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1 – 10 of 387Bismark Osei, Evans Kulu and Paul Appiah-Konadu
The purpose of this paper is to study the effect of government health expenditure on the health of children (under-five mortality rate and prevalence rate of stunting) among West…
Abstract
Purpose
The purpose of this paper is to study the effect of government health expenditure on the health of children (under-five mortality rate and prevalence rate of stunting) among West African countries.
Design/methodology/approach
The study utilizes heterogeneous panel from the period 1990 to 2018 among 16 West African countries for the analysis. The effect of government health expenditure on under-five mortality rate is measured in per 1,000 live births while that of stunting is measured in percentage. The study employs Pooled Mean Group (PMG) estimation technique and Impulse Response Functions (IRFs) for the analysis.
Findings
The results indicate that government health expenditure has negative effect on under-five mortality rate and prevalence rate of stunting in the long-run but not significant in the short-run. In addition, the IRFs result indicates that under-five mortality rate and prevalence rate of stunting both respond negatively to shocks in government health expenditure.
Practical implications
Governments should ensure that inefficiencies in the public health sector are reduced by licensing the health workers of this sector and allowing independent bodies to appoint the heads of health institutions. This will improve the delivering of health services for the health of children.
Originality/value
Previous studies carried out have not examined the short-run and long-run effects of the relationship under study among West African countries.
Peer review
The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-03-2022-0212
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This study investigates if wealth from natural resources impacts child health in developing countries.
Abstract
Purpose
This study investigates if wealth from natural resources impacts child health in developing countries.
Design/methodology/approach
The methodology includes testing the effect of rents from natural resources on under-five mortality rates using a multifactor health production model for 57 developing nations. The panel estimation procedure was applied to data covering 2002 to 2017, disaggregated by non-renewable and renewable resources and low and medium human development countries.
Findings
The results provide strong evidence that wealth from total natural resources has not been associated with reductions in under-five mortality rates. However, disaggregation of the sample countries by natural resource constituents revealed that only the wealth of non-renewable is strongly inversely associated with under-five mortality rates. Further disaggregation of countries by the low and medium human development constituents revealed a statistically insignificant negative correlation of non-renewable resources wealth and under-five mortality in the low human development countries. In contrast, the results of the medium human development countries revealed that wealth from natural resources (both non-renewable and renewable) had not been associated with any reductions in under-five mortality rates. The results also confirm that immunization levels, nutrition, private spending on health care, air quality, urban living and countries closer to the equator are other strong correlates of under-five mortality rates in low human development countries.
Social implications
The findings here have implications for the timely achievement of the United Nations Sustainable Development Goal 3 (to reduce under-five deaths to around 25 per 1,000 live births by 2030). Governments ought to ensure that incomes from the extractive sector are aligned in forms that promote and feed into improving child health wellbeing.
Originality/value
This research creates a shift from aggregate health wellbeing research agenda to investigate how specific aspects of human development can be linked to wealth from non-renewable and renewable natural resources in developing nations. It adds new knowledge and provides health and natural resources policymakers opportunities to combine their policies and synergize efforts to improve child health outcomes.
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Chamunorwa Nyamuranga and Jaeun Shin
The purpose of this paper is to empirically assess the effect of public health expenditure on child mortality in the Southern African Development Community (SADC) region in…
Abstract
Purpose
The purpose of this paper is to empirically assess the effect of public health expenditure on child mortality in the Southern African Development Community (SADC) region in comparison to the developing world as a whole and the region of Sub-Saharan Africa (SSA).
Design/methodology/approach
This study used panel data extracted from the World Development Indicators database for the period 2000–2013 for 98 developing countries including 15 SADC countries. A dynamic panel data model of child mortality was estimated using the system generalized method of moments technique.
Findings
Results indicate that public health expenditure has a statistically significant effect on reducing infant and under-five mortality rates in the developing world, and that this effect is strongest in the SADC. Immunization and female literacy contributed significantly to the prevention of deaths of infants and children under five in developing countries. In the region of SSA, improved water sources and the reduction in the prevalence of HIV were found to be effective in reducing childhood mortality. There was little evidence for the benefit of higher GDP per capita.
