Health expenditure is described as expenses on health, which any government incurs for the maintenance and provision of healthcare services, for the good of the health system, society and the economy. The total government expenditure on health for Nigeria as for 1990, 2000, 2017, 2018 2020, and 2021 are N658.1million, N202.8million, N304billion, N340billion, N547billion and N427billion respectively. The belief is that this would improve the health of the citizenry, which can be translated into better human capital base with its multiplier effects on the health outcomes and status of the economy and as well as the economic growth and development. In modeling the effect of health expenditure on health outcome in Nigeria, the study used multiple regression analysis approach to captures the dynamics of annual health expenditure, cash expenditure on health, health insurance and health tax on health outcome (proxy by life expectancy and infant mortality) within the nation, using data set from World Development Indicator (WDI) from 1985 to 2020. The study found that private health expenditure as the major determinants to steady state growth in health outcome in Nigeria. The study revealed that public health expenditure shows a negative relationship with infant mortality and life expectancy in Nigeria due to constrained healthcare financing. This equally points to the fact that private sector (cash expenditure on health) is more efficient than the constrained public health budget allocations (public health expenditure). The implication of this finding is that private sector (cash expenditure on health) has greater influence on health outcomes especially in infant mortality and life expectancy. The economic implication of this finding is that health services will be obtained at a high cost in Nigeria due to constrained public health spending. That is to say that the principle of excludability is at work in Nigeria health sector thereby making achievement of social optimality in Nigerian health care services impossible. Following the finding of the study, therefore, government should endeavor that all the citizens benefit from health insurance irrespective status.
Abbas, F., & Hiemenziu, M. (2011).The determinant of public health expenditures in Pakistan. 2EF –Discussion papers on Development Policy No158, centre for Development Research, Bonn.
Adewumi, S. B., Acca, Y. A., & Afolayan, O. (2018). Government Health Expenditure and Health Outcomes in Nigeria: The Challenge to Underdeveloped Economy. International Journal of Research and Innovation in Social Science (IJRISS) |Volume II, Issue XII, December 2018|ISSN 2454-6186.
Akinci, F., Samer, H., Farrukh, S., & Akhmedjonov, A. (2015). Examining the impact of health care expenditures on health outcomes in the Middle East and North Africa. Journal of Healthcare Financing, 41 (1).
Anyafo, A. M. O. (2016). Public finance in developing economy: The Nigerian case. Enugu: Department of Banking and Finance, University of Nigeria. Enugu Campus.
Anyanwa, J. C., & Erhijakpor, E.O. (2018). Health expenditures and health outcomes in Africa. African Development Review, 21(2), 400–433.
Anyanwu, J. C. (2013). An Econometric Analysis of the Determinants of Health Expenditures in Nigeria. Nigerian Journal of Economics and Management Studies, 3(1,2): 57-71.
Anyanwu, J. C., & Erhijakpor, A. O. (2007). Health expenditures and health outcomes in Africa. African Development Bank (AFDB) Working Paper, (91): 15-16.
Arthur, E., & Oaikhenan, P. (2016).Health expenditure, health outcomes and economic growth in Sub-Saharan Africa. An Unpublished PhD (Economics) Thesis. Department of Economics and Statistics, University of Benin, Nigeria.
Ataguba, J. E., Akazili, J., & Mclntyre, D. (2011). Socioeconomic-related health inequality in South Africa: Evidence from generalized household surveys. International Journal of Equity in Health, 10, 48.
Barenberg, A. J., Basu, D., Soylu, C. S. (2015). The effect of public health expenditure on infant mortality: evidence from a panel of Indian states, 1983-1984 to 2011-2012. Journal of Development Studies, 53(10):1765–84.
Bein, A., Bidani, A., & Ravallion, C. (2017). The intergenerational transmission of inequality: Maternaldis advantage and health at birth. Science, 344:856–61.
Bokhari, F. A. S. (2007). Government health expenditures and health outcomes.Health Economics, 16, 257-273.
Case, A., & Deaton, C.(2005).Stature and status: Height, ability, and labour market outcomes. Journal of Political Economics, 116, 499–532.
Crémieux, P., Ouellette, P., & Pilon, C. (2009). Health care spending as determinants of health outcomes.Health Economics, 8(7), 627–639.
Cutler, D., Deaton, A., & Lleras-Muney, A. (2006). The determinants of mortality. Journal of Economic Perspectives, 20, pp. 97–120.
Deolalikar, A. B. (2014). Attaining the millennium development goals in India (Washington DC: The World Bank, Human Development Unit, South Asia Region.
Department of Health and Ageing (2007).Better Information, Better Choice, Better Health.www.dh.gov.uk/en/Publichealth/choosinghealth/DH_072525. Accessed on the 20th April 2009.
Farahani, M. (2010).Effects of state-level public spending on health on the mortality probability in India. Health Economics, 19, pp. 1361-1376.
Farahani, M., Das, J., Kapoor, M., & Nikitin, D. (2016). In urban and rural India, a standardised patient study showed low levels of provider training and huge quality gaps. Health Affairs, 31(12):2774-84.
Gani, A. (2008). Health Care Financing and Health outcomes in Pacific Island countries.Health Policy and Planning, 24 (1):72-81.
Grossman, M. (1972). On the concept of health capital and the demand for health.The Journal of Political Economy, 80(2), 223-255.
Gupta, S., & Mitra, V. (2014). Public spending on health care and the poor. Health Economics, 12, pp. 685-696.
Gupta, S. (2012). The effectiveness of government spending on education and health care in developing and transition economies. European Journal of Political Economy, 18, pp. 717-737.
