Abstract

To study favoritism by cabinet members in 36 African countries, we hand-collect birthplace information for all cabinet members (2001–2015). Focusing on health outcomes, we provide causal evidence of favoritism by health ministers and, less so, key ministers. Neonates’ and infants’ mortality is lower when the current health minister originates from their region, especially for children of vulnerable (rural-based or uneducated) mothers. Co-regional health ministers also increase healthcare access at birth, particularly for vulnerable mothers. Thus, healthcare access likely explains part of the mortality-lowering effects. We find evidence for ethnic motives playing a role in favoritism but not (short-run) electoral motives.

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