Practical implications
The findings of this study suggest four policy areas which should be prioritized in public health spending to achieve better health among children: ensuring that females have better access to education, providing immunizations, intensifying interventions against the spread of HIV/AIDS, and improving water and sanitation infrastructure.
Originality/value
This study, which shows that the benefits of public health expenditure may be augmented by regional collaborations like the SADC, is one of the first to explore regional heterogeneity in the effectiveness of public health expenditure for the improvement of children’s health across the developing world.
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Abhishek Singh and Kshipra Jain
Children are the most vulnerable group owing to long lasting impact of the violation of human rights in term of proper nutrition and their right to live. The purpose of this paper…
Abstract
Purpose
Children are the most vulnerable group owing to long lasting impact of the violation of human rights in term of proper nutrition and their right to live. The purpose of this paper is to assess the risk of child mortality associated with size of child at birth and mother’s anemia level in northern India.
Design/methodology/approach
The data were used from 2015–2016 National Family Health Survey (NFHS). The participants (n = 41,412) were children aged under-five years from north Indian state of Uttar Pradesh. The main outcome measure was child deaths defined by under-five mortality. The univariate, bivariate and multivariate analyses were used in data analysis. Kaplan–Meier analyses, Log-rank tests and Cox’s regression analyses were performed to fulfill the objective of the study.
Findings
There were a total of 2,835 deaths out of 41,412 births in the past five years preceding the survey period. Children of very small size at birth were significantly two and half times more likely to die than children of average size at birth. The estimated adjusted hazard ratio indicated that the children of severely anemic mothers were significantly 1.5 times more likely to die compared to children of not anemic mothers. Size of child at birth, mother’s anemia level, mother’s age at time of her first birth, wealth index and mother’s education were significantly associated with the under-five mortality in northern India.
Research limitations/implications
The limitation of this study is recall errors arising from the dates of birth and death given by women interviewed in the survey were minimized by restricting the analyses to births within the five-year period preceding the survey.
Practical implications
This study advocates the promotion of comprehensive prevention strategies through appropriate institutional mechanism would be the best intervention or adaptive mechanism to reduce the adverse impact of size of child at birth, mother’s anemia level on under-five mortality in Uttar Pradesh, India.
Originality/value
This research is original. This study enjoys a unique importance by exploring effect of size of child at birth and mother’s anemia on child survival in developing countries like India.
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Ghana is one of the countries instituting several measures toward attracting more Foreign Direct Investment (FDI) inflows. This is because, FDI is largely viewed as essential to…
Abstract
Purpose
Ghana is one of the countries instituting several measures toward attracting more Foreign Direct Investment (FDI) inflows. This is because, FDI is largely viewed as essential to socioeconomic development. However, while population health can influence FDI inflows, it has received very little attention. This study, therefore, investigates empirically, as to focusing on population health could be a useful tool in Ghana’s attempt to attract more FDI inflows.
Design/methodology/approach
The study uses time series data on Ghana from 1980 to 2018 to achieve its objective. Life expectancy, death rate, infant mortality rate, under-five mortality rate and incidence of malaria are used as proxies for population health, while the Ordinary Least Square (OLS) and the Instrumental Variable Two-Stage Least Square (IV2SLS) regressions are employed as empirical estimation techniques.
Findings
Using the OLS regression, except the incidence of malaria, the study finds all the other population health indicators to significantly influence FDI inflows. However, after controlling for endogeneity using the IV2SLS regression, all population health indicators are found to be significant as regards their effects on FDI inflows.
Practical implications
Paying attention to population health could be an effective strategy that can be employed by policymakers in the quest to get more FDI inflows into Ghana.
