Infant Mortality and Public Health Expenditure in Nigeria: Empirical Explanation of the Nexus

J. David
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引用次数: 10

Abstract

Abstract This study employs Autoregressive Distributed Lag (ARDL) bounds testing approach to co-integration and Granger causality technique to empirically examines the nature of relationship between infant mortality and public expenditure on health in Nigeria from 1980 – 2016. In addition, the study considers the roles of immunization, private health expenditure and external health resources on infant mortality in Nigeria. Among other things, the empirical results indicate the presence of significant conintegrating (long-run) relationship between infant mortality and government health expenditure (and private health expenditure, immunization and external health resources), coupled with the existence of bi-directional causal relationship between infant mortality and government health expenditure. In addition, the results also demonstrate that, government health expenditure, private health expenditure, immunization, and external health resources significantly influence infant mortality negatively both in the long and short term. Although, private health spending is shown as the major determinant of the reduction of infant mortality rate in Nigeria, due to the size of the coefficient of private health expenditure. In essence, the total overhaul of the Nigerian health sector, so as to improve the efficiency of the sector, as well curb the incidents of fund mismanagement which has plagued the sector overtime, coupled with the intensifying of immunization programs and activities are however recommended.
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尼日利亚婴儿死亡率和公共卫生支出:关系的实证解释
摘要本研究采用协整自回归分布滞后(ARDL)界检验方法和格兰杰因果关系技术,实证检验了1980 - 2016年尼日利亚婴儿死亡率与公共卫生支出之间的关系性质。此外,该研究还考虑了免疫、私人保健支出和外部保健资源对尼日利亚婴儿死亡率的作用。除其他外,实证结果表明,婴儿死亡率与政府卫生支出(以及私人卫生支出、免疫接种和外部卫生资源)之间存在显著的共整合(长期)关系,婴儿死亡率与政府卫生支出之间存在双向因果关系。此外,研究结果还表明,政府卫生支出、私人卫生支出、免疫接种和外部卫生资源对婴儿死亡率的长期和短期均有显著的负向影响。尽管如此,由于私人保健支出的系数很大,私人保健支出显示为尼日利亚婴儿死亡率降低的主要决定因素。从本质上讲,建议对尼日利亚卫生部门进行全面改革,以提高该部门的效率,并遏制长期困扰该部门的资金管理不善事件,同时加强免疫方案和活动。
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