scholarly journals The impact of IMF conditionality on government health expenditure: A cross-national analysis of 16 West African nations

2017 ◽  
Vol 174 ◽  
pp. 220-227 ◽  
Author(s):  
Thomas Stubbs ◽  
Alexander Kentikelenis ◽  
David Stuckler ◽  
Martin McKee ◽  
Lawrence King
2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Yusuff Adebayo Adebisi ◽  
Aishat Alaran ◽  
Abubakar Badmos ◽  
Adeola Oluwaseyi Bamisaiye ◽  
Nzeribe Emmanuella ◽  
...  

Abstract Background The goal of Universal Health Coverage (UHC) is to ensure that everyone is able to obtain the health services they need without suffering financial hardship. UHC remains a mirage if government health expenditure is not improved. Health priority refers to general government health expenditure as a percentage of general government expenditure. It indicates the priority of the government to spend on healthcare from its domestic public resources. Our study aimed to assess health priorities in the Economic Community of West African States (ECOWAS) using the health priority index from the WHO’s Global Health Expenditure Database. Method We extracted and analysed data on health priority in the WHO’s Global Health Expenditure Database across the 15 members of the ECOWAS (Benin, Burkina Faso, Cabo Verde, Cote d'Ivoire, The Gambia, Ghana, Guinea, Guinea-Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, and Togo) from 2010 to 2018 to assess how these countries prioritize health. The data are presented using descriptive statistics. Results Our findings revealed that no West African country beats the cutoff of a minimum of 15% health priority index. Ghana (8.43%), Carbo Verde (8.29%), and Burkina Faso (7.60%) were the top three countries with the highest average health priority index, while Guinea (3.05%), Liberia (3.46%), and Guinea-Bissau (3.56%) had the lowest average health priority in the West African region within the period of our analysis (2010 to 2018). Conclusion Our study reiterates the need for West African governments and other relevant stakeholders to prioritize health in their political agenda towards achieving UHC.


2015 ◽  
Vol 36 (1-3) ◽  
pp. 23-41 ◽  
Author(s):  
Martyn Andrews ◽  
Obbey Elamin ◽  
Alastair R. Hall ◽  
Kostas Kyriakoulis ◽  
Matthew Sutton

2021 ◽  
Author(s):  
Jeong Woo Lee

<p>Previous studies on the electoral autocracies (EAs) and public health expenditure focus on the presence of multiparty elections in EAs. Most of elections in EAs often are unfair because those are for the victory of dictators. Multiparty elections <i>per se</i> do not capture the impact of characteristics during elections such as the electoral competition in EAs. Some EAs pay health expenditure less than others even though electoral competition is high. I analyze the effect of electoral competition on the government health expenditure with the balanced panel data of 20 EAs from 2001 to 2017. There are two rival arguments on how electoral competition affect the expenditure according to previous studies; (a) a high level of electoral competition stands for a difficulty of dictatorial winning in elections. Autocrats, hence, gather various demands including health issues from voters, and can increase the government health expenditure; (b) Autocrats pursue the victory in elections. Pork and personal benefits to voters rather than programmed policies are helpful for the victory. Therefore, there is no incentive for autocrats to provide government health policy to voters when the level of electoral competition is high. Empirical findings demonstrate that electoral competition in EAs lead the decrease of government health expenditure. This paper concludes that electoral competition does not increase the public health expenditure; the higher level of competition in autocracies does not mean that voters can exert their power to autocrats to realize policies.</p>


2021 ◽  
Author(s):  
Jeong Woo Lee

<p>Previous studies on the public health expenditure focus on the presence of multiparty elections in electoral autocracies (EAs). Most of elections in EAs often are unfair because those are for the victory of dictators. Multiparty elections <i>per se</i> do not capture the impact of characteristics during elections such as the electoral competitiveness in EAs. Some EAs pay health expenditure less than others even though electoral competitiveness is high. I analyze the effect of electoral competitiveness on the government health expenditure with the balanced panel data of 20 EAs from 2001 to 2017. There are two rival arguments on how electoral competitiveness affect the expenditure according to previous studies; (a) a high level of electoral competitiveness stands for a difficulty of dictatorial winning in elections. Autocrats, hence, gather various demands including health issues from voters, and can increase the government health expenditure; (b) Autocrats pursue the victory in elections. Pork and personal benefits to voters rather than programmed policies are helpful for the victory. Therefore, there is no incentive for autocrats to provide government health policy to voters when the level of electoral competitiveness is high. Empirical findings demonstrate that electoral competitiveness in EAs lead the decrease of government health expenditure. This paper concludes that electoral competitiveness does not increase the public health expenditure; the higher level of competitiveness in autocracies does not mean that voters can exert their power to autocrats to realize policies.</p>


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Constantinos Alexiou ◽  
Emmanouil Trachanas

PurposeMotivated by the scant available evidence, this paper explores the relationship between government political party orientation and infant mortality.Design/methodology/approachA panel quantile methodology is applied to a data set that consists of 15 countries of the G20 group over the period 2000–2018. The authors control for heterogeneous parameters across countries and quantiles and obtain estimates across the different points of the conditional distribution of the dependent variable.FindingsThe findings support the hypothesis that political party orientation has a significant effect on a population health indicator such as infant mortality. The analysis suggests that, to a great extent, left-wing government parties contribute to better health outcomes – when compared to right and centre political parties – both individually as well as interacted with government health expenditure. Moreover, the impact of redistributing policies appears to be of a paramount importance in alleviating infant mortality, while more education and lower unemployment can also contribute to better health outcomes.Originality/valueThe authors explore the relationship between the nature of government political party orientation (i.e. right, centre and left) and infant mortality whilst at the same time gauging the mediating effect of party orientation via government health expenditure on infant mortality. Additional aspects of the impact of other control variables, such as income inequality, unemployment and education on infant mortality are also investigated.


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