Exploring the Effectiveness of Healthcare Expenditure in Reducing Maternal Mortality in Nigeria
Abstract
The high rate of maternal mortality and the need to improve on healthcare delivery necessitated the imperativeness to investigate how healthcare spending (both government and private) affect mortality among women in Nigeria between 1981 and 2022. Time series data were collected from the Central Bank of Nigeria (CBN), World Development Indicator (WDI) and the World Health Organization (WHO). Descriptive statistics and Ordinary Least Squares (OLS) were employed as techniques for data analysis and the results revealed that government budgetary allocation to the health sector has significant negative impact on women mortality rate. This explains the effectiveness of public healthcare spending in improving the health status of women. The results further revealed that private sector spending is not significant in reducing the mortality among women. This could be linked to the low of out-of-pocket healthcare spending which limits its potentials in reducing women mortality level. Given the findings, this study recommended among others for the implementation of an expansionary fiscal policy to improve government spending on health sector, and in so doing reduce mortality among women in Nigeria.
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References
Achem, F., & Agboghoroma, C. (2014). Setting up facility-based maternal death reviews in Nigeria. BJOG: An International Journal of Obstetrics & Gynaecology, 121(4), 75–80.
Anyanwu, J. C., & Erhijakpor, A. E. (2009). Health expenditures and health outcomes in Africa. African Development Review, 21(2), 400-433.
Cremieux, P. Y, Ouellette, P., & Pilon, C. (1999). Healthcare spending as determinants of health outcomes. Journal of Health Economics, 8(7), 625-639.
Filmer, D., & Pritchett, L. (1999). The impact of public spending on health. Does money matter? Journal of Social Science and Medicine, Policy Research Working Paper. International Bank for Reconstruction and Development.
Hussein, J., & Okonofua, F. (2012). Time for action: Audit, accountability and confidential enquiries into maternal deaths in Nigeria. Afr J Reprod Health, 16(6), 9–14.
Kea, X., Proyanka, S., & Alberto, H. B. C. (2011). The Determinants of Health Expenditure: A Country- Level Panel Data Analysis. Geneva, Switzerland:World Health Organization.
Kee, G. S. (2001). An empirical analysis of Canadian public health care spending and health, 1975-1996., (Calgary, University of Calgary. Master’s Thesis).
Magableh, M. A. U. (2006). A theoretical and empirical analysis of the Wagner hypothesis of public expenditure growth. (Doctoral Dissertation submitted to the University of Western Sydney).
Maruthappu, M., Ng, K.Y.B., Williams, C., Atun, R., Agrawal, P., & Zeltner, T. (2016). The association between government health care spending and maternal mortality in the European Union, 1981 to 2010: A retrospective study. Obstetric Anesthesia Digest, 36(2) 73-74.
Mgazzino. C., Giolli. L., & Mele, M. (2015). Wagner's law and Peacock and Wiserman's displacement effect in European union countries: A Panel Data Study. International Journal of Economics and Financial Issues,5(3), 812-819.
Wagner, A. (1883). Finanzwissenschaft (Vol. 4). CF Winter.
World Health Organization (2013). Maternal death surveillance and response: technical guidance, information for action to prevent maternal death. www.who.int/maternal_child_ adolescent/ documents/maternal_ death_surveillance/en
World Health Organization (2017) maternal mortality. Fact sheet No. 348 http://www.who.int/ mediacentre/factsheets/fs348/en.
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