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Can International Nongovernmental Organizations Boost Government Services? The Case of Health

Published online by Cambridge University Press:  25 July 2013

Amanda Murdie  and
Alexander Hicks
Amanda Murdie
Affiliation:
University of Missouri. E-mail: murdiea@missouri.edu
Alexander Hicks
Affiliation:
Emory University, Atlanta, Georgia. E-mail: ahicks@emory.edu
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Abstract

Do international nongovernmental organizations (INGOs) lessen the need for states to provide their own services? In the case of health, many assume that INGOs limit health spending by governments. Against the conventional wisdom, we argue that these organizations create increased demand for governmental health spending through three mechanisms: (1) indirectly affecting the policy-making climate (“climatic conditioning”), (2) aiding domestic NGO and health activists in their efforts, and (3) directly pressuring governments for increased health spending themselves. Given these mechanisms, health INGOs, although typically supplying health services of their own within a country, should augment pressure for public service provision by the state and, it follows, lead to increased state health spending. We test our argument using a new data set on health INGOs, together with a well-established model of health spending, and find ample support for our arguments. Increases in health INGOs' activities do lead to increased governmental health spending, mainly by indirectly affecting the policy-making climate and, most especially, advancing the effective efforts of domestic activists.

Type
Research Article
Information
International Organization , Volume 67 , Issue 3 , July 2013 , pp. 541 - 573
Copyright
Copyright © The IO Foundation 2013 

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References

Ahmed, Shamima, and Potter, David M.. 2006. NGOs in International Politics. Bloomfield, Conn.: Kumarian Press.Google Scholar
Alonso, Alvaro, and Brugha, Ruairí. 2006. Rehabilitating the Health System After Conflict in East Timor: A Shift from NGO to Government Leadership. Health Policy and Planning 21 (3):206–16.CrossRefGoogle ScholarPubMed
Avelino, George, Brown, David S., and Hunter, Wendy. 2005. The Effects of Capital Mobility, Trade Openness, and Democracy on Social Spending in Latin America, 1980–1999. American Journal of Political Science 49 (3):625–41.CrossRefGoogle Scholar
Banks, Arthur S. 2008a. Cross-National Time-Series Data Archive User's Manual. Databanks International. Jerusalem. Available at ⟨http://www.databanksinternational.com⟩. Accessed 20 January 2010.Google Scholar
Banks, Arthur S. 2008b. Cross-National Time-Series Data Archive. Databanks International. Jerusalem. Version 18 December 2008. Available at ⟨http://www.databanksinternational.com⟩. Accessed 20 January 2010.Google Scholar
Barnett, Michael. 2009. Evolution Without Progress? Humanitarianism in a World of Hurt. International Organization 63 (4):621–63.CrossRefGoogle Scholar
Bartley, Tim. 2007. How Foundations Shape Social Movements: The Construction of an Organizational Field and the Rise of Forest Certification. Social Problems 54 (3):229–55.CrossRefGoogle Scholar
Baum, Christopher F., Schaffer, Mark E., and Stillman, Steven. 2003. Instrumental Variables and GMM: Estimation and Testing. Stata Journal 3 (1):1–31.CrossRefGoogle Scholar
Beck, Nathaniel, and Katz, Jonathan N.. 1996. Nuisance vs. Substance: Specifying and Estimating Time-Series-Cross-Section Models. Political Analysis 6 (1):1–36.CrossRefGoogle Scholar
Boli, John, and Thomas, George M.. 1999. INGOs and the Organization of World Culture. In Constructing World Culture: International Nongovernmental Organizations Since 1875, edited by Boli, John and Thomas, George M., 13–49. Stanford, Calif.: Stanford University Press.CrossRefGoogle Scholar
