EFFECTS OF PUBLIC AND HOUSEHOLD HEALTH EXPENDITURES ON ECONOMIC DEVELOPMENT IN NIGERIA

Ngozi Chioma Ewurum, Samuel Oseloka Okafor, Uju Regina Ezenekwe

Abstract


The paper examines the relative effects of public and household health expenditures on economic development in Nigeria during the period from 1981-2021. In doing this, a composite economic development index based on Seers development theory is computed, and the effects of public and household health expenditure on economic development are investigated within a framework of simultaneous equation system estimated using the three stage least square (3SLS) estimator. The empirical evidence indicates that the effect of public expenditure in health on economic development in Nigeria is not statistically significant. However, household (out-of-pocket) represented by private expenditure in health is found to contribute significantly to economic development in the country. Further evidence are that economic development is enhanced by improvements in per capita income and life expectancy. These findings suggest the need to enhance incomes of household so as to improve and ease their access to healthcare services which will boost their health status and productivity, thereby enhancing their contributions to economic development.


Keywords


Public Expenditure in Health, Household (Out-of-Pocket) Expenditure in Health, Economic Development, Three-stage Least Squares

Full Text:

PDF

References


Adeniyi, O. M. & Abiodun L. N. (2011). Health Expenditure and Nigerian Economic Growth. European Journal of Economics, Finance and Administrative Sciences, 30, 24-53.

Adenuga, A. O. (2003). Information Technology and Globalisation: The Challenges of Human Capital Development in Nigeria. Central Bank of Nigeria Economic and Financial Review. 27(3), 47-68

Agiobenebo, T. J. (2019). Public Sector Economics: Theories, Issues and Applications, 5th Edition. KB&1 Services Nigeria

Ahuja, H. L., (2012). Modern Economics: An Analytical Study. 16th Edition, S. Chand & Co. Ltd,

Anowor, O. F., Ichoku, H. E. & Onodugo, V. A. (2020). Nexus between Healthcare Financing and Output per capita: Analysis of Countries in ECOWAS sub-region. Cogent Economics & Finance. 8(1), 15-25

Ashley, U. V., Ashley N. O, & Cruz, D. (2022). Analysis of Out-of-Pocket Expenditures in the Philippines. J Philippine Dev. 40(2), 23-45

Babatunde, M. A. (2012). The Relationship between Health and Economic Growth in Nigeria. African Economic Research Consortium. http://aercafricalibrary.org:8080/123456789/274

Bakare, A. S. & Sanmi, O. (2011) Health Care and Economic Growth in Nigeria: An Empirical Study. Journal of Emerging Trends in Economics and Management Science, 2(2), 83-87.

Bedir, S. (2016). Healthcare Expenditure and Economic Growth in Developing Countries. Advances in Economics and Business, 4(2), 76-86.

Belshaw, D. & Livingstone, I. (2002). Renewing Development in Sub-Saharan African: Policy, Performance and Prospect. Routledge Publisher

Bhatia, H. L., (2001). Public Finance. 22nd Revised Edition. Vikas Publishing House PVT Ltd,

Biao, I. (2011). Human Development Index Literacy as a New Social Development Theory. International Critical Thought, 1(4), 385-396.

Boachie, M. K; Ramu, K.; and Polajeva, T. (2018). Public Health Expenditures and Health Outcomes: New Evidence from Ghana. Economic Development of Africa, 6(4), 58-68

Bourghelle, D., Jawadi, F., & Rozin, P. (2021). Oil Price Volatilty in the Context of COVID-19. International Economics, 167(8), 39-49

Boyacioğlu, E. Z. (2012). The Importance of Health Expenditures on Sustainable Development. International Journal of Social Sciences and Humanity Studies, 4(2), 1309-8063.

