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Public health spending in Sub-Saharan Africa: exploring transmission mechanisms using the latent growth curve mediation model

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  • Wa Ntita Serge Kabongo

    (University of KwaZulu Natal)

  • Josue Mbonigaba

    (University of KwaZulu Natal)

Abstract

In response to the imperatives of universal health coverage, structural factors that may hinder the effectiveness of increased spending in sub-Saharan Africa (SSA) need attention. This study assessed the mediating role of these factors in domestic general government health expenditure (DGGHE) effects to propose solutions for improving population health outcomes (PHO). The analysis used the Latent Growth Curve Mediation Model (LGCMM) approach within the structural equation model (SEM) framework for panel data from 42 SSA countries from 2015 to 2018. The findings were that malaria and female education formed a channel through which DGGHE imparted its effects on DALY in SSA, and these effects were achieved via the specific path from the DGGHE slope to the DALY slope, via malaria and female education slopes. However, the paper found no evidence of immunization coverage mediating the relationship between DGGHE and DALY in SSA. The paper concludes that structural factors affect the effectiveness of DGGHE on PHO, implying that governments should emphasize existing programs to fight against malaria and increase immunization coverage.

Suggested Citation

  • Wa Ntita Serge Kabongo & Josue Mbonigaba, 2024. "Public health spending in Sub-Saharan Africa: exploring transmission mechanisms using the latent growth curve mediation model," Health Economics Review, Springer, vol. 14(1), pages 1-17, December.
    • Handle: RePEc:spr:hecrev:v:14:y:2024:i:1:d:10.1186_s13561-023-00472-5
    DOI: 10.1186/s13561-023-00472-5
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    References listed on IDEAS

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    1. Boadway, Robin & Marchand, Maurice, 1995. "The Use of Public Expenditures for Redistributive Purposes," Oxford Economic Papers, Oxford University Press, vol. 47(1), pages 45-59, January.
    2. Hanbo Wu, 2022. "The Effect of Maternal Education on Child Mortality in Bangladesh," Population and Development Review, The Population Council, Inc., vol. 48(2), pages 475-503, June.
    3. Filmer, Deon & Pritchett, Lant, 1999. "The impact of public spending on health: does money matter?," Social Science & Medicine, Elsevier, vol. 49(10), pages 1309-1323, November.
    4. Yardim, Mahmut Saadi & Cilingiroglu, Nesrin & Yardim, Nazan, 2010. "Catastrophic health expenditure and impoverishment in Turkey," Health Policy, Elsevier, vol. 94(1), pages 26-33, January.
    5. Stiglitz, Joseph E., 2000. "Capital Market Liberalization, Economic Growth, and Instability," World Development, Elsevier, vol. 28(6), pages 1075-1086, June.
    6. Pierre‐Yves Crémieux & Pierre Ouellette & Caroline Pilon, 1999. "Health care spending as determinants of health outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 8(7), pages 627-639, November.
    7. Juste Som¨¦ & Selsah Pasali & Martin Kaboine, 2019. "Exploring the Impact of Healthcare on Economic Growth in Africa," Applied Economics and Finance, Redfame publishing, vol. 6(3), pages 45-57, May.
    8. 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.
    9. J. A. Mirrlees, 1971. "An Exploration in the Theory of Optimum Income Taxation," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 38(2), pages 175-208.
    10. Imai, Kosuke & Yamamoto, Teppei, 2013. "Identification and Sensitivity Analysis for Multiple Causal Mechanisms: Revisiting Evidence from Framing Experiments," Political Analysis, Cambridge University Press, vol. 21(2), pages 141-171, April.
    11. Tianheng Wang, 2021. "The effect of female education on child mortality: evidence from Indonesia," Applied Economics, Taylor & Francis Journals, vol. 53(27), pages 3207-3222, June.
    Full references (including those not matched with items on IDEAS)

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