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We are working with the hundreds of companies that partner with us to transition them to the more precise Lexile measures. For more information on these enhancements and matching beginning readers with texts, visit lexile. Quick Book Search Search Advanced. Advanced Search Title. Series name. Language English Spanish Bilingual. The above-mentioned research from Thomas Fujiwara suggests that public service delivery was the key channel through which democracy affected health outcomes in Brazil.

So what do we know about the link between democracy and public service delivery more generally? Several studies have found a link between democratic elections and spending on public goods. But the impact of democracy on public service delivery seems to go beyond higher spending.

Robin Burgess and coauthors, for example, found that electoral competition can help reduce favoritisms in spending, which can improve social outcomes by reducing biases in public service delivery. The correlation between democracy and government effectiveness is shown in the scatter plot below, using data from the Government Effectiveness Index, produced by the World Bank as part of the Worldwide Governance Indicators project.

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Considering the evidence as a whole, the conclusion is that i there is a strong raw cross-country correlation between population health outcomes and the strength of democratic institutions; ii there is evidence that these correlations also hold if you control for other variables, but there are some studies that suggest conditional correlations are less robust; iii going beyond correlations, there is good evidence suggesting the observed cross-country correlations are likely causal, hence suggesting that democratization leads to better health; and iv the causal mechanism is likely driven by a mix of both higher expenditure on public services, and better public service delivery.

Our World in Data presents the empirical evidence on global development in entries dedicated to specific topics. This blog post draws on data and research discussed in our entry on Global Health. Click to open interactive version.

Our World in Data is free and accessible for everyone. By Bruce Bimber and Richard Davis. By Jan-Werner Muller. Edited by Meg Jacobs, William J. Novak, and Julian E. The European Union and Democratization. Edited by Paul J. Routledge, By Karen E.

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