scholarly journals Urbanization and Health Conditions in Nigeria: Dealing with the Urban Health Challenges

SIASAT ◽  
2021 ◽  
Vol 6 (4) ◽  
pp. 190-203
Author(s):  
Ubong Edem Effiong ◽  
Supper Roland Okijie ◽  
Muhammad Ridwan
Keyword(s):  
Life Expectancy ◽  
Health Expenditure ◽  
Health Sector ◽  
Mortality Rates ◽  
Adult Mortality ◽  
Ordinary Least Squares ◽  
World Health ◽  
Government Health ◽  
Government Health Expenditure ◽  
Health Organization

Health concerns arising from urbanization requires serious commitment to revamp the Nigerian health sector. In that regards, this study sought to investigate the influence of urbanization and health expenditure on life expectancy and mortality rates in Nigeria from 1981 to 2020. The fully modified ordinary least squares (FMOLS) technique was used to ascertain the influence of urbanization and government health expenditure on life expectancy and mortality rates in Nigeria. From the result of FMOLS, it was observed that urbanization exerts a positive and significant effect on life expectancy; but exerts a negative and significant effect on mortality rates. Moreover, government health expenditure generated a negative and significant effect on life expectancy, but a positive and significant effect on adult mortality. As such, the 15% recommended by the World Health Organization should be given a top priority in order to alleviate the country out of the menace of health tourism that has bedevilled the country over the years.   

scholarly journals Mental health services in Albania

2004 ◽  
Vol 1 (4) ◽  
pp. 14-16 ◽  
Author(s):  
Anastas Suli ◽  
Ledia Lazëri ◽  
Livia Nano
Keyword(s):  
Mental Health ◽  
Life Expectancy ◽  
Gross Domestic Product ◽  
Mortality Rates ◽  
Adult Mortality ◽  
World Health ◽  
Total Expenditure ◽  
Western Balkans ◽  
The World ◽  
Health Organization

Albania, situated in the western Balkans, has an area of 28 748 km2 and a population of 3 069 275 (year 2001), almost one-third of whom are aged 0–14 years. Life expectancy is estimated to be 70.4 years for both sexes (World Health Organization, 2003a). According to the World Health Organization's classification, Albania is a country with low child and low adult mortality rates. The nation's total expenditure on health in 2001 amounted to 3.7% of gross domestic product.

EFFECTS OF GOVERNMENT HEALTH EXPENDITURES ON THE PERFORMANCE OF HEALTH SECTOR IN NIGERIA (1979-2017). AN EMPIRICAL ANALYSIS

2020 ◽  
Vol 12 (2) ◽  
pp. 87-102
Author(s):  
Panan Danladi Gwaison ◽  
Livinus Nkuri Maimako
Keyword(s):  
Life Expectancy ◽  
Health Expenditure ◽  
Time Series Data ◽  
Rapid Development ◽  
Health Sector ◽  
Unit Root Test ◽  
Health Expenditures ◽  
Series Data ◽  
Development Indicators ◽  
Government Health

Health is a very important aspect of an individual’s wellbeing, and since individuals make a nation, therefore, healthcare expenditure could be regarded as one of the necessary conditions to achieving a sustainable long-term economic development. This study examined the effects of government health expenditures on the performance of health Sector in Nigeria. The study employed expo facto research design. The annual time series data from 1979 to 2017 was used in this study from Statistical Bulletin of the Central Bank of Nigeria and World Development Indicators, 2018. The pre estimation test like the descriptive statistics, Augmented Dickey-Fuller (ADF) unit root test Johensen cointegration test and Error correction model test. The OLS estimation technique was used to determine the coefficient of the variables and test the four hypothesis. The results indicated that government total health expenditures, capital health expenditure and recurrent health expenditures are positively related to the performance of health sector proxy by life expectancy rate and statistically insignificant. However capital health expenditure was statistically significant to life expectancy. The study recommends that more emphasis should be placed on the capital expenditures on health as this will facilitate rapid development of the sector and adequate Machinery should be put in place by all sectors of government to arrest corruption and penalize those who divert and embezzle public health fund among other recommendations were made.

scholarly journals What level of domestic government health expenditure should we aspire to for universal health coverage?

