Financial development and health care expenditure in Sub Saharan Africa Countries

Chireshe, Jaison; Ocran, Matthew Kofi

doi:10.1080/23322039.2020.1771878

Cited by 22 publications

(15 citation statements)

References 65 publications

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“…The older the woman (35 to 49 years old), the more likely she is to give birth in a hospital. The findings were also consistent with previous research [25] and were linked to only mothers under the age of 40, as well as the youngest (15-19 years) and older (40-49 years) mothers. It is difficult to draw broad conclusions based on the age of women and the success of institutions.…”

Section: Discussionsupporting

confidence: 92%

Determinants of institutional delivery in Sub-Saharan Africa: findings from Demographic and Health Survey (2013–2017) from nine countries

Gebremichael

Fenta

2021

Trop Med Health

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Introduction Institutional delivery is a major concern for a country’s long-term growth. Rapid population development, analphabetism, big families, and a wider range of urban-rural health facilities have had a negative impact on institutional services in Sub-Saharan Africa (SSA) countries. The aim of this study was to look into the factors that influence women’s decision to use an institutional delivery service in SSA. Methods The most recent Demographic and Health Survey (DHS), which was conducted in nine countries (Senegal, Ethiopia, Malawi, Rwanda, Tanzania, Zambia, Namibia, Ghana, the Democratic Republic of Congo) was used. The service’s distribution outcome (home delivery or institutional delivery) was used as an outcome predictor. Logistic regression models were used to determine the combination of delivery chances and different covariates. Results The odds ratio of the experience of institutional delivery for women living in rural areas vs urban area was 0.44 (95% confidence interval (CI) 0.41–0.48). Primary educated women were 1.98 (95% CI 1.85–2.12) times more likely to deliver in health institutes than non-educated women, and secondary and higher educated women were 3.17 (95% CI 2.88–3.50) times more likely to deliver in health centers with facilities. Women aged 35–49 years were 1.17 (95% CI 1.05–1.29) times more likely than women aged under 24 years to give birth in health centers. The number of ANC visits: women who visited four or more times were 2.98 (95% CI 2.77–3.22) times, while women who visited three or less times were twice (OR = 2.03; 95% CI 1.88–2.18) more likely to deliver in health institutes. Distance from home to health facility were 1.18 (95% CI 1.11–1.25) times; media exposure had 1.28 (95% CI 1.20–1.36) times more likely than non-media-exposed women to delivery in health institutions. Conclusions Women over 24, primary education at least, urban residents, fewer children, never married (living alone), higher number of prenatal care visits, higher economic level, have a possibility of mass-media exposure and live with educated husbands are more likely to provide health care in institutions. Additionally, the distance from home to a health facility is not observed widely as a problem in the preference of place of child delivery. Therefore, due attention needs to be given to address the challenges related to narrowing the gap of urban-rural health facilities, educational level of women improvement, increasing the number of health facilities, and create awareness on the advantage of visiting and giving birth in health facilities.

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Section: Discussionsupporting

confidence: 92%

Determinants of institutional delivery in Sub-Saharan Africa: findings from Demographic and Health Survey (2013–2017) from nine countries

Gebremichael

Fenta

2021

Trop Med Health

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“…The health human capital displays a low fluctuation, only rising from 1.65% in 2000 to 1.92% in 2019, while the current health expenditure (% of GDP) of middle- to high-income countries is 5.74%, which is three times that of Sub-Saharan Africa. As a result, the health care expenditure in Sub-Saharan Africa is very poor, which inevitably leads to the low level of health human capital ( 47 ). Investment and recurrent expenditure in the health sector are affected by funding shortages, high costs, limited government revenue, and poverty.…”

Section: Methodology and Datamentioning

confidence: 99%

Can Health Human Capital Help the Sub-Saharan Africa Out of the Poverty Trap? An ARDL Model Approach

Wang

Hua

Tao

et al. 2021

Front. Public Health

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This article explores the impact of health human capital on the poverty trap in Sub-Saharan Africa by autoregressive distribution lag model. In the long run, there is no evidence that health human capital can help the Sahara out of the poverty trap. While health human capital has a significant effect on poverty reduction in the short term. There is a threshold effect in the poverty reduction model of healthy human capital. When the economic development level reaches the threshold, the effect of poverty reduction is more obvious and deeper. The extended Solow economic growth model also proved that if the external human capital breaks through the threshold, it can make developing countries get rid of the poverty trap. Therefore, the economic development brought about by health care expenditure must benefit the poor in Sub-Saharan Africa and allow them to enjoy the welfare of social security.

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“…The region also hosts a number of countries where remittances account for a significant share of GDP, notably Liberia with 26%, Comoros with 21%, and Lesotho with 15.6%. SSA countries face financial constraints and are searching for alternative funding for education, health, and poverty reduction in accordance with the changing needs of the population (Chireshe and Ocran, 2020).…”

Section: Remittances and Health Outcomes In Sub-saharan Africa (Ssa)mentioning

confidence: 99%

Remittances and health outcomes in Sub-Saharan African countries: Understanding the role of financial development and institutional quality

et al. 2021

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Sub-Saharan Africa (SSA) is one of the highest recipients of remittances; however, this is inconsistent with the region?s growth and the state of its weak healthcare systems. This paper therefore analyses the effect of remittances on health outcomes for 39 selected SSA countries over the period 1996 to 2016. It considers the channels through which remittances affect health outcomes, including financial development and institutional quality. Using dynamic panel estimation, we find that remittances sustain health outcomes, while both financial development and institutional quality complement remittances in this respect. SSA countries should therefore continue to improve their financial sectors and develop the quality of institutions to an adequate level. Achieving sound financial systems and institutions would both allow and attract a substantial amount of remittances, benefitting human capital and health outcomes and alleviating poverty.

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Financial development and health care expenditure in Sub Saharan Africa Countries

Cited by 22 publications

References 65 publications

Determinants of institutional delivery in Sub-Saharan Africa: findings from Demographic and Health Survey (2013–2017) from nine countries

Determinants of institutional delivery in Sub-Saharan Africa: findings from Demographic and Health Survey (2013–2017) from nine countries

Can Health Human Capital Help the Sub-Saharan Africa Out of the Poverty Trap? An ARDL Model Approach

Remittances and health outcomes in Sub-Saharan African countries: Understanding the role of financial development and institutional quality

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