Public Health Expenditure as a Determinant of Health Status in Lesotho

Akinkugbe, Oluyele; Mohanoe, Mamotlohi

doi:10.1080/19371910802569716

Cited by 48 publications

(59 citation statements)

References 7 publications

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“…Public health expenditure has been found to be significantly associated with improved health status in Lesotho [23] and Central America and the Caribbean [24]. A 2005 study of mortality levels and trends in China in the 1980s and 1990s found that public expenditure on education and health was significantly associated with increased life expectancy at birth [25].…”

Section: Introductionmentioning

confidence: 99%

Social Sector Expenditure and Child Mortality in India: A State-Level Analysis from 1997 to 2009

et al. 2013

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BackgroundIndia is unlikely to meet the Millennium Development Goal for child mortality. As public policy impacts child mortality, we assessed the association of social sector expenditure with child mortality in India.Methods and FindingsMixed-effects regression models were used to assess the relationship of state-level overall social sector expenditure and its major components (health, health-related, education, and other) with mortality by sex among infants and children aged 1–4 years from 1997 to 2009, adjusting for potential confounders. Counterfactual models were constructed to estimate deaths averted due to overall social sector increases since 1997. Increases in per capita overall social sector expenditure were slightly higher in less developed than in more developed states from 1997 to 2009 (2.4-fold versus 2-fold), but the level of expenditure remained 36% lower in the former in 2009. Increase in public expenditure on health was not significantly associated with mortality reduction in infants or at ages 1–4 years, but a 10% increase in health-related public expenditure was associated with a 3.6% mortality reduction (95% confidence interval 0.2–6.9%) in 1–4 years old boys. A 10% increase in overall social sector expenditure was associated with a mortality reduction in both boys (6.8%, 3.5–10.0%) and girls (4.1%, 0.8–7.5%) aged 1–4 years. We estimated 119,807 (95% uncertainty interval 53,409 – 214,662) averted deaths in boys aged 1–4 years and 94,037 (14,725 – 206,684) in girls in India in 2009 that could be attributed to increases in overall social sector expenditure since 1997.ConclusionsFurther reduction in child mortality in India would be facilitated if policymakers give high priority to the social sector as a whole for resource allocation in the country’s 5-year plan for 2012–2017, as public expenditure on health alone has not had major impact on reducing child mortality.

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Section: Introductionmentioning

confidence: 99%

Social Sector Expenditure and Child Mortality in India: A State-Level Analysis from 1997 to 2009

et al. 2013

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“…Public spending on health is a core factor in determining health outcomes [14], [15], especially for the poor [16], and, although not universally accepted as a powerful determinant of overall mortality, it might also influence, to some degree, the probability of death [17]–[19]. Therefore, the per capita government expenditure on health, expressed in international dollars and calculated using purchasing power parities (PPPs), was extracted from the World Health Information Statistical Information System (WHOSIS).…”

Section: Methodsmentioning

confidence: 99%

An Ecological Study of the Determinants of Differences in 2009 Pandemic Influenza Mortality Rates between Countries in Europe

et al. 2011

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BackgroundPandemic A (H1N1) 2009 mortality rates varied widely from one country to another. Our aim was to identify potential socioeconomic determinants of pandemic mortality and explain between-country variation.MethodologyBased on data from a total of 30 European countries, we applied random-effects Poisson regression models to study the relationship between pandemic mortality rates (May 2009 to May 2010) and a set of representative environmental, health care-associated, economic and demographic country-level parameters. The study was completed by June 2010.Principal FindingsMost regression approaches indicated a consistent, statistically significant inverse association between pandemic influenza-related mortality and per capita government expenditure on health. The findings were similar in univariable [coefficient: –0.00028, 95% Confidence Interval (CI): –0.00046, –0.00010, p = 0.002] and multivariable analyses (including all covariates, coefficient: –0.00107, 95% CI: –0.00196, –0.00018, p = 0.018). The estimate was barely insignificant when the multivariable model included only significant covariates from the univariate step (coefficient: –0.00046, 95% CI: –0.00095, 0.00003, p = 0.063).ConclusionsOur findings imply a significant inverse association between public spending on health and pandemic influenza mortality. In an attempt to interpret the estimated coefficient (–0.00028) for the per capita government expenditure on health, we observed that a rise of 100 international dollars was associated with a reduction in the pandemic influenza mortality rate by approximately 2.8%. However, further work needs to be done to unravel the mechanisms by which reduced government spending on health may have affected the 2009 pandemic influenza mortality.

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“…Ziesemer (2012) examines 65 low-income countries out of which 39 are SSA countries from 1960 to 2010, and finds that the growth rates of aid per capita have significantly favorable effects on the growth rates of life expectancy. In a study of Lesotho from 1980to 2001, Akinkugbe and Mohanoe (2009 use an error correction model (ECM) and find that in addition to public healthcare expenditure, the availability of physicians, female literacy, and child immunization positively and significantly influenced health outcomes. Gomanee, Morrissey, Mosley, and Verschoor (2005) study 104 countries of which 37 are SSA over the years 1980-2000, and find that aid can improve human welfare through increases in certain public expenditures, supporting the public interest predictions, and that this effect appears to be greater in low-income countries.…”

Section: Literature Reviewmentioning

confidence: 99%

The Effectiveness of Health Expenditure on the Proximate and Ultimate Goals of Healthcare in Sub-Saharan Africa

Ssozi

Amlani

2015

World Development

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Public Health Expenditure as a Determinant of Health Status in Lesotho

Cited by 48 publications

References 7 publications

Social Sector Expenditure and Child Mortality in India: A State-Level Analysis from 1997 to 2009

Social Sector Expenditure and Child Mortality in India: A State-Level Analysis from 1997 to 2009

An Ecological Study of the Determinants of Differences in 2009 Pandemic Influenza Mortality Rates between Countries in Europe

The Effectiveness of Health Expenditure on the Proximate and Ultimate Goals of Healthcare in Sub-Saharan Africa

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