The Impact of Healthcare spending on Life Expectancy: Evidence from Selected West African Countries

Elizabeth Yinka Sango-Coker, Murad A. Bein

Abstract

Increasing healthcare expenditure in West African countries cannot be over-emphasized. There is need for urgent improvement of healthcare, healthcare equipment and facilities, and human resources with qualified healthcare givers. It is important to have clarity on which healthcare sector to invest in, to maximize impact, effectiveness and efficiency. This study investigated the private, public, and public-private healthcare sectors of West Africa. Data was obtained from World Bank Indicators within the period of 16 years (from 1999 - 2014). Using pooled regression and pairwise correlation, empirical results were obtained. Female population lived longer than the male population and a positive relationship was obtained between the variables of healthcare spending and life expectancy for the public healthcare sector. The results showed a negative relationship between these variables for the private healthcare sector. The government, policy and decision-makers are recommended to focus on increasing the expenditure on the public healthcare system to achieve positive outcomes for increased life expectancy against other healthcare sectors that remain expensive and inaccessible to the population. (Afr J Reprod Health 2018; 22[4]: 64-71).

Full Text:

PDF

References

Onwujekwa ON, Dike B and Uzochukwu OE. Informal payments for healthcare: Differences in expenditure from consumers and providers perspectives for treatment of malaria in Nigeria. Health Policy 2010; (96):72-79.

Balabanova D, McKee M, Pomerleau J, Rose R and Haerpfer C. Health service utilization in the former Soviet Union: evidence from eight countries. Health Services Research. 2004; 6(2):1927-50

Gaal P, Belli PC, McKee M and Szócska M. Informal payments for healthcare: definitions, distinctions, and dilemmas. Journal of Health Politics, Policy and Law. 2006; 31(2): 4-7.

Arva P, Ilchenko I, Gorobets P and Rogacheva A. Formal and informal payments in healthcare facilities in two Russian cities, Tymen and Lipetsk. Health Policy and Planning. 2009; (24):395-405.

Federal Ministry of Health. National antimalarial treatment policy. Abuja, Nigeria: 2005.

Arva P, Ilchenko I, Gorobets P and Rogacheva A. Formal and informal payments in healthcare facilities in two Russian cities, Tymen and Lipetsk. Health Policy and Planning 2009; (24):395-405.

GBD 2015 and HALE Collaborators. Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Published by Elsevier Ltd

Buseh AG, Stevens PE, Bromberg M and Kelber ST. The Ebola epidemic in West Africa: Challenges, opportunities, and policy priority areas. Nursing Outlook. 2015; 63(1)30-40.

Heymann DL. Control of communicable diseases manual. 20th Ed. Washington, D.C: American Public Health Association, 2015.

World Health Organization. Unprecedented number of medical staff infected with Ebola. 2014b. [cited 2017 January 15] Available from: http://www.who.int/mediacentre/news/ebola/25-august-2014/en/.

The World Bank. The global burden of disease: Main findings for Sub-Saharan Africa. 2013. [cited 2017 January 21] Available from: http://www.worldbank. Org/en/news/feature/2013/09/09/global-burden-of-diseasefindings-for-sub-saharan-africa.

Forrester JD, Pillai SK, Beer KD, Bjork A, Neatherlin J, Massaquoi M, Nyenswah GT, Montgomery JM and De Cock K. Assessment of Ebola virus disease, health care infrastructure, and preparedness: Four countries, southeastern Liberia. Morbidity and Mortality Weekly Report. 2014; (63):1-3.

Van Hilten LG. Health care policy should not focus on finance, says research: Policy makers need to consider social and political sustainability. Atlas: Research for a better world Elsevier. 2015

Han K, Park E and Kim SJ. Unmet healthcare needs and community health center utilization among the low-income population based on a nationwide community health survey. Health Policy. 2016; (120):630–637.

Martin S, Rice N and Smith PC. Does health care spending improve health outcomes? Evidence from English programme budgeting data. J Health Econ. 2008;27(4):826-42.

Homaie RE and Samadi A. Determinants of Healthcare Expenditure in Economic Cooperation Organization (ECO) Countries: Evidence from Panel Cointegration Tests. International Journal of Health Policy and Management. 2013; 1:7.

Anyanwu JC and Erhijakpor AEO. Health Expenditures and Health Outcomes in Africa. Afr. Dev. Rev. 2009; 21:400–33.

Breyer F and Felder S. Life expectancy and health care expenditures: A new calculation for Germany using the costs of dying. Health Policy; 2006; 75:178-86.

World Health Organization, (2010). Healthcare Expenditure for West Africa Region.

Human Development Index, 2015. [Cited 2017 January 8] Available from: http://hdr.undp.org/sites/default/files/2015_human_ development_report.pdf.

Refbacks

  • There are currently no refbacks.