Originality/value
This study, to the best of our knowledge, is the first study solely devoted to Ghana, which doing so helps in devising country-specific policies with regard to the effect of population health on FDI inflows. Further, this study becomes the first to use death rate, infant mortality rate and under-five mortality rate in examining the effect of population health on FDI inflows. Thus, since there are various causes of deaths, using indicators that capture deaths from all factors helps in giving a much broader picture with regard to the FDI population health nexus. Also, this study is the first to use up to five different population health indicators in examining the effect of population health on FDI inflows, which aids in revealing whether FDI is sensitive to the population health indicator used.
Heather Gage and Ekelechi MacPepple
The 30 MOCHA (Models of Child Health Appraised) countries are diverse socially, culturally and economically, and differences exist in their healthcare systems and in the scope and…
Abstract
The 30 MOCHA (Models of Child Health Appraised) countries are diverse socially, culturally and economically, and differences exist in their healthcare systems and in the scope and role of primary care. An economic analysis was undertaken that sought to explain differences in child health outcomes between countries. The conceptual framework was that of a production function for health, whereby health outputs (or outcomes) are assumed affected by several ‘inputs’. In the case of health, inputs include personal (genes, health behaviours) and socio-economic (income, living standards) factors and the structure, organisation and workforce of the healthcare system. Random effects regression modelling was used, based on countries as the unit of analysis, with data from 2004 to 2016 from international sources and published categorisations of healthcare system. The chapter describes the data deficiencies and measurement conundrums faced, and how these were addressed. In the absence of consistent indicators of child health outcomes across countries, five mortality measures were used: neonatal, infant, under five years, diabetes (0–19 years) and epilepsy (0–19 years). Factors found associated with reductions in mortality were as follows: gross domestic product per capita growth (neonatal, infant, under five years), higher density of paediatricians (neonatal, infant, under five years), less out-of-pocket expenditure (neonatal, diabetes 0–19), state-based service provision (epilepsy 0–19) and lower proportions of children in the population, a proxy for family size (all outcomes). Findings should be interpreted with caution due to the ecological nature of the analysis and the limitations presented by the data and measures employed.
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Ronald Djeunankan and Honoré Tekam
This study aims to contribute to the growing literature on the effects of remittances and the determinants of health outcomes by analysing for the first time the effect of…
Abstract
Purpose
This study aims to contribute to the growing literature on the effects of remittances and the determinants of health outcomes by analysing for the first time the effect of remittances on health outcomes in developing countries using a panel vector autoregression (PVAR) model.
Design/methodology/approach
This study uses panel data from 107 developing countries over the period from 1990 to 2018 to examine the effect of remittances on health outcome in developing countries.
Findings
The main findings from study is that remittances improve health outcomes in developing countries. Another finding of this study is that income, trade, foreign direct investment and financial devlopment improve health outcome.
Originality/value
The contribution of this study is fourfold. Firstly, it adopts the PVAR methodology in a Generalized Method of Moments framework proposed by Abrigo and Love (2016). Secondly, it analyses the implications of remittances on health outcomes by relying on two comprehensive measures of health outcomes commonly used in the literature which are life expectancy at birth and the rate of under-five mortality rates. Thirdly, we identify governance and maternal education as the channels through which remittances improve health outcomes in developing countries. Finally, the current paper covers an extensive time span (29 years) and focuses on a large sample (107 countries).
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Jeffrey Kentor and Andrew Jorgenson
Recent sociological research highlights the growth of military expenditures in hi-tech, capital-intensive armaments and technology. The purpose of this paper is to examine the…
Abstract
Purpose
Recent sociological research highlights the growth of military expenditures in hi-tech, capital-intensive armaments and technology. The purpose of this paper is to examine the impact of these capital-intensive expenditures on two related health outcomes: under-five mortality and life expectancy.
Design/methodology/approach
This research utilizes a series of cross-national panel models estimated for a diverse sample of developed and less-developed countries from 1975 to 2000.
