Global health financing: Priority to poor people or poor countries?

Onarheim, Kristine Husøy; Gopinathan, Unni

doi:10.4045/tidsskr.17.0715

Cited by 2 publications

(2 citation statements)

References 75 publications

(108 reference statements)

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“…Likewise, it contradicts the proposition of Nixon et al [7], stating slight changes in health expenditure of developing countries would almost certainly lead to bigger impacts on health outcomes. This relatively small contribution of health expenditure might be explained by large financing gaps and low domestic investments in relation to the health needs in African regions [3132]. To assess the sensitivity of our coefficient estimates, in view of endogeneity and collinearity issues, we estimated an alternative specification by excluding GDP per capita.…”

Section: Discussionmentioning

confidence: 99%

Africa Rising, a Narrative for Life Expectancy Gains? Evidence from a Health Production Function

Salami

Shaaban

Martins

2019

Annals of Global Health

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Background: The narrative of Africa Rising has increasingly been called into scrutiny, not just as a debate for economic growth and development, but also as a possible link to the surge in life expectancy on the continent. Theoretically, an increase in economic development tends to result in an increase in public health spending and subsequent better health outcomes. Objective: This paper examines the contribution of economic development and other social determinants to the health status of the African continent and to provide evidence on whether the increase in life expectancy of the past two decades can be largely attributed to the Africa Rising narrative. Methods: We estimated an empirical health production function, with life expectancy gains as the output of the health care system, and various socio-economic, environmental and lifestyle factors as contributory factors. We fitted a generalized least squares model, using panel data from 52 African countries for the period 1995–2014. Findings: The estimation shows that while increases in health care spending contributed to life expectancy gains, urbanization rates and improved water access were the major drivers of life expectancy gains with substantially larger impacts in the past two decades. Conclusions: Overall, the results provide an evidence base for iterating the need to prioritize increasing funding and examine more critically how to improve the efficiency of health spending. It also illustrates potential gains that can be achieved from an inclusive health policy agenda with a broader range of social and economic development issues.

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Section: Discussionmentioning

confidence: 99%

Africa Rising, a Narrative for Life Expectancy Gains? Evidence from a Health Production Function

Salami

Shaaban

Martins

2019

Annals of Global Health

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“…Land som tidligere var definert som lavinntektsland, har imidlertid nå fått endret status til middelinntektsland (10). Det kan føre til at finansieringen fra eksterne aktører faller bort.…”

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Polio eradication – just one final sprint to the finish

Sivertsen¹

2018

Tidsskriftet

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Øyvind Stople Sivertsen (f. 1984) er lege og medisinsk redaktør i Tidsskriftet. Vi har nesten utryddet polio, men nå flater vaksinedekningen ut. Gir vi oss ved målstreken? Foto: Sturlason Langt ute på den kenyanske landsbygda, i Rift Valley, ligger Pokot. Jeg var nylig der. Omtrent en halv million mennesker lever i dette området, de fleste med sin egen, lille åkerlapp. Mange bor i jordhytter. Med unntak av det åpenbare-biler, reklame for 4Gdekning og mobiltelefoner-fremstår livet i Pokot sannsynligvis omtrent som det var for 40 år siden. Men det finnes et mindre synlig unntak. Nesten ingen barn dør.

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Global health financing: Priority to poor people or poor countries?

Cited by 2 publications

References 75 publications

Africa Rising, a Narrative for Life Expectancy Gains? Evidence from a Health Production Function

Africa Rising, a Narrative for Life Expectancy Gains? Evidence from a Health Production Function

Polio eradication – just one final sprint to the finish

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