Bond, Doug, Bond, Joe, Oh, Churl, Jenkins, J. Craig, and Taylor, Charles Lewis. 2003. Integrated Data for Events Analysis (IDEA): An Event Typology for Automated Events Data Development. Journal of Peace Research 40 (6):733–45.CrossRefGoogle Scholar
Brown, David S., and Hunter, Wendy. 1999. Democracy and Social Spending in Latin America, 1980–92. American Political Science Review 93 (4):779–90.CrossRefGoogle Scholar
Bruno, Michael, and Easterly, William. 1996. Inflation's Children: Tales of Crises That Beget Reforms. American Economic Review 86 (2):213–17.Google Scholar
Campos, Nauro F., Khan, Feisal U., and Tessendorf, Jennifer E.. 2004. From Substitution to Complementarity: Some Econometric Evidence on the Evolving NGO-State Relationship in Pakistan. Journal of Developing Areas 37 (2):49–72.CrossRefGoogle Scholar
Chwieroth, Jeffrey M., Hicks, Alexander, and Pinheiro, Diogo. 2011. New Institutionalism and Economic Globalization: The Case of Capital Account Liberalization in Latin America. Working Paper. Atlanta, Ga.: Emory University.Google Scholar
Cooley, Alexander, and Ron, James. 2002. The NGO Scramble: Organizational Insecurity and the Political Economy of Transnational Action. International Security 27 (1):5–39.CrossRefGoogle Scholar
De Boef, Suzanna, and Keele, Luke. 2008. Taking Time Seriously. American Journal of Political Science 52 (1):180–200.CrossRefGoogle Scholar
DiMaggio, Paul J., and Powell, Walter W.. 1983. The Iron Cage Revisited: Institutional Isomorphism and Collective Rationality in Organizational Fields. American Sociological Review 48 (2):147–60.CrossRefGoogle Scholar
Dobbin, Frank, Simmons, Beth, and Garrett, Geoffrey. 2007. The Global Diffusion of Public Policies: Social Construction, Coercion, Competition, or Learning? Annual Review of Sociology 33:449–72.CrossRefGoogle Scholar
Edwards, Michael. 2010. Why “Philanthrocapitalism” Is Not the Answer: Private Initiatives and International Development. In Doing Good or Doing Better: Development Policies in a Globalizing World, edited by Kremer, Monique, van Lieshout, Peter, and Went, Robert, 237–54. Amsterdam: Amsterdam University Press.Google Scholar
Engerman, Stanley L., and Sokoloff, Kenneth L.. 2002. Factor Endowments, Inequality, and Paths of Development Among New World Economies. Economia 3 (1):41–88.Google Scholar
Engle, Robert F., and Granger, C.W.J.. 1987. Co-Integration and Error Correction: Representation, Estimation, and Testing. Econometrica 55 (2):251–76.CrossRefGoogle Scholar
Farag, Marwa, Nandakumar, A.K., Wallack, Stanley S., Gaumer, Gary, and Hodgkin, Dominic. 2009. Does Funding from Donors Displace Government Spending for Health in Developing Countries? Health Affairs 28 (4):1045–55.CrossRefGoogle ScholarPubMed
Filmer, Deon, Hammer, Jeffrey S., and Pritchett, Lant H.. 2000. Weak Links in the Chain: A Diagnosis of Health Policy in Poor Countries. World Bank Research Observer 15 (2):199–224.CrossRefGoogle Scholar
Franko, Patrice. 2007. The Puzzle of Latin American Economic Development. Lanham, Md.: Rowman and Littlefield.Google Scholar
Franzese, Robert J. 2002. Macroeconomic Policies of Developed Democracies. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Gleditsch, Kristian Skrede, and Ward, Michael D.. 2006. Diffusion and the International Context of Democratization. International Organization 60 (4):911–33.CrossRefGoogle Scholar
Global Development Network Growth Database. 2009. Available at ⟨http://nyudri.org/resources/global-development-network-growth-database⟩. Accessed 10 January 2012.Google Scholar
Gottret, Pablo, and Schieber, George. 2006. Health Financing Revisited: A Practitioner's Guide. Washington, D.C.: World Bank.CrossRefGoogle Scholar
