child Survival in Developing Countries”, Population and Development Review, 10 (suppl.): 25-45.
  • MWABU, G. (1996), “Health Effects of Market-Based Reforms in Developing Countries”, Working Paper No 120, UNU/WIDER, Helsinki.
  • MWABU, G., J. MWANZIA and W. LIAMBILA (1995), “User Charges in Government Health Facilities in Kenya: Effect on Attendance and Revenue”, Health Policy and Planning, 10(2): 164-70.
  • NAFZIGER, W. E. (1996), “The Economics of Complex Humanitarian Emergencies: Preliminary Approaches and Findings”, Working Paper No.119, UNU/WIDER, Helsinki.
  • NAVARRO, V. (2000). “Assessment of the World Health Report”. Lancet. 356:1598-1601.
  • ORGANISATION MONDIALE DE LA SANTE (OMS), (2000). “The world health report 2000: Health systems: Improving performance”, Geneva, Switzerland.
  • ORGANISATION MONDIALE DE LA SANTE (OMS), (1997). “Inter-sectoral Action for Health: A Cornerstone for Health-for-All in the Twenty-first Century”. Report of the International Conference, Geneva.
  • ORGANISATION MONDIALE DE LA SANTÉ (OMS), (1998), “World Gender and Health: Technical paper”. Reference: WHO/FRH/WHD/98.16
  • PEROTTI R. (1996), “Growth, Income distribution, and democracy: What the data say”, Journal of Economic Growth, Vol. 1, No. 2, pp. 149-187.
  • PHILLIPS, K.A., MORRISON, K.R., ANDERSEN, R., & ADAY, L.A. (1998). “Understanding the Context of Healthcare Utilization: Assessing Environmental and Provider-Related Variables in the Behavioral Model of Utilization”. Health Services Research. 33:571-596.
  • PONZIO C. A. (2005), “Looking at the Dark Side of Things: Political Instability and Economic Growth in Post-Independence Mexico”, Universidad Autonoma de Nuevo Leon, and Secretaria de Desarrollo Economico.
  • PORTEOUS C. J. (2003), “L'évolution des conflits en Afrique subsaharienne”, Politique étrangère N°2, pp. 307-320.
  • PRASAD B. C. (2002), “Structural Reforms, Political Instability and Economic Growth in Fiji: Sustainability in the long-run”, Development Bulletin, N° 60, pp. 79-82.
  • PRITCHETT, Lant and Lawrence H. SUMMERS (1996), “Wealthier is Healthier”, The Journal of Human Resources, pp. 841-868.
  • ROBERTS, L., HALE, C., BELYAKDOUMI, F., COBEY, L., ONDEKO, R., DESPINES, M. (2001). “Mortality in Eastern Democratic Republic of Congo”. New York: International Rescue Committee.
  • ROBINSON, Mark and Gordon WHITE (1997), “The Role of Civic Organizations in Provision of Social Services: Towards Synergy”, Research for Action No. 37,UNU/WIDER, Helsinki, July.
  • TOOLE, M. J. (1997). “Complex Emergencies: Refugee and other populations”. In E. Noji (Ed.), “The Public Health Consequences of Disasters”. New York: Oxford University Press.
  • TORRANCE G. W. (1986), “Measurement of health state utilities for economic appraisal: A Review”, Journal of Health Economics 5, pp. 1-30.
  • TOUNA M. et KAMGNIA, B. D. (2000), “L’Ajustement Structurel en Afrique: l’Investissement Sacrifié?”, Revue Africaine des Sciences Économiques et de Gestion, Vol. 2, Juillet-Décembre, pp. 5-37.
  • TOUNA M. et KAMGNIA, B. D. (1999), "Le Comportement d'Investissement Privé au Cameroun: un Resserrement de la Contrainte Financière", Recherche et Développement, n°003, FSEG, Université de Yaoundé II.
  • WALT, G., & GILSON, L. (1994). “Reforming the Health Sector in Developing Countries: The Central Role of Policy Analysis”. Health Policy and Planning. 9(4):353-370.
  • YIL Feng (1997), « Democracy, political stability and economic growth », British Journal of Political Science, Vol. 27, N° 3, pp. 391-418.
  • ZWI, A., & UGALDE, A. (1989). “Towards an Epidemiology of Political Violence in the Third World”. Social Science and Medicine. 28(7):633-642.
There are 56 citations in total.

Details

Journal Section Articles
Authors

Ludwick Esone Ndokang This is me

André Dumas Tsambou This is me

Publication Date April 30, 2015
Published in Issue Year 2015 Volume: 2 Issue: 2

Cite

APA Esone Ndokang, L., & Tsambou, A. D. (2015). POLITICAL INSTABILITY IN CENTRAL AFRICAN REPUBLIC (CAR) AND HEALTH STATE OF THE CAMEROON POPULATION. Journal of Life Economics, 2(2), 113-129. https://doi.org/10.15637/jlecon.73

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