Ítem
Acceso Abierto
Health Workforce Reallocation in the Aftermath of Conflict: Evidence from Colombia
| dc.contributor.gruplac | Grupo de investigaciones. Facultad de Economía. Universidad del Rosario | |
| dc.creator | Mora-García, Claudio | |
| dc.creator | Prem, Mounu | |
| dc.creator | Rodríguez Lesmes, Paul Andrés | |
| dc.creator | Vargas Duque, Juan Fernando | |
| dc.date.accessioned | 2024-04-10T13:17:55Z | |
| dc.date.available | 2024-04-10T13:17:55Z | |
| dc.date.created | 2024-03 | |
| dc.date.issued | 2024-04-09 | |
| dc.description | El personal sanitario es muy deficitario en todo el mundo, especialmente en las zonas rurales y vulnerables de los países en desarrollo. Aprovechando el alto el fuego permanente que puso fin a más de cinco décadas de conflicto armado entre el gobierno colombiano y la insurgencia de las FARC, estudiamos en qué medida la finalización del conflicto afectó a la brecha de personal sanitario entre las zonas más expuestas a la violencia de las FARC y otros lugares. Basándonos en registros administrativos a nivel individual de todos los trabajadores sanitarios de Colombia y en una estrategia de diferencias en diferencias, encontramos que el alto el fuego causó un descenso diferencial del 11,4% en la proporción de trabajadores sanitarios empleados por cada 1.000 personas en los lugares más expuestos a la violencia de las FARC en relación con el resto del país. Encontramos una disminución más fuerte entre los trabajadores sanitarios con menores niveles de capital humano y contratos laborales indefinidos. Demostramos que este efecto se explica probablemente por el levantamiento de las restricciones a la movilidad en zonas anteriormente violentas, y documentamos que, dado que la reducción neta de trabajadores sanitarios aumentó la proporción de médicos (más productivos) dentro del municipio, no se tradujo en un deterioro de las tasas de mortalidad o de la prestación de servicios sanitarios. | |
| dc.description.abstract | Healthcare workers are in great deficit worldwide, especially in rural and vulnerable areas of developing countries. By leveraging a permanent ceasefire that ended over five decades of armed conflict between the Colombian government and the FARC insurgency, we study the extent to which conflict termination affected the health workforce gap between areas more exposed to FARC violence and other places. Based on individual-level administrative records of all healthcare workers in Colombia and a difference-in-differences strategy, we find that the ceasefire caused a differential 11.4% decrease in the share of employed healthcare workers per 1,000 people in places more exposed to FARC violence relative to the rest of the country. We find a stronger decrease among healthcare workers with less human capital levels and open-ended labour contracts. We show that this effect is likely explained by lifting mobility restrictions in previously violent areas, and document that, because the net reduction in healthcare workers increased the within-municipality share of (more productive) physicians, it did not translate into a deterioration of mortality rates or healthcare service provision. | |
| dc.format.extent | 43 pp | |
| dc.format.mimetype | application/pdf | |
| dc.identifier.uri | https://repository.urosario.edu.co/handle/10336/42422 | |
| dc.language.iso | eng | |
| dc.publisher | Universidad del Rosario | |
| dc.publisher.department | Facultad de Economía | |
| dc.relation.uri | https://ideas.repec.org/p/col/000092/021124.html | |
| dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | * |
| dc.rights.accesRights | info:eu-repo/semantics/openAccess | |
| dc.rights.acceso | Abierto (Texto Completo) | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
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| dc.source.instname | instname:Universidad del Rosario | |
| dc.source.reponame | reponame:Repositorio Institucional EdocUR | |
| dc.subject | Trabajadores de la salud | |
| dc.subject | Conflicto armado | |
| dc.subject | Violencia | |
| dc.subject.jel | I12 | |
| dc.subject.jel | I15 | |
| dc.subject.keyword | Healthcare workers | |
| dc.subject.keyword | Armed conflict | |
| dc.subject.keyword | Violence | |
| dc.title | Health Workforce Reallocation in the Aftermath of Conflict: Evidence from Colombia | |
| dc.type | workingPaper | |
| dc.type.hasVersion | info:eu-repo/semantics/draft | |
| dc.type.spa | Documento de trabajo |
