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Fiscal capacity and public health expenditure in Zimbabwe

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  • Tamisai Chipunza
  • Senia Nhamo

Abstract

Public healthcare financing is important for achieving one of the 2030 Sustainable Development Goals (SDGs), the goal of healthy living and well-being (SDG3). Understanding the impact of fiscal capacity on public healthcare financing helps in assessing the government’s commitment towards attaining SDG3. The study sought to investigate the relationship between fiscal capacity and public health expenditure in Zimbabwe. An Autoregressive Distributed Lag (ARDL) model was estimated using annual time series data for the period 1980–2017. The results of the ARDL model were validated using the Fully Modified Ordinary Least Squares (FMOLS) and Canonical Cointegrating Regression (CCR) methods. The study found that fiscal capacity (measured as the ratio of tax revenue to GDP) impacted positively on public health expenditure. The results suggest that following an improvement in resources, the government prioritised the health sector. The study recommends that the government continues to prioritise health in the national budget to enhance the country’s achievement of SDG3.

Suggested Citation

  • Tamisai Chipunza & Senia Nhamo, 2023. "Fiscal capacity and public health expenditure in Zimbabwe," Cogent Economics & Finance, Taylor & Francis Journals, vol. 11(1), pages 2175459-217, December.
    • Handle: RePEc:taf:oaefxx:v:11:y:2023:i:1:p:2175459
    DOI: 10.1080/23322039.2023.2175459
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    1. Deepak Kumar Behera & Umakant Dash, 2018. "The impact of macroeconomic policies on the growth of public health expenditure: An empirical assessment from the Indian states," Cogent Economics & Finance, Taylor & Francis Journals, vol. 6(1), pages 1435443-143, January.
    2. António Afonso & João Tovar Jalles & Ana Venâncio, 2021. "Structural Tax Reforms and Public Spending Efficiency," Open Economies Review, Springer, vol. 32(5), pages 1017-1061, November.
    3. Hartwig, Jochen, 2008. "What drives health care expenditure?--Baumol's model of 'unbalanced growth' revisited," Journal of Health Economics, Elsevier, vol. 27(3), pages 603-623, May.
    4. Chukwuebuka Bernard Azolibe & Chidinma Emelda Nwadibe & Chidimma Maria-Gorretti Okeke, 2020. "Socio-economic determinants of public expenditure in Africa: assessing the influence of population age structure," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 47(11), pages 1403-1418, October.
    5. Alan T. Peacock & Jack Wiseman, 1961. "Determinants of Government Expenditure," NBER Chapters, in: The Growth of Public Expenditure in the United Kingdom, pages 12-34, National Bureau of Economic Research, Inc.
    6. Fabricio Linhares & Glauber Nojosa & Rogerio Bezerra, 2021. "Changes in the revenue–expenditure nexus: confronting evidence with fiscal policy in Brazil," Applied Economics, Taylor & Francis Journals, vol. 53(44), pages 5051-5067, September.
    7. Chen, George S. & Yao, Yao & Malizard, Julien, 2017. "Does foreign direct investment crowd in or crowd out private domestic investment in China? The effect of entry mode," Economic Modelling, Elsevier, vol. 61(C), pages 409-419.
    8. Cheng Hsiao, 2007. "Panel data analysis—advantages and challenges," TEST: An Official Journal of the Spanish Society of Statistics and Operations Research, Springer;Sociedad de Estadística e Investigación Operativa, vol. 16(1), pages 1-22, May.
    9. Syed Mansoob Murshed & Muhammad Badiuzzaman & Mohammad Habibullah Pulok, 2017. "Fiscal capacity and social protection expenditure in developing nations," WIDER Working Paper Series 060, World Institute for Development Economic Research (UNU-WIDER).
    10. Joseph P. Newhouse, 1977. "Medical-Care Expenditure: A Cross-National Survey," Journal of Human Resources, University of Wisconsin Press, vol. 12(1), pages 115-125.
    11. M. Hashem Pesaran & Yongcheol Shin & Richard J. Smith, 2001. "Bounds testing approaches to the analysis of level relationships," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 16(3), pages 289-326.
    12. Ricciuti, Roberto & Savoia, Antonio & Sen, Kunal, 2019. "How do political institutions affect fiscal capacity? Explaining taxation in developing economies," Journal of Institutional Economics, Cambridge University Press, vol. 15(2), pages 351-380, April.
    13. Baltagi, Badi H. & Moscone, Francesco, 2010. "Health care expenditure and income in the OECD reconsidered: Evidence from panel data," Economic Modelling, Elsevier, vol. 27(4), pages 804-811, July.
