IDEAS home Printed from https://ideas.repec.org/a/bla/afrdev/v32y2020i2p257-268.html
   My bibliography  Save this article

Spillover effects in public healthcare expenditure in Sub‐Saharan Africa: A spatial panel analysis

Author

Listed:
  • Jamiil Jeetoo

Abstract

While previous studies have neglected the spatial interaction effects in modelling healthcare expenditure across countries, this study provides the first thorough spatial analysis of public healthcare expenditures between countries so far. It investigates the determinants of public healthcare expenditure in Sub‐Saharan Africa (SSA) using a balanced panel of 43 SSA countries over the period 2000 to 2015. Both spatial interdependence and individual heterogeneity are accounted for through the application of the spatial autoregressive model so as to avoid potential bias and inefficiencies in parameter estimates. In addition to statistically significant effects of income, population density, official development assistance, and political stability, the results indicate the existence of positive spatial dependence in public healthcare expenditure in SSA. This suggests that governments in SSA countries tend to base their decision to allocate healthcare expenditure on that of nearby countries. Moreover, the results reveal significant impacts of population density and official development assistance of neighbouring countries on a country's level of public healthcare expenditure.

Suggested Citation

  • Jamiil Jeetoo, 2020. "Spillover effects in public healthcare expenditure in Sub‐Saharan Africa: A spatial panel analysis," African Development Review, African Development Bank, vol. 32(2), pages 257-268, June.
  • Handle: RePEc:bla:afrdev:v:32:y:2020:i:2:p:257-268
    DOI: 10.1111/1467-8268.12432
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/1467-8268.12432
    Download Restriction: no

