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Healthcare Financing and Health outcomes in Nigeria: A State Level Study using Multivariate Analysis

Author

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  • Riman, Hodo B.
  • Akpan, Emmanuel S.

Abstract

The study utilizes the multivariate analytical tool to describe the relationship that exists between health care financing, health facility utilization and health outcome in Nigeria. The focus of this research was on women who are of child bearing age and who had given birth to at least one child within the past five years. The study adopted the stratified sampling technique comprising of two rural Local Government Areas and one Urban Local Government Area in Cross River State, Nigeria. The study demonstrated that the high levels of infant mortality and morbidity rate was associated with the high incidence of out-of-pocket payment, and the wide disparity and inequality in income distribution. The study further observed a disproportionate disparity in the spatial distribution of health facilities, with concentration of health facilities at the urban areas rather than the rural areas, which of course contributed to the poor service demand. The studies therefore recommend among other things the review of the current Federation revenue distribution formula, with emphasis given to the Local Government Areas (who are the principal institution responsible for primary health care in Nigeria) and the speedy implementation of the National Health Insurance Scheme (NHIS).

Suggested Citation

  • Riman, Hodo B. & Akpan, Emmanuel S., 2012. "Healthcare Financing and Health outcomes in Nigeria: A State Level Study using Multivariate Analysis," MPRA Paper 55215, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:55215
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    References listed on IDEAS

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    1. Appleton, Simon, 1995. "The Interaction between Poverty and Gender in Human Capital Accumulation: The Case of the Primary Leaving Examination in Cote d'Ivoire," Journal of African Economies, Centre for the Study of African Economies, vol. 4(2), pages 192-224, October.
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    5. Ssewanyana, Sarah & Nabyonga, Juliet O. & Kasirye, Ibrahim & Lawson, David, 2004. "Demand for Health Care Services in Uganda: Implications for Poverty Reduction," Research Series 150529, Economic Policy Research Centre (EPRC).
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    Citations

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    Cited by:

    1. Boniface Ayanbekongshie Ushie & Ekerette Emmanuel Udoh, 2016. "Where are We with Young People’s Wellbeing? Evidence from Nigerian Demographic and Health Surveys 2003–2013," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 129(2), pages 803-833, November.
    2. 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.
    3. Anthony Orji & Jonathan E. Ogbuabor & Onyinye I. Anthony-Orji & Chinonso Okoro & Blessing U. Aniorji, 2020. "Your job or your health? Analysis of unemployment issues and health outcomes in Nigeria," Romanian Economic Journal, Department of International Business and Economics from the Academy of Economic Studies Bucharest, vol. 23(77), pages 28-49, September.
    4. Oserei, Kingsley & Uddin, Godwin, 2019. "The myth and reality of government expenditure on primary health care in Nigeria: Way forward to inclusive growth," MPRA Paper 99094, University Library of Munich, Germany.
    5. Richard Adeleke & Tolulope Osayomi & Toluwanimi Adeoti, 2021. "Does sub‐national government revenue have an effect on socio‐economic and infrastructural development in Nigeria? A geographical analysis," Regional Science Policy & Practice, Wiley Blackwell, vol. 13(5), pages 1603-1614, October.

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    More about this item

    Keywords

    Health Financing; Budgetary allocation; Multivariate analysis; health facilities; income inequality;
    All these keywords.

    JEL classification:

    • I32 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Measurement and Analysis of Poverty

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