2017 ◽  
Vol 12 (2) ◽  
pp. 125-137 ◽  
Author(s):  
Di Mcintyre ◽  
Filip Meheus ◽  
John-Arne Røttingen
Keyword(s):  
Health Care ◽  
Universal Health Coverage ◽  
Low Income ◽  
Government Spending ◽  
Health Expenditure ◽  
World Health ◽  
Health Coverage ◽  
Government Health ◽  
Government Health Expenditure ◽  
Universal Health

AbstractGlobal discussions on universal health coverage (UHC) have focussed attention on the need for increased government funding for health care in many low- and middle-income countries. The objective of this paper is to explore potential targets for government spending on health to progress towards UHC. An explicit target for government expenditure on health care relative to gross domestic product (GDP) is a potentially powerful tool for holding governments to account in progressing to UHC, particularly in the context of UHC’s inclusion in the Sustainable Development Goals. It is likely to be more influential than the Abuja target, which requires decreases in budget allocations to other sectors and is opposed by finance ministries for undermining their autonomy in making sectoral budget allocation decisions. International Monetary Fund and World Health Organisation data sets were used to analyse the relationship between government health expenditure and proxy indicators for the UHC goals of financial protection and access to quality health care, and triangulated with available country case studies estimating the resource requirements for a universal health system. Our analyses point towards a target of government spending on health of at least 5% of GDP for progressing towards UHC. This can be supplemented by a per capita target of $86 to promote universal access to primary care services in low-income countries.

scholarly journals Health Demand and Outcomes in Pakistan

2004 ◽  
Vol 9 (1) ◽  
pp. 1-25
Author(s):  
Imran Ashraf Toor ◽  
Muhammad Sabihuddin Butt
Keyword(s):  
Health Care ◽  
Health Services ◽  
Social Services ◽  
Government Spending ◽  
Health Expenditure ◽  
Government Expenditure ◽  
Health Sector ◽  
Government Health ◽  
The Poor ◽  
Government Health Expenditure

For the provision of better social services, the health sector has been an important part of national strategy for reducing poverty and income disparities among different income groups in Pakistan. The distribution of access to and use of health among households has been a long-standing concern among policy makers. In this study, government health expenditure is treated as a fixed factor that influences household health behaviour, conditional on such factors as household income, education, and family size. The results of the study suggest that government health expenditure is associated with higher use of both preventive and curative health services by children. The results also indicate that increased government expenditure is actually associated with lower use of health services by the children of the poor, although this negative association is generally weak. However, if increased government spending improves health care opportunities for the nonpoor more than for the poor, the total effect of government spending on the health outcomes of the poor could be less even though they have a higher marginal product of health care inputs.

Health Status, Government Health Expenditure and Economic Growth Nexus in India: A Toda–Yamamoto Causality Approach

2020 ◽  
pp. 097674792096340
Author(s):  
Avinash Kaur
Keyword(s):  
Economic Growth ◽  
Health Status ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Life Expectancy ◽  
Health Expenditure ◽  
Infant Mortality Rate ◽  
Government Health ◽  
The Government ◽  
Government Health Expenditure

This article attempts to examine the causal linkage among government health expenditure, health status and economic growth in India for the period from 1981–1982 to 2015–2016. The results of Johansen co-integration test indicate that government health expenditure, health status and economic growth have long-run relationship in India. The results of Toda–Yamamoto causality test showed that there existed unidirectional causal relationship running from government health expenditure to gross domestic product—GDP (economic growth); GDP (economic growth) to life expectancy; government health expenditure to infant mortality rate and infant mortality rate to life expectancy. On the other hand, there is no evidence showing causality in any direction between infant mortality rate to GDP (economic growth) and government health expenditure to life expectancy. The study strongly confirmed that the government health expenditure has an effect on GDP (economic growth) and infant mortality rate (which depicts health status) in India. The health outcomes, namely life expectancy and infant mortality rare, reveal unidirectional causality between them. Therefore, the study concludes that policymakers and the government should pay proper attention to the health sector in order to ultimately achieve economic growth in the country.

scholarly journals Mortality in the USA, the UK and Other Western Countries, 1989–2015: What Is Wrong With the US?