Gough, Ian, Wood, Geof, Barrientos, Armando, Bevan, Philippa, Davis, Peter, and Room, Graham. 2004. Insecurity and Welfare Regimes in Asia, Africa and Latin America: Social Policy in Development Contexts. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Granger, Clive W.J., and Weiss, Andrew A.. 1983. Time Series Analysis of Error-Correcting Models. In Studies in Econometrics, Time Series, and Multivariate Statistics, edited by Karlin, Samuel, Amemiya, Takeshi, and Goodman, Leo A., 255–78. New York: Academic Press.CrossRefGoogle Scholar
Grant, Ruth W., and Keohane, Robert O.. 2005. Accountability and Abuses in World Politics. American Political Science Review 99 (1):29–43.CrossRefGoogle Scholar
Gupta, Sanjeev, Verhoeven, Marijin, and Tiongson, Erwin. 1999. Does Higher Government Spending Buy Better Results in Education and Health Care? IMF Working Paper 99/21. Washington, D.C.: International Monetary Fund.CrossRefGoogle Scholar
Gupta, Sanjeev, Davoodi, Hamid, and Tiongson, Erwin. 2001. Corruption and the Provision of Health Care and Education Services. In The Political Economy of Corruption, edited by Jain, Arvind K., 111–41. London: Routledge.Google Scholar
Haggard, Stephen, and Kaufman, Robert R.. 2008. Development, Democracy, and Welfare States: Latin America, East Asia, and Eastern Europe. Princeton, N.J.: Princeton University Press.Google Scholar
Hall, Peter A., and Soskice, David, eds. 2001. Varieties of Capitalism: The Institutional Foundations of Comparative Advantage. New York: Oxford University Press.CrossRefGoogle Scholar
Hathaway, Oona A. 2007. Why Do Countries Commit to Human Rights Treaties? Journal of Conflict Resolution 51 (4):588–621.CrossRefGoogle Scholar
Henisz, Witold J., Zelner, Bennet A., and Guillen, Mauro F.. 2005. The Worldwide Diffusion of Market-Oriented Infrastructure Reform, 1977–1999. American Sociological Review 70 (6):871–97.CrossRefGoogle Scholar
Hilhorst, Dorothea. 2002. Being Good at Doing Good? Quality and Accountability of Humanitarian NGOs. Disasters 26 (3):193–212.CrossRefGoogle ScholarPubMed
Huber, Evelyne, Mustillo, Thomas, and Stephens, John D.. 2008. Politics and Social Spending in Latin America. Journal of Politics 70 (2):420–36.CrossRefGoogle Scholar
Huber, Evelyne, and Stephens, John D.. 2000. Partisan Governance, Women's Employment, and the Social Democratic Service State. American Sociological Review 65 (3):323–42.CrossRefGoogle Scholar
Inclan, Maria de la Luz. 2009. Repressive Threats, Procedural Concessions, and the Zapatista Cycle of Protests, 1994–2003. Journal of Conflict Resolution 53 (5):794–819.CrossRefGoogle Scholar
International Monetary Fund (IMF). 2009. Government Finance Statistics. Available at ⟨http://www.imf.org/external/data.htm⟩. Accessed 10 January 2010.Google Scholar
Iqbal, Zaryab, and Zorn, Christopher. 2008. The Political Consequences of Assassination. Journal of Conflict Resolution 52 (3):385–400.CrossRefGoogle Scholar
Jenkins, J. Craig. 1983. Resource Mobilization Theory and the Study of Social Movements. Annual Review of Sociology 9:527–53.CrossRefGoogle Scholar
Kaufman, Robert R., and Nelson, Joan M., eds. 2004. Crucial Needs, Weak Incentives: Social Sector Reform, Democratization, and Globalization in Latin America. Baltimore: Johns Hopkins University Press.CrossRefGoogle Scholar
Kaufman, Robert, and Segura-Ubiergo, Alex. 2001. Globalization, Domestic Politics, and Social Spending in Latin America: A Time-Series Cross-Section Analysis, 1973–97. World Politics 53 (4):553–87.CrossRefGoogle Scholar
Keck, Margaret E., and Sikkink, Kathryn. 1998. Activists Beyond Borders: Advocacy Networks in International Politics. Ithaca, N.Y.: Cornell University Press.Google Scholar
Kim, Dongwook. 2013. International Nongovernmental Organizations and the Global Diffusion of National Human Rights Institutions. International Organization 67 (3):505–539.CrossRefGoogle Scholar
King, Gary, and Zeng, Langche. 2001. Logistic Regression in Rare Events Data. Political Analysis 9 (2):137–63.CrossRefGoogle Scholar