Findings
The authors find that hi-tech military expenditures increase under-five mortality and reduce life expectancy over the period studied, by reducing the number and type of soldiers able to take advantage of increased health-related resources obtained in the military and indirectly, by increasing income inequality, which negatively impacts these health outcomes.
Research limitations/implications
This cross-national study should be supplemented by case studies to better understand the processes being examined.
Practical implications
The increase in capital-intensive military expenditures found worldwide reduces the total number of soldiers in the military and raises their enlistment requirements. This makes it difficult for people with limited human capital to take advantage of the military’s traditional pathway for upward mobility. New pathways for mobility will have to be developed to avoid the creation of a new permanent underclass.
Social implications
There are significant social policy implications for the findings. Hi-tech military expenditures have a significant negative impact on the short- and long-term health outcomes of children and adults, in both developed and less-developed countries, which must be addressed by public policy planners.
Originality/value
This is one of a handful of sociological studies on the impact of military establishment on society. These findings highlight the importance of “bringing the military back in” to the forefront of sociological research.
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Diddy Antai, Sara Wedrén, Rino Bellocco and Tahereh Moradi
Each ethnic group has its own peculiar cultural practices that may widen inequalities in child health and survival among ethnic groups. This study estimated ethnic disparities in…
Abstract
Each ethnic group has its own peculiar cultural practices that may widen inequalities in child health and survival among ethnic groups. This study estimated ethnic disparities in mortality of under‐five‐year‐olds, controlling for individual and community level characteristics. Using multilevel multivariable regression analysis on a nationally representative sample drawn from 7,864 households in the 2003 Nigeria Demographic and Health Survey, we estimated the risks of deaths under‐five‐year‐olds for 6,029 children nested within 2,735 mothers aged 15‐49 years old, who were in turn nested within 365 communities. Results were expressed as odds ratios with 95% confidence intervals. The observed risk of under‐five death was highest among children of Hausa/Fulani/Kanuri mothers and lowest among children of Yoruba mothers. The mother's affiliation to the Yoruba ethnic group, compared to Hausa/Fulani/Kanuri, was still significantly associated with decreased under‐five mortality (OR = 0.66, 95% CI = 0.45 ‐ 0.96) after adjustment for individual and community level factors. Under‐five mortality was significantly related to socio‐economic and demographic factors (birth order/birth interval, mother's age, and mother's education), which explained much but not all of the ethnic disparities. Findings underscore the need for measures aimed at improving female education and the socio‐economic standard of women, changing short birth spacing norms and reducing inequitable distribution of maternal and child health services.
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Ashiabi Nicholas, Nketiah-Amponsah Edward and Senadza Bernardin
The purpose of this paper is to investigate the effect of public and private health expenditures on selected maternal-child health outcomes in Sub-Saharan Africa (SSA).
Abstract
Purpose
The purpose of this paper is to investigate the effect of public and private health expenditures on selected maternal-child health outcomes in Sub-Saharan Africa (SSA).
Design/methodology/approach
The study utilizes panel data on 40 SSA countries spanning the period 2000-2010. The data are analyzed using the fixed effects estimation technique.
Findings
The results indicate that public health expenditure is inversely and significantly related to infant (IMRR) and under-five (U5MR) mortalities in SSA. Though public health expenditure has the a priori negative sign, it has no significant effect on maternal mortality (MMR) in SSA. Further, private health expenditure did not prove to be significant in improving maternal-child health outcomes (IMRR, U5MR and MMR) in SSA.
Practical implications
The implication of the findings is that a percentage point increase in public health expenditure (as a share of GDP) across the region will result in saving the lives of about 7,040 children every year. Hence, it is important for governments in SSA to increase their shares of health expenditure (public health expenditure) in order to achieve improved health outcomes.
Originality/value
Previous studies have not adequately explored the effect of various components of health expenditures – public and private – on health outcomes in the context of SSA. In addition to the focus on maternal-child health variables such as infant, under-five and maternal mortalities, the study accounts for the possibility of a non-linear and non-monotonic relationship between healthcare expenditures and health outcomes.
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