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Government expenditure on health and maternal mortality in México: A spatial‐econometric analysis

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  • Eduardo Pérez‐Pérez
  • Edson Serván‐Mori
  • Gustavo Nigenda
  • Leticia Ávila‐Burgos
  • David Mayer‐Foulkes

Abstract

Objective To assess the relationship between government expenditure on maternal health (GE) and maternal mortality (MM) in Mexican poor population between 2000 and 2015 in the 2457 Mexican municipalities. Methods Using administrative data, we performed the analysis in three stages: First, we tested the presence of selection bias in MM. Next, we assessed the presence of spatial dependence in the incidence and severity of MM. Finally, we estimated a spatial error model considering the correction of estimates for the spatial dependence and selection bias assessed before. Results MM and GE were not randomly distributed throughout the Mexican territory; the most socially vulnerable municipalities exhibited the highest levels of MM severity but the lowest levels of GE and available human and physical resources for maternal health; the incidence of MM was independent of GE; elasticity of GE‐severity in MM was −4% (P

Suggested Citation

  • Eduardo Pérez‐Pérez & Edson Serván‐Mori & Gustavo Nigenda & Leticia Ávila‐Burgos & David Mayer‐Foulkes, 2019. "Government expenditure on health and maternal mortality in México: A spatial‐econometric analysis," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(2), pages 619-635, April.
    • Handle: RePEc:bla:ijhplm:v:34:y:2019:i:2:p:619-635
    DOI: 10.1002/hpm.2722
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    Cited by:

    1. Christopoulos, Konstantinos & Eleftheriou, Konstantinos, 2020. "The fiscal impact of health care expenditure: Evidence from the OECD countries," Economic Analysis and Policy, Elsevier, vol. 67(C), pages 195-202.
    2. Clarke, Damian & Mühlrad, Hanna, 2021. "Abortion laws and women’s health," Journal of Health Economics, Elsevier, vol. 76(C).
    3. Edson Serván-Mori & Carlos Chivardi & Fato Fene & Ileana Heredia-Pi & Miguel Ángel Mendoza & Gustavo Nigenda, 2020. "Tackling maternal mortality by improving technical efficiency in the production of primary health services: longitudinal evidence from the Mexican case," Health Care Management Science, Springer, vol. 23(4), pages 571-584, December.

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