Technology and Low-Income States

Brandon Williams

Development Economics

September 24, 2024

Technology and Low-Income States

Development Economics

September 24, 2024

Building State Capacity: Biometric Smartcards (2016)

  • Many developing money invest in poverty-reducing measures, but the money is lost to inefficiencies and corruption along the way (leakage)
  • Biometric payment schemes (theoretically) give an effective way to authenticate and transfer payments in environments with limited literacy
  • Issues:
    • It's hard to implement
    • Rent-seekers may limit effectiveness
    • Technical problems
    • Displaced corruption to other places
  • Rolled out smartcard in 157 subdistricts with 19 million rural population (an intervention at scale)

Technology and Low-Income States

Development Economics

September 24, 2024

Building State Capacity: Biometric Smartcards (2016)

  • Faster collection of payments
    • 20 percent less time collecting and up to 10 days sooner
    • Fewer delays
  • Reduced leakage
    • 24 percent increase in household earnings
    • 41 percent reduction in work-fare program leakage
    • 47 percent reduction in social security pension leakage
  • No loss on the extensive margin: 7.1 percentage points increase in households participating
  • No evidence of vulnerable populations made worse off
  • "Ghost" workers as one mechanism

Technology and Low-Income States

Development Economics

September 24, 2024

E-governance (2020)

  • If a program is funded nationally but implemented locally, how do we transfer the funds?
    • Notoriously "leaky" to send funds in advance
    • "Just-in-time" funding emerging as an alternative
  • Admin data shows local expenditures (the GP) reduced by 24%
    • Some delays in funding

Technology and Low-Income States

Development Economics

September 24, 2024

E-governance (2020)

Technology and Low-Income States

Development Economics

September 24, 2024

E-governance (2020)

  • If a program is funded nationally but implemented locally, how do we transfer the funds?
    • Notoriously "leaky" to send funds in advance
    • "Just-in-time" funding emerging as an alternative
  • Admin data shows local expenditures (the GP) reduced by 24%
    • Some delays in funding
  • GP officials successfully lobbied to end the program but program was eventually rolled out nationally after full results
  • Full results:
    • Funds distributed to beneficiaries unchanged
    • Some improvement at the extensive margin
    • 5% reduction in the number of households unmatched (potential ghosts)

Technology and Low-Income States

Development Economics

September 24, 2024

Band-aid on a Corpse (2008)

  • Multi-tiered, local public health system in India should be ideal way to deliver in a developing context, but falls short. Why?
  • One reason might be high absenteeism of nurse providers
    • Health centers closed 56% of the time
    • 43% absenteeism for nurses
  • Experimentally implement incentives (fines and punishments) for nurses that are extremely effective after 6 months

Technology and Low-Income States

Development Economics

September 24, 2024

Band-aid on a Corpse (2008)

Why does the intervention fall over time?

Technology and Low-Income States

Development Economics

September 24, 2024

Band-aid on a Corpse (2008)

Poorly aligned system incentives:

  • Machine breaks => no need to check in => don't show up to prevent machine repair => continue to be absent
  • Officials allowing more exemptions

Technology and Low-Income States

Development Economics

September 24, 2024

Political Economy of Absence (2023)

  • Why is it so hard to fix absenteeism?
  • Four part analysis
    • Survey evidence that politicians are protecting doctors from accountability. Can we test it?
    • Geographic RD shows that comfortable politicians and more connected to doctors have more doctor absenteeism. Can we improve it?
    • Smartphone monitoring of inspectors increased inspection rates but not doctor attendance (except maybe those in politically competitive districts). What if we show these results to the doctors?
    • Flagging a facility with low attendance reduces future absenteeism by 27 percentage points.

Technology and Low-Income States

Development Economics

September 24, 2024

No Bulls (2023)

  • What does fixing information asymmetry do to service provision?
  • Looks at AI (not that kind of AI) in rural Pakistan
  • Farmers cannot usually directly observe quality of vet care (and results signal is noisy
  • If we provide this information directly (via a Yelp-like service), find that farmers get 25% higher AI rates, but pay no higher prices
    • Does not involve switching vets
    • Instead, driven by vets exerting more effort

Technology and Low-Income States

Development Economics

September 24, 2024

No Bulls (2023)

Technology and Low-Income States

Development Economics

September 24, 2024

No Bulls (2023)

Dev.Slides.9.24

By bjw95

Dev.Slides.9.24

  • 22