    File URL: https://libkey.io/10.1111/1467-8268.12432?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Robert Eastwood, 2012. "Macroeconomic Approaches to Identifying the Effects of Health on Output, Growth and Poverty," African Development Review, African Development Bank, vol. 24(4), pages 279-290.
    2. Adolph Wagner, 1958. "Three Extracts on Public Finance," International Economic Association Series, in: Richard A. Musgrave & Alan T. Peacock (ed.), Classics in the Theory of Public Finance, pages 1-15, Palgrave Macmillan.
    3. John Anyanwu & Andrew E. O. Erhijakpor, 2009. "Health Expenditures and Health Outcomes in Africa," African Development Review, African Development Bank, vol. 21(2), pages 400-433.
    4. Revelli, Federico, 2006. "Performance rating and yardstick competition in social service provision," Journal of Public Economics, Elsevier, vol. 90(3), pages 459-475, February.
    5. Pack, Howard & Pack, Janet Rothenberg, 1990. "Is Foreign Aid Fungible? The Case of Indonesia," Economic Journal, Royal Economic Society, vol. 100(399), pages 188-194, March.
    6. Mickael Bech & Jørgen Lauridsen, 2009. "Exploring spatial patterns in general practice expenditure," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 10(3), pages 243-254, July.
    7. Chatterjee Santanu & Giuliano Paola & Kaya Ilker, 2012. "Where Has All the Money Gone? Foreign Aid and the Composition of Government Spending," The B.E. Journal of Macroeconomics, De Gruyter, vol. 12(1), pages 1-36, August.
    8. David Prieto & Santiago Lago-Peñas, 2012. "Decomposing the determinants of health care expenditure: the case of Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(1), pages 19-27, February.
    9. Jeffrey M Wooldridge, 2010. "Econometric Analysis of Cross Section and Panel Data," MIT Press Books, The MIT Press, edition 2, volume 1, number 0262232588, April.
    10. S. Ajayi, 2012. "Effects of Macroeconomic Policies on Health," African Development Review, African Development Bank, vol. 24(4), pages 270-278.
    11. Hausman, Jerry, 2015. "Specification tests in econometrics," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 38(2), pages 112-134.
    12. Moscone, Francesco & Knapp, Martin & Tosetti, Elisa, 2007. "Mental health expenditure in England: A spatial panel approach," Journal of Health Economics, Elsevier, vol. 26(4), pages 842-864, July.
    13. Pack, Howard & Pack, Janet Rothenberg, 1993. "Foreign Aid and the Question of Fungibility," The Review of Economics and Statistics, MIT Press, vol. 75(2), pages 258-265, May.
    14. Murthy, Vasudeva N.R. & Okunade, Albert A., 2016. "Determinants of U.S. health expenditure: Evidence from autoregressive distributed lag (ARDL) approach to cointegration," Economic Modelling, Elsevier, vol. 59(C), pages 67-73.
    15. John C. Driscoll & Aart C. Kraay, 1998. "Consistent Covariance Matrix Estimation With Spatially Dependent Panel Data," The Review of Economics and Statistics, MIT Press, vol. 80(4), pages 549-560, November.
    16. Joan Costa-Font & Francesco Moscone, 2009. "The impact of decentralization and inter-territorial interactions on Spanish health expenditure," Studies in Empirical Economics, in: Giuseppe Arbia & Badi H. Baltagi (ed.), Spatial Econometrics, pages 167-184, Springer.
    17. Matteo Lippi Bruni & Irene Mammi, 2017. "Spatial effects in hospital expenditures: A district level analysis," Health Economics, John Wiley & Sons, Ltd., vol. 26(S2), pages 63-77, September.
    18. Baltagi, Badi H. & Moscone, Francesco, 2010. "Health care expenditure and income in the OECD reconsidered: Evidence from panel data," Economic Modelling, Elsevier, vol. 27(4), pages 804-811, July.
    19. Li-Lin Liang & Andrew J Mirelman, 2014. "Why Do Some Countries Spend More for Health? An Assessment of Sociopolitical Determinants and International Aid for Government Health Expenditures," Health, Nutrition and Population (HNP) Discussion Paper Series 88182, The World Bank.
    20. Barkat, Karim & Sbia, Raschid & Maouchi, Youcef, 2019. "Empirical evidence on the long and short run determinants of health expenditure in the Arab world," The Quarterly Review of Economics and Finance, Elsevier, vol. 73(C), pages 78-87.
    21. Thomas Garrett & Gary Wagner & David Wheelock, 2007. "Regional disparities in the spatial correlation of state income growth, 1977–2002," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 41(3), pages 601-618, September.
    22. Eric Arthur & Hassan E. Oaikhenan, 2017. "The Effects of Health Expenditure on Health Outcomes in Sub-Saharan Africa (SSA)," African Development Review, African Development Bank, vol. 29(3), pages 524-536, September.
    23. Robert Eastwood, 2012. "Macroeconomic Approaches to Identifying the Effects of Health on Output, Growth and Poverty," African Development Review, African Development Bank, vol. 24(4), pages 279-290, December.
    24. Yihua Yu & Li Zhang & Fanghua Li & Xinye Zheng, 2013. "Strategic interaction and the determinants of public health expenditures in China: a spatial panel perspective," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 50(1), pages 203-221, February.
    25. repec:bpj:bejmac:v:12:y:2012:i:1:n:26 is not listed on IDEAS
    26. S. Ibi Ajayi, 2012. "Effects of Macroeconomic Policies on Health," African Development Review, African Development Bank, vol. 24(4), pages 270-278, December.
    27. Olufunmilayo S. Tajudeen & Ibrahim A. Tajudeen & Risikat O. Dauda, 2018. "Quantifying Impacts of Macroeconomic and Non‐economic Factors on Public Health Expenditure: A Structural Time Series Model," African Development Review, African Development Bank, vol. 30(2), pages 200-218, June.
    28. Michas, Nicholas A, 1975. "Wagner's Law of Public Expenditures: What Is the Appropriate Measurement for a Valid Test?," Public Finance = Finances publiques, , vol. 30(1), pages 77-85.
    29. Andree Ehlert & Dirk Oberschachtsiek, 2014. "Does managed care reduce health care expenditure? Evidence from spatial panel data," International Journal of Health Economics and Management, Springer, vol. 14(3), pages 207-227, September.
    30. Liang, Li-Lin & Mirelman, Andrew J., 2014. "Why do some countries spend more for health? An assessment of sociopolitical determinants and international aid for government health expenditures," Social Science & Medicine, Elsevier, vol. 114(C), pages 161-168.
