Public Health Expenditure and Infant Mortality Rate in Nigeria
Downloads
This study investigated the effect of public health expenditure on infant mortality rate in Nigeria from 2002 to 2021. To achieve the above objective, this study utilized data on infant mortality rate, total government expenditure on health and migration of doctors and nurses trained in Nigeria - doctors and nurses trained in Nigeria but working in other countries from OECD Health Statistics, 2021, WHO, UNICEF, UNFPA, World Bank Group, the United Nations Population Division and Statistical Bulletin of Nigeria’s apex bank. The study employed an Autoregressive Distributed Lag (ARDL) Bounds testing procedure for data analyses. The results revealed that in the long run, total government expenditure on health, as well as migration of doctors and nurses trained in Nigeria - doctors and nurses trained in Nigeria but working in other countries have negative and insignificant relationship with infant mortality rate in Nigeria. However, in the short run, total government expenditure on health, as well as migration of doctors and nurses trained in Nigeria - doctors and nurses trained in Nigeria but working in other countries have positive and significant relationship with infant mortality rate in Nigeria. What this means is that though there has been expenditures on health sector in Nigeria by the government from 2002 to 2021, but the expenditures are low and couldn’t reduce infant mortality rate to a near-zero level in Nigeria. Also, in the short-term, the movement of doctors and nurses from Nigeria to others countries of the world, exacerbated infant mortality rate in Nigeria during the period of study. Based on the forgoing, it is recommended here that government should spend at least 15% of its annual budget on health sector as agreed by African leaders at Abuja in 2015. Government should also reduce the exodus of Nigerian doctors to other countries of the world. This, the government may be able to achieve by increasing budgetary allocation to healthcare sector, enhance doctors’ remuneration, ensure a better work environment with modern healthcare facilities together with general enhancements in basic life facilities including housing, health insurance, security, constant power supply and good roads.
Downloads
Akpakpan, E. B. (1999). Developing the Nigerian Economy for an Enduring Democracy. CSA Productions Limited, 40, Ladipo Labinjo Cresent, Off Bode Thomas Street, P.O.Box 5827, Surulere, agos, Nigeria.
Anyanwu, J. C. & Erhijakpor, A. E. O. (2007). Health Expenditures and Health Outcomes in Africa. African Development Bank, Economic Research Working Paper No 91.
Azuh, D. E., Osabohien, R., Orbih, M. & Godwin, A. (2020). Public Health Expenditure and Under-five Mortality in Nigeria: An Overview for Policy Intervention. Scientific Foundation SPIROSKI, Skopje, Republic of Macedonia Open Access Macedonian Journal of Medical Sciences. 8(E), 353-362.
Bhargava, A., Docquier, F. & Moullan, Y. (2011). Modeling Effects of Physician Emigration on Human Development. Economics and Human Biology, 9, 173-182.
Boachie, M. K. & Ramu, K. (2016). Effect of public health expenditure on health status in Ghana. International Journal of Health, 4 (1), 6-11.
Boachie, M. K., Põlajeva, T. & Frimpong, A. O. (2020). Infant Mortality in Low- and Middleincome Countries: Does Government Health Spending Matter? Journal of Development Policy and Practice 5(1) 54–73.
Carraro, A. (2021). Causal impacts of government social expenditure on infant mortality in Latin America and the Caribbean: New evidence from 1990–2017 data. UNICEF Office of Research – Innocenti Working Paper WP-2021-09 | November 2021.
Central Bank of Nigeria (2013). Annual Economic Report, 31st December, 2013.
Central Bank of Nigeria (2014). Annual Economic Report, 31st December, 2014.
Central Bank of Nigeria (2015). Annual Economic Report, 31st December, 2015.
Central Bank of Nigeria (2016). Annual Economic Report, 31st December, 2016.
Central Bank of Nigeria (2017). Annual Economic Report, 31st December, 2017.
Central Bank of Nigeria (2018). Annual Economic Report, 31st December, 2018.
Central Bank of Nigeria (2019). Annual Economic Report, 31st December, 2019.
David, J. (2018). Infant Mortality and Public Health Expenditure in Nigeria: Empirical Explanation of the Nexus. Timisoara Journal of Economics and Business, 11(2), 149-164.
Ikechukwu, O. M., Chidi, O. N. & Valentine, O. C. (2020). Impact of Capital Health Expenditure on Infant-Maternal Mortality in Nigeria. Academic Journal of Economic Studies, 6(1), 85-92.
