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The Impact of Health Expenditures on Health Outcomes in Sub-Saharan Africa

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  • Edward Nketiah-Amponsah

    (Department of Economics, University of Ghana Legon, Accra)

Abstract

This article investigates the core macroeconomic and social determinants of health expenditures as well as the effect of health expenditures on select critical health outcomes (life expectancy, under-five mortality and maternal mortality) in recent years in sub-Saharan Africa (SSA). The study utilizes data on 46 sub-Saharan African countries covering the period 2000–2015. The results indicate that gross domestic product (GDP) per capita, physician per 1,000 population, population aged above 65 years and under-five mortality rate are the most significant determinants of health expenditure in the region. Overall, health expenditure is less income-elastic, not rising as a portion of GDP in wealthier nations. Health expenditure was found to exert a positive and significant impact on all three health outcomes. Specifically, a 1 percent increase in health expenditure per capita resulted in a 0.5 percent reduction in under-five mortality and a 0.35 percent fall in maternal mortality, while improving life expectancy by 0.06 percent. The results suggest that steady increases in health expenditures over time have the tendency to improve health outcomes in SSA.

Suggested Citation

  • Edward Nketiah-Amponsah, 2019. "The Impact of Health Expenditures on Health Outcomes in Sub-Saharan Africa," Journal of Developing Societies, , vol. 35(1), pages 134-152, March.
    • Handle: RePEc:sae:jodeso:v:35:y:2019:i:1:p:134-152
    DOI: 10.1177/0169796X19826759
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    2. Noshaba Aziz & Jun He & Tanwne Sarker & Hongguang Sui, 2021. "Exploring the Role of Health Expenditure and Maternal Mortality in South Asian Countries: An Approach towards Shaping Better Health Policy," IJERPH, MDPI, vol. 18(21), pages 1-14, November.
    3. Kin Sibanda & Alungile Qoko & Dorcas Gonese, 2024. "Health Expenditure, Institutional Quality, and Under-Five Mortality in Sub-Saharan African Countries," IJERPH, MDPI, vol. 21(3), pages 1-23, March.
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    5. Bernadette O'Hare & Steve G. Hall, 2022. "The Impact of Government Revenue on the Achievement of the Sustainable Development Goals and the Amplification Potential of Good Governance," Central European Journal of Economic Modelling and Econometrics, Central European Journal of Economic Modelling and Econometrics, vol. 14(2), pages 109-129, June.
    6. Jamiil Jeetoo, 2020. "Healthcare Expenditure and Baumol Cost Disease in Sub-Sahara Africa," Economics Bulletin, AccessEcon, vol. 40(4), pages 2704-2716.

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