2020 ◽  
Vol 51 (1) ◽  
pp. 59-66
Author(s):  
Colin Pritchard ◽  
Sam Porters ◽  
Emily Rosenorn-Lanng ◽  
Richard Williams
Keyword(s):  
Mortality Rates ◽  
Adult Mortality ◽  
Population Based ◽  
World Health ◽  
Western World ◽  
Endocrine Disorders ◽  
Western Countries ◽  
Digestive Disorder ◽  
The Usa ◽  
Health Organization

This population-based study compares U.S. effectiveness with 20 Other Western Countries (OWC) in reducing mortality 1989–1991 and 2013–2015 and, responding to criticisms of Britain’s National Health Service, directly compares U.S. with U.K. child (0–4), adult (55–74), and 24 global mortality categories. World Health Organization Age-Standardized Death Rates (ASDR) data are used to compare American and OWC mortality over the period, juxtaposed against national average percentages of Gross Domestic Product (GDP) Expenditure on Health (%GDPEH) drawn from World Bank data. America’s average %GDPEH was highest at 13.53% and Britain’s the lowest at 7.68%. Every OWC had significantly greater ASDR reductions than America. Current U.S. child and adult mortality rates are 46% and 19% higher than Britain’s. Of 24 global diagnostic mortalities, America had 16 higher rates than Britain, notably for Circulatory Disease (24%), Endocrine Disorders (70%), External Deaths (53%), Genitourinary (44%), Infectious Disease (65%), and Perinatal Deaths (34%). Conversely, U.S. rates were lower than Britain’s for Neoplasms (11%), Respiratory (12%), and Digestive Disorder Deaths (11%). However, had America matched the United Kingdom’s ASDR, there would have been 488,453 fewer U.S. deaths. In view of American %GDPHE and their mortality rates, which were significantly higher than those of the OWC, these results suggests that the U.S. health care system is the least efficient in the Western world.

scholarly journals Infant Mortality and Public Health Expenditure in Nigeria: Empirical Explanation of the Nexus

2018 ◽  
Vol 11 (2) ◽  
pp. 149-164
Author(s):  
Joseph David
Keyword(s):  
Infant Mortality ◽  
Health Expenditure ◽  
Health Sector ◽  
Health Spending ◽  
Health Resources ◽  
Infant Mortality Rate ◽  
Bounds Testing ◽  
Government Health ◽  
Distributed Lag ◽  
Government Health Expenditure

Abstract This study employs Autoregressive Distributed Lag (ARDL) bounds testing approach to co-integration and Granger causality technique to empirically examines the nature of relationship between infant mortality and public expenditure on health in Nigeria from 1980 – 2016. In addition, the study considers the roles of immunization, private health expenditure and external health resources on infant mortality in Nigeria. Among other things, the empirical results indicate the presence of significant conintegrating (long-run) relationship between infant mortality and government health expenditure (and private health expenditure, immunization and external health resources), coupled with the existence of bi-directional causal relationship between infant mortality and government health expenditure. In addition, the results also demonstrate that, government health expenditure, private health expenditure, immunization, and external health resources significantly influence infant mortality negatively both in the long and short term. Although, private health spending is shown as the major determinant of the reduction of infant mortality rate in Nigeria, due to the size of the coefficient of private health expenditure. In essence, the total overhaul of the Nigerian health sector, so as to improve the efficiency of the sector, as well curb the incidents of fund mismanagement which has plagued the sector overtime, coupled with the intensifying of immunization programs and activities are however recommended.

scholarly journals An Empirical Analysis of the Impact of Government Health Expenditures on the Performance of the Health Sector in Nigeria

2021 ◽  
pp. 35-44
Author(s):  
Gwaison Panan Danladi
Keyword(s):  
Life Expectancy ◽  
Health Expenditure ◽  
Health Sector ◽  
Estimation Method ◽  
Health Expenditures ◽  
Least Square ◽  
Series Data ◽  
Government Health ◽  
Health Centres ◽  
The Impact