Klandermans, Bert. 1984. Mobilization and Participation: Social-Psychological Expansions of Resource Mobilization Theory. American Sociological Review 49 (5):583–600.CrossRefGoogle Scholar
Kogut, Bruce, and MacPherson, J. Muir. 2007. The Decision to Privatize: Economists and the Construction of Ideas and Policies. In The Global Diffusion of Markets and Democracies, edited by Simmons, Beth, Dobbin, Frank, and Garrett, Geoffrey, 104–40. New York: Cambridge University Press.Google Scholar
Landman, Todd. 2005. Protecting Human Rights: A Comparative Study. Washington, D.C.: Georgetown University Press.Google Scholar
Lindert, Peter H. 2004. Growing Public: Social Spending and Economic Growth since the Eighteenth Century. Vol. 1, . Cambridge: Cambridge University Press.Google Scholar
Marée, Jörgen, and Groenewegen, Peter P.. 1997. Back to Bismarck: Eastern European Health Care Systems in Transition. Aldershot, UK: Avebury Press.Google Scholar
Marshall, Monty, and Jaggers, Keith. 2007. Polity IV Project: Political Regime Characteristics and Transitions, 1800–2006. Dataset Users' Manual. Center for Systemic Peace. College Park: University of Maryland. Available at ⟨http://www.systemicpeace.org/inscr/p4manualv2006.pdf⟩. Accessed 1 March 2008.Google Scholar
Mawdsley, Emma, Townsend, Janet G., and Porter, Gina. 2005. Trust, Accountability, and Face-to-Face Interaction in North-South NGO Relations. Development in Practice 15 (1):77–82.CrossRefGoogle Scholar
McCarthy, John D., and Zald, Mayer N.. 1977. Resource Mobilization and Social Movements: A Partial Theory. American Journal of Sociology 82 (6):1212–41.CrossRefGoogle Scholar
McGuire, James W. 2010. Wealth, Health, and Democracy in East Asia and Latin America. New York: Cambridge University Press.CrossRefGoogle Scholar
Mintrom, Michael, and Vergari, Sandra. 1998. Policy Networks and Innovation Diffusion: The Case of State Education Reforms. Journal of Politics 60 (1):126–48.CrossRefGoogle Scholar
Murdie, Amanda M. 2009. Signals Without Borders: The Conditional Impact of INGOs. Ph.D. diss., Emory University, Atlanta, Ga.Google Scholar
Murdie, Amanda M., and Bhasin, Tavishi. 2011. Aiding and Abetting: Human Rights INGOs and Domestic Protest. Journal of Conflict Resolution 55 (2):163–91.CrossRefGoogle Scholar
Murdie, Amanda M., and Davis, David R.. 2012. Shaming and Blaming: Using Events Data to Assess the Impact of Human Rights INGOs. International Studies Quarterly 56 (1):1–16.CrossRefGoogle Scholar
Neumayer, Eric. 2005. Do International Human Rights Treaties Improve Respect for Human Rights? Journal of Conflict Resolution 49 (6):925–53.CrossRefGoogle Scholar
Okafor, Obiora Chinedu. 2006. Legitimizing Human Rights NGOs: Lessons from Nigeria. Trenton, N.J.: Africa World Press.Google Scholar
Oliver, Pamela E., and Myers, Daniel J.. 2002. The Coevolution of Social Movements. Mobilization: An International Quarterly 8 (1):1–24.Google Scholar
Olzak, Susan. 2006. The Global Dynamics of Racial and Ethnic Mobilization. Stanford, Calif.: Stanford University Press.CrossRefGoogle Scholar
Petras, James. 1997. Imperialism and NGOs in Latin America. Monthly Review 49 (7):10–27.CrossRefGoogle Scholar
Pevehouse, Jon C. 2005. Democracy from Above: Regional Organizations and Democratization. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Reiter, Dan. 2001. Does Peace Nurture Democracy? Journal of Politics 63 (3):935–48.CrossRefGoogle Scholar
Risse, Thomas, and Ropp, Stephen C.. 1999. International Human Rights Norms and Domestic Change: Conclusions. In The Power of Human Rights: International Norms and Domestic Change, edited by Risse, Thomas, Ropp, Stephen C., and Sikkink, Kathryn, 234–78. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Rodrik, Dani. 1997. Has Globalization Gone Too Far? Washington, D.C.: Institute for International Economics.CrossRefGoogle Scholar
Rudra, Nita. 2002. Globalization and the Decline of the Welfare State in Less-Developed Countries. International Organization 56 (2):411–45.CrossRefGoogle Scholar