Dauda, R. S. (2011). Health as a Component of Human Capital Formation: Does it Matters for the Growth of Nigerian Economy? Canadian Social Science, 7(4), 207-218

Deluna, R.S.& Peralta, T. F. (2014). Public Health Expenditure, Income and Health Outcomes in the Philippines. MPRA.Ub.Uni-Muenchen.De.Corpus ID: 56210506. 1 April, 2014. Economics, Medicine

Dhrifi, A. (2018). Health-care Expenditure, Economic Growth and Infant Mortality: Evidence from Developed and Developing Countries. CEPAL Review No 125.

Eboh, I. A., Aduku, E. B., & Onwughalu, U. B. (2022). Health Expenditure, Chikd Mortality and Economic Growth in Nigeria. International Journal of Economic Development Research (IJEDR), 3(3), 198-216.

Edeme, R. K. & Olisakwe, O. (2019). Public Health Expenditure, Economic Growth and Health Outcomes in Nigeria. International Journal of Public Policy and Administration Research, 6(1), 23-32

Elmi, Z., & Sadeghi, S. (2012). Health Care Expenditures and Economic Growth in Developing Countries: Panel Co-Integration and Causality. Middle-East Journal of Scientific Research. 12(1), 88-91

Federal Ministry of Health (FMOH) (2004). Health Sector Reform Programme: Thrusts with a Logical Framework and Plans of Action, 2004-2007. Federal Ministry of Health.

FMOH. (2001). Nigerian National Health Insurance Scheme and Improvement of the Health Status of Nigerians. Abuja.

Hadir, A & Lahrech, A. (2015). Human Capital Development and Economic Growth in Morocco. International Journal of Education and Human Development, 1(1), 49-61.

Henrekson, M. (1993). Wagner's Law--A Spurious Relationship? Public Finance, 48(3), 406-415

Ibe, R. C., & Olulu-Briggs, O. V. (2015). Any Nexus between Public Health Expenditure and Economic Growth in Nigeria? IIARD International Journal of Banking and Finance Research, 1(8), 35-56

Indrani, G. C. S. (2021). Level and Trend in Out-Of-Pocket Spending (OOPS) on Health, and the Consequent Burden on Nepalese Households. J Public Health. 3(3), 30-51

Kayode, M. O. & Odusola, A, F. (2001). Economic Development Management in Nigeria: Dynamics, Dialectics and Outcomes. Development Policy and Analysis. Available at SSRN: https://ssrn.com/abstract=3101765

Magazzino, C., Giolli, L., & Mele, M. (2015). Wagner’s Law and Peacock and Wiseman’s Displacement Effect in European Union Countries: A Panel Data Study. International Journal of Economics and Financial Issues, 5(3), 812-819

Malik A.M., & Syed S.I.A. (2012). Socio-Economic Determinants of Household Out-Of-Pocket Payments on Healthcare in Pakistan. International Journal of Equity Health,11, 11-51.

Mehrara, M. & Musai, M. (2011). Granger Causality between Economic Growth in Oil Exporting Countries. Interdisciplinary Journal of Research in Business, Vol. 1, Issue. 8, 103-108, 2011.

Murtala, T. & Taiwo, A. (2011). Government Expenditure and Economic Development: Empirical Evidence from Nigeria. Munich Personal RePEc Archive (MPRA). Online at https://mpra.ub.uni-muenchen.de/37293/. MPRA Paper No. 37293.

Musgrave, R. A. & Musgrave, P. B. (2011). Public Finance in Theory and Practice, 5th Ed. Tata McGraw – Hill, Delhi, India

Nagan, W.P. (2016). The Concept, Basic and Implications of Human-Centered Development. Cadmus: Promoting Leadership in the Thought that Leads to Action. Vol 3. Issue 1. October, 2016. Available at https://cadmusjournal.org/

Nasiru, I. & Usman, H. (2012). Health Expenditure and Economic Growth Nexus: ARDL approach for the case of Nigeria. Journal of Research in National Development. DOI: 10.4314/ JORIND.V1013.

Ndaguba, E. A & Hlotywa, A (2021), Public Health Expenditure on Economic Development: The case of South Africa between 1996 and 2016. Cogent Economics & Finance. 9(1), 1-23

Ndongko, W. A. (1986). Economic Management in Cameroon: Policies and Perspectives. (Research Report No. 29/1986). Leide, Netherlands: African Studies Centre.