    14. Peter Zweifel & Stefan Felder & Markus Meiers, 1999. "Ageing of population and health care expenditure: a red herring?," Health Economics, John Wiley & Sons, Ltd., vol. 8(6), pages 485-496, September.
    15. Barkat, Karim & Sbia, Raschid & Maouchi, Youcef, 2019. "Empirical evidence on the long and short run determinants of health expenditure in the Arab world," The Quarterly Review of Economics and Finance, Elsevier, vol. 73(C), pages 78-87.
    16. Olayiwola, Saheed O. & Bakare-Aremu, Tunde Abubakar & Abiodun, S.O., 2021. "Public Health Expenditure and Economic Growth in Nigeria: Testing of Wagner's Hypothesis," African Journal of Economic Review, African Journal of Economic Review, vol. 9(2), April.
    17. Husam Rjoub & Jamiu Adetola Odugbesan & Tomiwa Sunday Adebayo & Wing-Keung Wong, 2021. "Sustainability of the Moderating Role of Financial Development in the Determinants of Environmental Degradation: Evidence from Turkey," Sustainability, MDPI, vol. 13(4), pages 1-18, February.
    18. Getzen, Thomas E., 2000. "Health care is an individual necessity and a national luxury: applying multilevel decision models to the analysis of health care expenditures," Journal of Health Economics, Elsevier, vol. 19(2), pages 259-270, March.
    19. Muhammad Arshad Khan & Muhammad Iftikhar Ul Husnain, 2019. "Is health care a luxury or necessity good? Evidence from Asian countries," International Journal of Health Economics and Management, Springer, vol. 19(2), pages 213-233, June.
    20. Salah Eddine Sari Hassoun & Khayereddine Salim Adda & Asma Hadjira Sebbane, 2021. "Examining the connection among national tourism expenditure and economic growth in Algeria," Future Business Journal, Springer, vol. 7(1), pages 1-9, December.
    21. Angeliki N. Menegaki, 2019. "The ARDL Method in the Energy-Growth Nexus Field; Best Implementation Strategies," Economies, MDPI, vol. 7(4), pages 1-16, October.
    22. Pesaran, M. Hashem, 2015. "Time Series and Panel Data Econometrics," OUP Catalogue, Oxford University Press, number 9780198759980.
    23. Syed Mansoob Murshed & Muhammad Badiuzzaman & Mohammad Habibullah Pulok, 2017. "Fiscal capacity and social protection expenditure in developing nations," WIDER Working Paper Series wp-2017-60, World Institute for Development Economic Research (UNU-WIDER).
    24. Sami Chaabouni & Chokri Abednnadher, 2014. "The Determinants of Health Expenditures in Tunisia: An ARDL Bounds Testing Approach," International Journal of Information Systems in the Service Sector (IJISSS), IGI Global, vol. 6(4), pages 60-72, October.
    25. Shailender Kumar Hooda, 2016. "Determinants of Public Expenditure on Health in India: A Panel Data Analysis at Sub-National Level," Journal of Quantitative Economics, Springer;The Indian Econometric Society (TIES), vol. 14(2), pages 257-282, December.
    26. Adamu Jibir & Chandana Aluthge, 2019. "Modelling the determinants of government expenditure in Nigeria," Cogent Economics & Finance, Taylor & Francis Journals, vol. 7(1), pages 1620154-162, January.
    27. Paresh Kumar Narayan, 2005. "The saving and investment nexus for China: evidence from cointegration tests," Applied Economics, Taylor & Francis Journals, vol. 37(17), pages 1979-1990.
    28. Mcintyre, Di & Meheus, Filip & Røttingen, John-Arne, 2017. "What level of domestic government health expenditure should we aspire to for universal health coverage?," Health Economics, Policy and Law, Cambridge University Press, vol. 12(2), pages 125-137, April.
    29. Olufunmilayo S. Tajudeen & Ibrahim A. Tajudeen & Risikat O. Dauda, 2018. "Quantifying Impacts of Macroeconomic and Non‐economic Factors on Public Health Expenditure: A Structural Time Series Model," African Development Review, African Development Bank, vol. 30(2), pages 200-218, June.
    30. Samson Adeniyi Aladejare, 2019. "Testing the Robustness of Public Spending Determinants on Public Spending Decisions in Nigeria," International Economic Journal, Taylor & Francis Journals, vol. 33(1), pages 65-87, January.
    31. Steve H. Hanke and Alex K. F. Kwok, 2009. "On the Measurement of Zimbabwe’s Hyperinflation," Cato Journal, Cato Journal, Cato Institute, vol. 29(2), pages 353-364, Winter.
    32. Abdur R. Chowdhury & Syed Mansoob Murshed, 2016. "Conflict and fiscal capacity," Defence and Peace Economics, Taylor & Francis Journals, vol. 27(5), pages 583-608, September.
    33. Cheng Hsiao, 2007. "Rejoinder on: Panel data analysis—advantages and challenges," TEST: An Official Journal of the Spanish Society of Statistics and Operations Research, Springer;Sociedad de Estadística e Investigación Operativa, vol. 16(1), pages 56-57, May.
    34. Rota, Mauro, 2016. "Military spending, fiscal capacity and the democracy puzzle," Explorations in Economic History, Elsevier, vol. 60(C), pages 41-51.
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