Purpose of the Study: The purpose of the study is to examine whether government health expenditures have an impact on the health sector performance in Nigeria for the period (1979-2019). Methodology: The study employs the expo facto research design. The annual time series data were sourced from World Development Indicators (WDI) and the Statistical Bulletin of the Central Bank of Nigeria (CBN) for several years. The dynamic ordinary least square (DOLS) estimation method is employed to measure the coefficient of the parameters to test the four hypotheses developed. Main Findings: The findings of the study indicate that capital health expenditure and recurrent health expenditures are positively related to the performance of the health sector proxy by life expectancy rate but statistically insignificant. However, capital health expenditure is statistically significant to life expectancy. Research Implication: It was recommended that priority need to be placed on government capital spending on health such as building and equipping of health centres in every community to enhance accessibility to health centres in Nigeria. The novelty of the study: There is a need for an adequate mechanism to be put in place by the health sector to check the stealing of public funds and punish those who misuse and divert such funds. This can promote the generation and prudent utilization of revenue to equip our various health centres ahead of eventualities like the COVID-19.

scholarly journals Pyrethroid and Etofenprox Resistance in Anopheles gambiae and Anopheles coluzzii from Vegetable Farms in Yaoundé, Cameroon: Dynamics, Intensity and Molecular Basis

Molecules ◽  
2021 ◽  
Vol 26 (18) ◽  
pp. 5543
Author(s):  
Michael Piameu ◽  
Philippe Nwane ◽  
Wilson Toussile ◽  
Konstantinos Mavridis ◽  
Nadja Christina Wipf ◽  
...  
Keyword(s):  
Anopheles Gambiae ◽  
Mortality Rates ◽  
World Health ◽  
Anopheles Coluzzii ◽  
Cross Sectional ◽  
Metabolic Genes ◽  
Anopheles Gambiae S.L ◽  
Underlying Mechanisms ◽  
Health Organization ◽  
The City

Previous studies have indicated widespread insecticide resistance in malaria vector populations from Cameroon. However, the intensity of this resistance and underlying mechanisms are poorly known. Therefore, we conducted three cross-sectional resistance surveys between April 2018 and October 2019, using the revised World Health Organization protocol, which includes resistance incidences and intensity assessments. Field-collected Anopheles gambiae s.l. populations from Nkolondom, Nkolbisson and Ekié vegetable farms in the city of Yaoundé were tested with deltamethrin, permethrin, alpha-cypermethrin and etofenprox, using 1× insecticide diagnostic concentrations for resistance incidence, then 5× and 10× concentrations for resistance intensity. Subsamples were analyzed for species identification and the detection of resistance-associated molecular markers using TaqMan® qPCR assays. In Nkolbisson, both An. coluzzii (96%) and An. gambiae s.s. (4%) were found together, whereas only An. gambiae s.s. was present in Nkolondom, and only An. coluzzii was present in Ekié. All three populations were resistant to the four insecticides (<75% mortality rates―MR1×), with intensity generally fluctuating over the time between mod-erate (<98%―MR5×; ≥98%―MR10×) and high (76–97%―MR10×). The kdr L995F, L995S, and N1570Y, and the Ace-1 G280S-resistant alleles were found in An. gambiae from Nkolondom, at 73%, 1%, 16% and 13% frequencies, respectively, whereas only the kdr L995F was found in An. gambiae s.s. from Nkolbisson at a 50% frequency. In An. coluzzii from Nkolbisson and Ekié, we detected only the kdr L995F allele at 65% and 60% frequencies, respectively. Furthermore, expression levels of Cyp6m2, Cyp9k1, and Gste2 metabolic genes were highly upregulated (over fivefold) in Nkolondom and Nkolbisson. Pyrethroid and etofenprox-based vector control interventions may be jeopardized in the prospected areas, due to high resistance intensity, with multiple mechanisms in An. gambiae s.s. and An. coluzzii.

scholarly journals How West African countries prioritize health

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Yusuff Adebayo Adebisi ◽  
Aishat Alaran ◽  
Abubakar Badmos ◽  
Adeola Oluwaseyi Bamisaiye ◽  
Nzeribe Emmanuella ◽  
...  
Keyword(s):  
Global Health ◽  
Burkina Faso ◽  
Health Expenditure ◽  
West African ◽  
Priority Index ◽  
Government Health ◽  
Health Priority ◽  
General Government ◽  
Government Health Expenditure ◽  
Average Health

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.

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