Inimino, E. E., Akidi, V. & Charles, D. (2022). Healthcare Expenditures and Nigeria’s Economic Growth. Economic and Social Science Review, 1(1), 1-13.
Issa, H. & Ouattara, B. (2005). The Effect of Private and Public Health Expenditure on Infant Mortality Rates: does the level of development matters? Economics Department, James Callaghan Building, University of Wales Swansea, Singleton Park, Swansea, SA2 8PP, UK. Tel: 44 (0) 1792 299 644, Fax: +44 (0) 1792 295 872, Email:b.ouattara@swansea.ac.uk.
Kepha, K., Alex, M., Will, K., Fred, M. and Bruno, L. Y. (2018). The Effect of Public Health Spending on Under-five Mortality Rate in Uganda. African Journal of Economic Review, 6(1), 47-71.
Musgrove, P. (1996). Public and private roles in health: theory and financing patterns. HNP Discussion Paper, No. 339, Washington, D.C., World Bank.
Nigeria Demographic and Health Survey (NDHS, 2003) Key Findings.
Nigeria Demographic and Health Survey (NDHS, 2008) Key Findings.
Nigeria Demographic and Health Survey (NDHS, 2013) Key Findings.
Nigeria Demographic and Health Survey (NDHS, 2018) Key Findings.
Nigeria Demographic and Health Survey (NDHS, 2018). Health Sector Survey.
Novignon, J. & Lawanson, A. O. (2017). Health expenditure and child health outcomes in Sub-Saharan Africa. African Review of Economics and Finance, 9(1), 96-121.
Nuhu, M. (2022). Analysis of the impact of health expenditures on Health Status in Nigeria. Journal of Applied and Theoretical Social Sciences, 4(1), 76-88.
OECD (2016). Monitoring Health Workforce Migration Through International Data Collection: Progress With Oecd/Eurostat/Who-Europe Joint Questionnaire: Gaetan Lafortune, OECD Health Division (on behalf of OECD, Eurostat and WHO-Europe) EU Joint Action on Health Workforce Planning and Forecasting 18-19 February 2016, Varna.
OECD Health Statistics, 2021
Oluwaseun, A. M. (2020). Public Health Expenditure and Infant Mortality Rate in Nigeria, (ACE) Acta Economica, Vol. XVIII, No. 33, 79 – 96.
Owusu, P. A., Sarkodie, S. A. & Pedersen, P. A. (2021). Relationship between mortality and health care expenditure: Sustainable assessment of health care system. PLOS ONE Journal, 16(2), 1-15.
Pesaran, M. H. & Shin, Y. (1999). An Autoregressive Distributed Lag Modelling Approach to Cointegration Analysis. Econometrics and Economic Theory in the 20th Century: The Ragnar Frisch Centennial Symposium, Strom, S. (ed.) Cambridge University Press.
Pesaran, M. H., Shin, Y. & Smith, R. (2001). Bounds Testing Approaches to the Analysis of Level Relationships. Journal of Applied Econometrics, 16, 289–326.
Ray, D. & Linden, M. (2020). Health expenditure, longevity, and child mortality: dynamic panel data approach with global data. International Journal of Health Economic Management. 20:99–119.
The United Nations Children's Fund (UNICEF, 2021). Causal impacts of government social expenditure on infant mortality in Latin America and the Caribbean: New evidence from 1990–2017 data. Office of Research - Innocenti Working Paper WP-2021-09 | November 2021.
Tubotamuno, B., Inimino, E. E. & Awortu, T. C. (2018). Public Health Expenditure and Poverty in Nigeria. African Journal of Applied and Theoretical Economics, 4(2), 100-126.
Umo, J. U. (2012). Escaping poverty in Africa. A Perspective on Strategic Agenda for Nigeria. Millennium Text Publishers Limited 14 Science Road, Unilag Estate, Magodo, Isheri, Lagos, Nigeria.
Vanguard Newspaper, May 12, (2023). Nigeria 2nd highest in maternal deaths worldwide – WHO.
World Health Organization (WHO, 2019). Maternal health in Nigeria: generating information for action.
Copyright (c) 2023 George Anokwuru, Chioma Chidinma
This work is licensed under a Creative Commons Attribution 4.0 International License.