卫生保健支出对儿童死亡率的影响:撒哈拉以南非洲的个案研究

Khisa Wekulo Eugine, Xie Yuantao, Muyundo Calvin Mukumbi
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摘要

在努力降低世界各地儿童死亡风险的过程中,筹资对于取得积极成果至关重要。本研究旨在评估医疗保健支出如何影响撒哈拉以南非洲(SSA)的儿童死亡率。一些研究这一主题的研究人员声称,医疗保健支出对儿童死亡率有影响,而另一些人则持不同意见。本研究将医疗保健支出分为公共、私人和总医疗保健支出,并对它们如何影响儿童死亡率进行了不同的分析。此外,由于数据的可用性,它采用了32个SSA州的面板数据,而不是45个州。所使用的数据来自世界银行2005年至2016年的发展指标。5岁以下儿童和婴儿死亡率的数据被用来表示儿童死亡率。面板线性回归结果显示,医疗保健支出对儿童死亡率有显著影响。弹性估计结果表明,公共支出和总支出比私人支出更重要,对儿童死亡率的影响更大。该研究的结果表明,医疗保健支出降低了儿童死亡率,但在一段时间后实现这一权利,因为资金是一个时间维度变量。该研究建议,SSA卫生部门的保健支出应该持续,并以有效的方式进行,以降低儿童死亡率。
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Effect of Health Care Expenditures on Child Mortality Rates: A Case Study of Sub-Saharan Africa
In the process of trying to reduce the risk of child mortality across the world, financing is crucial in the delivery of positive results. This research was carried to evaluate how healthcare expenditures affect child mortality rates in Sub-Saharan Africa (SSA). Some researchers on this topic have claimed healthcare expenditure has an influence on child mortality while others differ with the ideas. This research divided healthcare expenditure into public, private, and total healthcare expenditures and analyzed them differently on how they affect child mortality. Additionally, it employed panel data for 32 SSA states instead of 45 states due to data availability. The data utilized was from the World Bank’s Development Indicators from 2005 to 2016. The data for under-five and infant mortalities were used to represent child mortality rates. The result from the panel linear regression showed that healthcare expenditure has a significant effect on child mortality rates. The elasticity estimation results indicate public and total expenditures are more significant and have high effects on child mortality rates than private expenditure. The findings from the study suggest that healthcare expenditure reduces child mortality rates but after some time to deliver the right as financing is a time dimensional variable. The study recommends that the healthcare expenditure in the health sector in SSA should be continuous and done in effective ways to reduce child mortality rates.
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