Gupta, S., Verhoeven, M., and Tiongson, E. (2003), ‘Public Spending on Health Care and the Poor’, Health Economics, Vol. 12, pp. 685– 96.
Harttgen, K., & Misselhorn, M. (2016).A multilevel approach to explain child mortality and under-nutrition in South Asia and Sub-Saharan Africa Ibero.America Institute for Economic Research (IAI).Discussion Papers, September.
Huhn, W. (2011). Constitutionality of the patient protection and affordable care act under the commerce clause and the necessary and proper clause.Journal of Legal Medicine, 32(2), 139-165.
Kamiya, Y. (2010). Determinants of health in developing countries: Cross-country evidence, Osaka School of International Public Policy (OSIPP) Discussion Paper: DP-2010-E-009.
Likita, N. (2009). Elements of Public Finance (1st ed.). Ilaro: Marhel Business Centre 103 LowerMission Road.
Mordi, N. O. C. (2010). The Changing Structure of the Nigerian Economy. Published by Research Department, CBN, Pp. 297.
Musgrove, P. (1969). Public and private roles in health, Washington, D.C: World Bank.
Musgrove, P. (2016). Public and private roles in health: theory and financing patterns. Health, Nutrition and Population (HNP) Discussion Paper 29290 (Washington, DC: World Bank).
National Health Accounts(2010). Global health observatory (online): National health accounts. World Health Organization, Switzerland: Geneva.
National Planning Commission (NPC, 2004). The estimated population of the country, Abuja; http//www.population.gov.ng.
Nolte, J., &Mckee, M. (2014).Does Health Care Save Live? The Nuffield Trust, London, 58.
Novignon, J., Elola, J., Daponte, A., & Navarro, V. (2012). Health indicators and the organization of health care systems in Western Europe.American Journal of Public Health, 85(10), 1397-1401.
Novignon, J., Olakojo, S. A., & Nonvignon, J. (2012). The effects of public and private health care expenditure on health status in Sub-Saharan Africa: New evidence from panel data analysis. Health Economics Review, 2(1): 22.
Nwanosike, D. U., Orji, A., Okafor, J. C., & Umesiobi, S. (2015). Progressive malaria spending, malaria incidence and Health outcomes in Nigeria. International Journal of Academic Research in Business and Social Science. Vol. 5, No. 12.
Olaniyi, O. O., and Adam, J. A. (2003): “Public Expenditure and Human Development in Nigeria”. In Human Resources Development: Selected Papers for the Year 2002 Annual Conference, the Nigerian Economic Society (NES), Part Three, Pp. 157-197.
Pritchett, L., & Summers, P. (2016). Mind Your P’s and Q’s: The cost of public investment is not the value of public capital. Policy Research Working Paper, 1660. Development Economics Research Group, World Bank; Washington D.C.
Reem, H. (2018). Nigeria Health Financing System Assessment. Discussion Paper April 2018. The International Bank for Reconstruction and Development / The World Bank 1818 H Street, NW Washington, DC 20433
Ssewanyana, S., & Younger, S. D. (2017). Infant mortality in Uganda: Determinants, trends, and the Millennium Development Goals. African Development and Poverty Reduction: The Macro-linkage, Forum Paper, October.
UNICEF. (2012). How WASH relates to health, education and development. UNICEF: Water, Sanitation and Hygiene. Available at:http://www.unicef.org/wash/index_healthandeducation.html, accessed January 05, 2016.
UNICEF. (2017). Child deaths fall below 10 million for the first time, Press Release, 13 September 2007.
United Nations Children's Fund. (2012). Committing to child survival: a promise renewed. social sciences.
Wagner, A. (1883). Grundlegung der PolitischenOkonomie, 3rd Edition, Leipzig: C. F. Winter.
Wagstaff, A. (2010). Socio-economic inequalities in child mortality: comparisons across nine developing countries. Bulletin of the World Health Organisation, 78, pp. 19–29.
Wagstaff, A. (2012). Intersectoral synergies and the health MDGs: Preliminary cross-country findings, corroboration and policy simulations. Background paper for the development committee accelerating progress towards the health nutrition and population Millennium Development Goals (Washington DC: World Bank).
Wagstaff, A., & Claeson, M. (2014).The Millennium Development Goals for Health: Rising to the challenges. Report 29673 (Washington DC: World Bank).
Wang, L. (2012). Determinants of child mortality in LDCs. Empirical findings from demographic and health surveys.Health policy, 65, pp: 277-299.
Wang, Z. (2011). The convergence of health care expenditures in the US States.Health Economics, 18(1):55-70.
World Health Organization. (2018). Monitoring Health for the SDGs, Sustainable Development Goals. Retrieved from https://www.who.int/gho/publications/world_health_statistics/2018/en/.
WHO. (2017). Global health observatory: national health accounts. World Health Organization, Switzerland: Geneva.
World Health Organization. (2012).Global health observatory data: life expectancy.Geneva, Switzerland: World Health Organization (WHO).
World Health Organization. (2014). Global health expenditure database, 2014.Available at:http://apps.who.int/nha/database/DataExplorerRegime.aspx.Accessed 30 July 2014.
Yaqub, J. O. (2012).Public health expenditure and health outcome in Nigeria: The impact of governance. European Scientific Journal, 8(13): 189-201.
In-Text Citation: (Nwanosike et al., 2022)
To Cite this Article: Nwanosike, D. U., Agu, C., Nwanya, J. C., Ogbu, O., Raymond, C. M., & Mbachu, H. I. (2022). Constrained Public Health Care Spending and Steady State in Health Outcomes in Nigeria. International Journal of Academic Research in Business and Social Sciences, 12(11), 2412– 2427.
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