PUBLIC HEALTH EXPENDITURE AND MATERNAL MORTALITY IN NIGERIA
DOI:
https://doi.org/10.46827/ejphs.v7i1.165Keywords:
public health expenditure, maternal mortality, ARDL and NigeriaAbstract
This study examined the effect of public health expenditure on maternal mortality in Nigeria from 2002 to 2021. To achieve this objective, the study utilized data on maternal death, 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 Central Bank of Nigeria Statistical Bulletin. The study employed an Autoregressive Distributed Lag (ARDL) Bounds testing technique for data analyses. The result revealed that in the long run, total government expenditure on health has a negative and significant relationship with maternal mortality in Nigeria. Meanwhile, the migration of doctors and nurses trained in Nigeria - doctors and nurses trained in Nigeria but working in other countries have a positive and significant relationship with maternal mortality in Nigeria. In the short run, total government expenditure on health has a positive and significant relationship with maternal mortality in Nigeria. At the same time, the migration of doctors and nurses trained in Nigeria - doctors and nurses trained in Nigeria but working in other countries has a negative and significant relationship with maternal mortality in Nigeria. Based on the findings of this study, it is recommended here that the government should step up investment in all components of health infrastructure to cope with the explosive population growth requiring medical services in Nigeria. Put differently, a crucial effort should be made by the government to channel more funds to the health sector in order to improve health standards, reduce the mortality rate and hence the life expectancy of the citizens since a healthy population and workforce is a major ingredient for rapid and sustainable productivity and growth.References
Achille, D. F & Steve, S. (2018). The Impact of Out-of-Pocket Health Expenditure on Maternal Health: Empirical Evidence from Central and Latin American Countries. Journal of Health Science and Medical Research, 37(3), 237-245.
Aderopo, R. A., Emmanuel, E. (2019). Can public health spending and maternal education predict the future under-5 mortality rate in Nigeria? Indian Journal of Economics and Development, 7 (12), 1-9.
Akpakpan, E. B. (1999). Developing the Nigerian Economy for an Enduring Democracy. CSA Productions Limited, 40, Ladipo Labinjo Cresent, Off Bode Thomas Street, PO Box 5827, Surulere, Lagos, Nigeria.
Aziz, N., He, J., Sarker, T. & Sui, H. (2021). Exploring the Role of Health Expenditure and Maternal Mortality in South Asian Countries: An Approach towards Shaping Better Health Policy. International Journal of Environmental Research and Public Health, 18 (11514), 1-14.
Aziz, N., He, J., Sarker, T. & Sui, H. (2018). Exploring the Role of Health Expenditure and Maternal Mortality in South Asian Countries: An Approach towards Shaping Better Health Policy. International Journal of Environment Research and Public Health, 18, 11514, 1-14.
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.
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.
Fatoye, H. A. (2021). The Implications of healthcare expenditure on maternal mortality rate in Nigeria. A Journal of the Network for Utilitarian Studies Redeemer’s University, Ede-Humanus Discourse, 1(3), 1-9.
Igbinedion, S. O. & Olele, E. H. (2018). Does Public Health Expenditure Promote Health Outcomes in Nigeria? Amity Journal of Healthcare Management, 3 (1), (1–13).
Nigeria Demographic and Health Survey (NDHS, 2018). Health Sector Survey.
Nwankwo, C. E. (2018). The Effects of Public Health Spending on Maternal Mortality in Nigeria. Journal of Economics and Sustainable Development, 9(20), 141-152.
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.
Rana, R. H., Alam, K. & Gow, J. (2018). Health expenditure, child and maternal mortality nexus: a comparative global analysis. BMC International Health and Human Rights (2018) 18(29), 1-15.
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.
Wellington, M., Laston, G., Apivat, H., Stephen, S. & James, J. (2020). Health Financing: Relationship between Public Health Expenditure and maternal mortality in Zimbabwe between the years 1980 to 2010. Medical Journal of Zambia, 46 (1), 61 – 70.
World Health Organization (WHO, 2019). Maternal health in Nigeria: generating information for action. Retrieved from https://www.who.int/news/item/25-06-2019-maternal-health-in-nigeria-generating-information-for-action
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).