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Health Spending, Democracy and Child Mortality in Developing Countries

Author

Listed:
  • Mongbet Zounkifirou

    (Ph.D. Candidate, Faculty of Economics and Management/University of Yaoundé II, Cameroon)

  • TOURERE Zenabou

    (Lecturer & Researcher / University of Douala (Cameroon))

  • Poutouochi Mongapna Arouna

    (Researcher Assistant/ Ministry of Scientific Research and Innovation / National Centre for Education (Cameroon))

Abstract

This paper assesses the impact of health spending on child mortality in the developing countries, taking into account the role of democracy. We use the two-stage dynamic panel generalized method of moments. Our sample covers 126 countries over the period 1995-2017. Our main results show that health expenditure is negatively and significantly associated with child mortality. However, when we take into account democracy, regionalization and the income level, we find that, health expenditure has a negative and significant effect on child mortality only in the upper-middle-income countries and Sub-saharan Africa. Elsewhere, it is in the countries of Eurasia, North Africa, and Latin America that a significant reduction in the child mortality rate takes place in the presence of democratic institutions; to this must be added the least developed countries. For example, respect for civil liberties, control of government by a democratically elected parliament, combined with spending on health care, contribute to a significant decrease in child mortality. The results of this study are an important issue for policymakers, providing them with a kind of theoretical and empirical argument presenting health expenditure as a major determinant in public health policy. Thus, in their fight against child mortality, it is in the interest of governments in developing countries to improve not only the quality of their health spending but also, and above all, their institutional framework, especially democratic governance.

Suggested Citation

  • Mongbet Zounkifirou & TOURERE Zenabou & Poutouochi Mongapna Arouna, 2021. "Health Spending, Democracy and Child Mortality in Developing Countries," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 5(09), pages 654-661, September.
    • Handle: RePEc:bcp:journl:v:5:y:2021:i:09:p:654-661
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    References listed on IDEAS

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    1. Jacob Novignon & Solomon Olakojo & Justice Nonvignon, 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, Springer, vol. 2(1), pages 1-8, December.
    2. Farasat A. S. Bokhari & Yunwei Gai & Pablo Gottret, 2007. "Government health expenditures and health outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 16(3), pages 257-273, March.
    3. Filmer, Deon & Pritchett, Lant, 1997. "Child mortality and public spending on health : how much does money matter?," Policy Research Working Paper Series 1864, The World Bank.
    4. Arellano, Manuel & Bover, Olympia, 1995. "Another look at the instrumental variable estimation of error-components models," Journal of Econometrics, Elsevier, vol. 68(1), pages 29-51, July.
    5. Hitiris, Theo & Posnett, John, 1992. "The determinants and effects of health expenditure in developed countries," Journal of Health Economics, Elsevier, vol. 11(2), pages 173-181, August.
    6. Mark Berger & Jodi Messer, 2002. "Public financing of health expenditures, insurance, and health outcomes," Applied Economics, Taylor & Francis Journals, vol. 34(17), pages 2105-2113.
    7. Marwa Farag & A. Nandakumar & Stanley Wallack & Dominic Hodgkin & Gary Gaumer & Can Erbil, 2013. "Health expenditures, health outcomes and the role of good governance," International Journal of Health Economics and Management, Springer, vol. 13(1), pages 33-52, March.
    8. Amin, Ruhul, 1996. "Immunization coverage and child mortality in two rural districts of Sierra Leone," Social Science & Medicine, Elsevier, vol. 42(11), pages 1599-1604, June.
    9. Manuel Arellano & Stephen Bond, 1991. "Some Tests of Specification for Panel Data: Monte Carlo Evidence and an Application to Employment Equations," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 58(2), pages 277-297.
    10. Abdelhafidh Dhrifi, 2020. "Public Health Expenditure and Child Mortality: Does Institutional Quality Matter?," Journal of the Knowledge Economy, Springer;Portland International Center for Management of Engineering and Technology (PICMET), vol. 11(2), pages 692-706, June.
    11. Blundell, Richard & Bond, Stephen, 1998. "Initial conditions and moment restrictions in dynamic panel data models," Journal of Econometrics, Elsevier, vol. 87(1), pages 115-143, August.
    12. Elinor Hallström & Quentin Gee & Peter Scarborough & David A. Cleveland, 2017. "A healthier US diet could reduce greenhouse gas emissions from both the food and health care systems," Climatic Change, Springer, vol. 142(1), pages 199-212, May.
    13. Filmer, Deon & Pritchett, Lant, 1999. "The impact of public spending on health: does money matter?," Social Science & Medicine, Elsevier, vol. 49(10), pages 1309-1323, November.
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