Abstract
AbstractIn response to the imperatives of universal health coverage, structural factors that may hinder the effectiveness of increased spending in sub-Saharan Africa (SSA) need attention. This study assessed the mediating role of these factors in domestic general government health expenditure (DGGHE) effects to propose solutions for improving population health outcomes (PHO). The analysis used the Latent Growth Curve Mediation Model (LGCMM) approach within the structural equation model (SEM) framework for panel data from 42 SSA countries from 2015 to 2018. The findings were that malaria and female education formed a channel through which DGGHE imparted its effects on DALY in SSA, and these effects were achieved via the specific path from the DGGHE slope to the DALY slope, via malaria and female education slopes. However, the paper found no evidence of immunization coverage mediating the relationship between DGGHE and DALY in SSA. The paper concludes that structural factors affect the effectiveness of DGGHE on PHO, implying that governments should emphasize existing programs to fight against malaria and increase immunization coverage.
Publisher
Springer Science and Business Media LLC
Reference106 articles.
1. Abbas F, Hiemenz U. What determines public health expenditures in Pakistan? Role of income, urbanization and unemployment. Economic Change and Restructuring. 2013;46:341–62.
2. Aiken LS, West SG, Reno RR. Multiple regression: Testing and interpreting interactions, sage. 1991.
3. Akazili J, Aikins M, Binka FN. Malaria treatment in Northern Ghana: What is the treatment cost per case to households? Afr J Health Sci. 2007;14(1):70–9.
4. Akinlo AE, Sulola AO. Health care expenditure and infant mortality in sub-Saharan Africa. Journal of Policy Modeling. 2019;41(1):168–78.
5. Amwonya D, Kigosa N, Kizza J. Female education and maternal health care utilization: evidence from Uganda. Reprod Health. 2022;19(1):1–18.