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- Empirical determinants of government efficiency: a study based on objective indicatorsPublication . Oliveira, Francisca Guedes deThis paper is concerned with two things: finding an objective and easily quantifiable measure of government efficiency and testing possible determinants of government quality. As measures of government efficiency, we used ratios of infant mortality rate to health expenditures as a percentage of GDP, and ratios of drop out and illiteracy rates to education expenditures as a percentage of GDP. We assume that government efficiency in providing health and education services depends on economic, political and cultural factors.