Rudra, Nita. 2004. Openness, Welfare Spending, and Inequality in the Developing World. International Studies Quarterly 48 (3):683–709.CrossRefGoogle Scholar
Rudra, Nita. 2007. Welfare States in Developing Countries: Unique or Universal? Journal of Politics 69 (2):378–96.CrossRefGoogle Scholar
Rudra, Nita. 2008. Globalization and the Race to the Bottom in Developing Countries: Who Really Gets Hurt? Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Rudra, Nita, and Haggard, Stephen. 2005. Globalization, Democracy, and Effective Welfare Spending in the Developing World. Comparative Political Studies 38 (9):1015–49.CrossRefGoogle Scholar
Schmitz, Hans Peter. 2002. From Lobbying to Shaming: The Evolution of Human Rights Activism Since the 1940s. Paper presented at the 43rd annual meeting of the International Studies Association, March, New Orleans, La.Google Scholar
Sen, Amartya. 1999. Development as Freedom. Oxford, UK: Oxford University Press.Google Scholar
Shandra, John M., Shandra, Carrie L., and London, Bruce. 2010. Do Non-Governmental Organizations Impact Health? A Cross-National Analysis of Infant Mortality. International Journal of Comparative Sociology 51 (1-2):137–64.CrossRefGoogle Scholar
Simmons, Beth A., and Elkins, Zachary. 2004. The Globalization of Liberalization: Policy Diffusion in the International Political Economy. American Political Science Review 98 (1):171–89.CrossRefGoogle Scholar
Slater, Dan. 2010. Ordering Power: Contentious Politics and Authoritarian Leviathans in Southeast Asia. New York: Cambridge University Press.CrossRefGoogle Scholar
Smith, Jackie, and Wiest, Dawn. 2005. The Uneven Geography of Global Civil Society: National and Global Influences on Transnational Association. Social Forces 84 (2):621–52.CrossRefGoogle Scholar
Smith, Jackie, and Wiest, Dawn. 2012. Social Movements in the World System: The Politics of Crisis and Transformation. New York: Russell Sage Foundation.Google Scholar
Sundstrom, Lisa McIntosh. 2006. Funding Civil Society: Foreign Assistance and NGO Development in Russia. Stanford, Calif.: Stanford University Press.Google Scholar
Tsutsui, Kiyoteru, and Wotipka, Christine M.. 2004. Global Civil Society and the International Human Rights Movement: Citizen Participation in Human Rights International Nongovernmental Organizations. Social Forces 83 (2):587–620.CrossRefGoogle Scholar
Ullah, A.N. Zafar, Newell, James N., Ahmed, Jalal Uddin, Hyder, M.K.A., and Islam, Akramul. 2006. Government-NGO Collaboration: The Case of Tuberculosis Control in Bangladesh. Health Policy and Planning 21 (2):143–55.CrossRefGoogle Scholar
Union of International Associations (UIA). 2008/2009. Yearbook of International Organizations. 35th ed., Vol. 1–4. Munich, Germany: K.G. Saur Verlag.Google Scholar
Van de Walle, Dominique, and Mu, Ren. 2007. Fungibility and the Flypaper Effect of Project Aid: Micro-Evidence for Vietnam. Journal of Development Economics 84 (2):667–85.CrossRefGoogle Scholar
Von Stein, Jana. 2008. The International Law and Politics of Climate Change: Ratification of the United Nations Framework Convention and the Kyoto Protocol. Journal of Conflict Resolution 52 (2):243–68.CrossRefGoogle Scholar
Waddington, Catriona. 2004. Does Earmarked Donor Funding Make It More or Less Likely That Developing Countries Will Allocate Their Resources Towards Programmes That Yield the Greatest Health Benefits? Bulletin of the World Health Organization 82 (9):703–6.Google ScholarPubMed
Weyland, Kurt. 2007. Bounded Rationality and Policy Diffusion: Social Sector Reform in Latin America. Princeton, N.J.: Princeton University Press.Google Scholar
World Bank. 2012. World Development Indicators. Available at ⟨http://data.worldbank.org/data-catalog/world-development-indicators⟩. Accessed 6 January 2012.Google Scholar
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