    31. Karim Barkat & Zouhair Mrabet & Mouyad Alsamara, 2016. "Does Official Development Assistance for health from developed countries displace government health expenditure in Sub-Saharan countries?," Economics Bulletin, AccessEcon, vol. 36(3), pages 1616-1635.
    32. Murthy, Vasudeva N.R. & Okunade, Albert A., 2009. "The core determinants of health expenditure in the African context: Some econometric evidence for policy," Health Policy, Elsevier, vol. 91(1), pages 57-62, June.
    33. Jaunky, V.C & Khadaroo, A.J., 2008. "Health Care Expenditure And Gdp: An African Perspective," Applied Econometrics and International Development, Euro-American Association of Economic Development, vol. 8(1), pages 131-146.
    34. Luca Crivelli & Massimo Filippini & Ilaria Mosca, 2006. "Federalism and regional health care expenditures: an empirical analysis for the Swiss cantons," Health Economics, John Wiley & Sons, Ltd., vol. 15(5), pages 535-541, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Iman Al‐Ayouty & Hoda Hassaballa, 2020. "Regional unemployment in Egypt: Spatial panel data analysis," African Development Review, African Development Bank, vol. 32(4), pages 565-577, December.
    2. Jeetoo, Jamiil, 2022. "Spatial interaction effect in renewable energy consumption in sub-Saharan Africa," Renewable Energy, Elsevier, vol. 190(C), pages 148-155.
    3. Jamiil Jeetoo, 2020. "Healthcare Expenditure and Baumol Cost Disease in Sub-Sahara Africa," Economics Bulletin, AccessEcon, vol. 40(4), pages 2704-2716.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Olufunmilayo S. Tajudeen & Ibrahim A. Tajudeen & Risikat O. Dauda, 2018. "Quantifying Impacts of Macroeconomic and Non‐economic Factors on Public Health Expenditure: A Structural Time Series Model," African Development Review, African Development Bank, vol. 30(2), pages 200-218, June.
    2. Badi H. Baltagi & Raffaele Lagravinese & Francesco Moscone & Elisa Tosetti, 2017. "Health Care Expenditure and Income: A Global Perspective," Health Economics, John Wiley & Sons, Ltd., vol. 26(7), pages 863-874, July.
    3. Moheddine Younsi & Mohamed Chakroun & Amine Nafla, 2016. "Robust analysis of the determinants of healthcare expenditure growth: evidence from panel data for low-, middle- and high-income countries," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(4), pages 580-601, October.
    4. Matteo Lippi Bruni & Irene Mammi, 2017. "Spatial effects in hospital expenditures: A district level analysis," Health Economics, John Wiley & Sons, Ltd., vol. 26(S2), pages 63-77, September.
    5. Yihua Yu & Li Zhang & Fanghua Li & Xinye Zheng, 2013. "Strategic interaction and the determinants of public health expenditures in China: a spatial panel perspective," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 50(1), pages 203-221, February.
    6. DO ANGO, Simplicio & AMBA OYON, Claude Marius, 2016. "Health expenditure and Real disposable Income in the ECCAS: A Causal Study using spatial panel approach," MPRA Paper 79684, University Library of Munich, Germany.
    7. Andree Ehlert & Dirk Oberschachtsiek, 2014. "Does managed care reduce health care expenditure? Evidence from spatial panel data," International Journal of Health Economics and Management, Springer, vol. 14(3), pages 207-227, September.
    8. Vyas, Vishal & Mehta, Kiran & Sharma, Renuka, 2023. "The nexus between toxic-air pollution, health expenditure, and economic growth: An empirical study using ARDL," International Review of Economics & Finance, Elsevier, vol. 84(C), pages 154-166.
    9. John C. Anyanwu & Yaovi Gassesse Siliadin & Ejikeme Okonkwo, 2013. "Role of Fiscal Policy in Tackling the HIV/AIDS Epidemic in Southern Africa," African Development Review, African Development Bank, vol. 25(3), pages 256-275, September.
    10. 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.
    11. Jaison Chireshe & Matthew K. Ocran, 2020. "Health care expenditure and health outcomes in sub‐Saharan African countries," African Development Review, African Development Bank, vol. 32(3), pages 349-361, September.
    12. Clemente, Jesús & Lázaro-Alquézar, Angelina & Montañés, Antonio, 2019. "Convergence in Spanish Public health expenditure: Has the decentralization process generated disparities?," Health Policy, Elsevier, vol. 123(5), pages 503-507.
    13. Clemente, Jesús & Lazaro, Angelina & Montanes, Antonio, 2016. "Public health expenditure in Spain: is there partisan behaviour?," MPRA Paper 69781, University Library of Munich, Germany.
    14. Jamiil Jeetoo, 2020. "Healthcare Expenditure and Baumol Cost Disease in Sub-Sahara Africa," Economics Bulletin, AccessEcon, vol. 40(4), pages 2704-2716.
    15. Eugen Dimant & Tim Krieger & Daniel Meierrieks, 2024. "Paying Them to Hate US: The Effect of US Military Aid on Anti-American Terrorism, 1968–2018," The Economic Journal, Royal Economic Society, vol. 134(663), pages 2772-2802.
    16. Barkat, Karim & Sbia, Raschid & Maouchi, Youcef, 2019. "Empirical evidence on the long and short run determinants of health expenditure in the Arab world," The Quarterly Review of Economics and Finance, Elsevier, vol. 73(C), pages 78-87.
    17. Muhammad Arshad Khan & Muhammad Iftikhar Ul Husnain, 2019. "Is health care a luxury or necessity good? Evidence from Asian countries," International Journal of Health Economics and Management, Springer, vol. 19(2), pages 213-233, June.
    18. Yemin Ding & Lee Chin & Fangyan Li & Peidong Deng, 2022. "How Does Government Efficiency Affect Health Outcomes? The Empirical Evidence from 156 Countries," IJERPH, MDPI, vol. 19(15), pages 1-18, August.
    19. Akinwande Atanda & Andrea Kutinova Menclova & W. Robert Reed, 2018. "Is health care infected by Baumol's cost disease? Test of a new model," Health Economics, John Wiley & Sons, Ltd., vol. 27(5), pages 832-849, May.
    20. Héctor Bellido & Lorena Olmos & Juan Antonio Román-Aso, 2019. "Do political factors influence public health expenditures? Evidence pre- and post-great recession," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(3), pages 455-474, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:afrdev:v:32:y:2020:i:2:p:257-268. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://edirc.repec.org/data/afdbgci.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.