Health expenditure, child and maternal mortality nexus: a comparative global analysis

Rana, Rezwanul Hasan; Alam, Khorshed; Gow, Jeff

doi:10.1186/s12914-018-0167-1

Cited by 36 publications

(47 citation statements)

References 76 publications

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“…In the long run, PHE exacts a significant impact on life expectancy, as a 1% increase in PHE is consistent with a 0.01% increase in life expectancy. This complements the findings of Rana et al () and Nixon and Ulmann (). Per capita income also increases life expectancy, but insignificantly, in both time periods.…”

Section: Empirical Findings and Discussion Of Resultssupporting

confidence: 91%

“…Most of the studies in the literature seem to confirm that PHE improves health status. For instance, see Rana, Alam, and Gow () for 161 countries, Ventelou and Abu‐Zaineh () for MENA, Dhrifi (, ) for 93 countries, Linden and Ray () for 34 OECD countries, Kato et al () for Uganda, Asgari and Badpa () for Iran, Barenberg, Basu, and Soylu () for India, Balan () for 25 EU countries, Rahman et al () for 15 countries, Ahmad and Hasan () for Malaysia, Jaba et al () for 175 countries, and Kim and Lane () for 17 OECD countries.…”

Section: Literature Review and Theoretical Frameworkmentioning

confidence: 99%

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Public health financing, environmental quality, and the quality of life in Nigeria

Nathaniel

Khan

2020

Journal of Public Affairs

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This study explores the relationship between health financing, environmental quality, and the quality of life in Nigeria. The Bayer and Hanck cointegration test affirms cointegration. Findings further reveal that CO2 emissions have no meaningful impact on life expectancy in the short run. In the long run, urbanization significantly deteriorates the quality of life. Also, public health expenditure has not contributed meaningfully to the quality of life. The study discovers no evidence of a feedback causality, but a one‐way causality flowing from urbanization to CO2 emissions. Policies that can enhance a sustainable environment and improve the quality of life are discussed.

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Section: Empirical Findings and Discussion Of Resultssupporting

confidence: 91%

Section: Literature Review and Theoretical Frameworkmentioning

confidence: 99%

Public health financing, environmental quality, and the quality of life in Nigeria

Nathaniel

Khan

2020

Journal of Public Affairs

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“…Some countries were almost similar in terms of the ASR DALY but were relatively different in terms of HE per capita or vice versa. Similar results were obtained in other studies [20][21][22][23].…”

Section: Discussionsupporting

confidence: 92%

Cost per DALY averted in low, middle- and high-income countries: evidence from the global burden of disease study to estimate the cost-effectiveness thresholds

Daroudi

Sari

Nahvijou

et al. 2021

Cost Eff Resour Alloc

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Background Determining the cost-effectiveness thresholds for healthcare interventions has been a severe challenge for policymakers, especially in low- and middle-income countries. This study aimed to estimate the cost per disability-adjusted life-year (DALY) averted for countries with different levels of Human Development Index (HDI) and Gross Domestic Product (GDP). Methods The data about DALYs, per capita health expenditure (HE), HDI, and GDP per capita were extracted for 176 countries during the years 2000 to 2016. Then we examined the trends on these variables. Panel regression analysis was performed to explore the correlation between DALY and HE per capita. The results of the regression models were used to calculate the cost per DALY averted for each country. Results Age-standardized rate (ASR) DALY (DALY per 100,000 population) had a nonlinear inverse correlation with HE per capita and a linear inverse correlation with HDI. One percent increase in HE per capita was associated with an average of 0.28, 0.24, 0.18, and 0.27% decrease on the ASR DALY in low HDI, medium HDI, high HDI, and very high HDI countries, respectively. The estimated cost per DALY averted was $998, $6522, $23,782, and $69,499 in low HDI, medium HDI, high HDI, and very high HDI countries. On average, the cost per DALY averted was 0.34 times the GDP per capita in low HDI countries. While in medium HDI, high HDI, and very high HDI countries, it was 0.67, 1.22, and 1.46 times the GDP per capita, respectively. Conclusions This study suggests that the cost-effectiveness thresholds might be less than a GDP per capita in low and medium HDI countries and between one and two GDP per capita in high and very high HDI countries.

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“…However, these studies have varying results with different data sets and methods used especially for maternal mortality ratio [ 4 – 10 ]. As pointed out in a recent study [ 9 ], an investigation of this kind requires accounting for “unobserved heterogeneity”, a challenge that most existing literature fails to address. As a contribution to health economics literature, this study employs a quantile estimation method with a bootstrapping technique that controls for heterogeneous parameters across countries and quantiles (0.05,…, 0.95).…”

Section: Introductionmentioning

confidence: 99%

“…A study for seven (7) countries in the sub-Saharan region of Africa revealed that there exists a nexus between gender inequality, health expenditure, and maternal mortality for the study period [ 8 ]. The relationship between health expenditure and mortality (infant, under-5, and maternal) for the period 1995–2014 showed a significant relationship between health expenditure and child mortality [ 9 ]. However, an insignificant relationship was found between health expenditure and maternal mortality.…”

Section: Introductionmentioning

confidence: 99%

Relationship between mortality and health care expenditure: Sustainable assessment of health care system

2021

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Infant and maternal mortality are important indicators for assessing the quality of healthcare systems. The World Health Organization underscores the importance of proper health care system in reducing preventable mortality through early intervention. Early intervention includes availability, accessibility and affordability of health care systems for children and mothers. While there are several studies that assess the immediate and underlying drivers of child mortality, literature on the role of policy measures are limited and inconsistent. Thus, robust empirical analysis of the determinants of maternal and infant mortality remains inconclusive in the era of achieving the Sustainable Development Goals (SDG). Here, we examined the influence of health expenditure on infant and maternal deaths for the period 2000–2015 across 177 countries. Using panel Quantile Regression with bootstrapping, this study accounted for the 2007–2008 financial crisis in an empirical relationship between health outcome and health expenditure. We found a negative effect of health expenditure on mortality across all percentiles. Infant mortality rate declines between 0.19% - 1.45% while maternal mortality rate declines ranging from 0.09% - 1.91%. To attain the goal of ensuring healthy lives and wellbeing of all people (SDG 3), this study infers that health expenditure potentially reduces maternal and infant mortality across lower and middle income countries. We highlight the need for an enhanced health care expenditure, especially in developing countries to curb the levels of infant and maternal deaths.

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Health expenditure, child and maternal mortality nexus: a comparative global analysis

Cited by 36 publications

References 76 publications

Public health financing, environmental quality, and the quality of life in Nigeria

Public health financing, environmental quality, and the quality of life in Nigeria

Cost per DALY averted in low, middle- and high-income countries: evidence from the global burden of disease study to estimate the cost-effectiveness thresholds

Relationship between mortality and health care expenditure: Sustainable assessment of health care system

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