Nyasha, S. & Odhiambo, N. M. (2019). Government Size and Economic Growth: A Review of International Literature. Sage Open, 9(3). https://doi.org/10.1177/2158244019877200

Nzima, V. N. (2014). Health Sector Strategy and Economic Development in Cameroon: History, Challenges and Perspectives. Thesis, Georgia State University, 2014. http://scholarworks.gsu.edu/iph_theses/341

Odubunmi, Saka, & Oke (2012) Testing the Cointegrating Relationship between Health Care Expenditure and Economic Growth in Nigeria. International Journal of Economics and Finance, 4(11), 11-23

Olabisi, J. O. (2016) Health Expenditure, Health Status and Economic Growth in Nigeria. http://www.academia.edu.HEALTH

Olayiwola, S. O & Olusanya, S. O. (2021). Health Financing and Economic Growth in Nigeria. Lafia Journal of Economics and Management Sciences, 6(2), 23-46

Olayiwola, S. O., Bakare-Aremu, T. A. & Abiodun, S.O. (2021). Public Health Expenditure and Economic Growth in Nigeria: Testing of Wagner’s Hypothesis. AJER, 9(2), 34-59

Oni, L. B. (2014). Analysis of the Growth Impact of Health Expenditure in Nigeria. IOSR. Journal of Economics and Finance (IOSR-JEF). 3(1,1), 23-45

Onisanwa, I. D. (2014). The Impact of Health on Economic Growth in Nigeria. Journal of Economics and Sustainable Development, 5(19), 24-45

Piabuo, S. M. & Tieguhong, J. C. (2017). Health Expenditure and Economic Growth- a review of the literature and an analysis between the economic community for central African states (CEMAC) and selected African countries. Health Economics Review, 7(23). DOI 10.1186/s13561-017-0159- 1.

Rhee, H-J (2014). Effect of Health Expenditure on National Income: A Rational Expectation Approach. Advanced Science and Technology Letters. 70, 19-23.

Seers, D. (1969) The Meaning of Development, IDS Communication 44, Brighton: IDS

Sen, Amartya (1988). The concept of Development. In H. Chenery and T.N. Srinivasan (eds). Handbook of Development Economics, Volume 1, Elsevier Science Publishers B. V.

Sirag, A., Adamu, P. & Nor, N. M. (2013). An Assessment of Health Care and Economics Growth in Sudan: An ARDL Bound Testing Approach. Journal of Economics and Sustainable Development, 4(16), 34-48

Sirag, A; & Nor, N.M. (2021). Out-of-Pocket Health Expenditure and Poverty: Evidence from a Dynamic Panel Threshold Analysis”. Healthcare (Basel), 9(5), 536-565

Todaro, M. P. & Smith, S. C. (2012) Economic Development. 11th Edition. Pearson.

Udeorah, S. A. F., Obayori, J. B. & Onuchuku, O. (2018). Health Care Expenditure and Economic Growth in Nigeria. International Journal of Research and Innovation in Social Science (IJRISS).2(3), 4-21

United Nations Development Program (1990), Human development report 1990, New York: Oxford University Press.

United Nations Development Program (2013), Human Development Index. New York: UNDP. 2013. Retrieved from: http://hdr.undp.org/en/statistics/hdi

United Nations Development Programme (1992), Human Development Report 1992. https://www.undp.org/publications/human-development-report-1992

Uzoigwe, D. C. (2007). Economic Development in Nigeria through the Agricultural, Manufacturing and Mining Sectors: An Econometric Approach. Ph.D Paper. University of Pretoria. August, 2007.

Wagner, A. H. (1893). Finanzwissenschaft. Leipzig: C. F. Winter

Wang, W; Temsah, G.; & Carter, E. (2016). Levels and Determinants of Out-of-Pocket Health Expenditures in the Democratic Republic of the Congo, Liberia, Namibia, and Rwanda. DHS Analytical Studies. No. 59. Rockville, Maryland, USA: ICF International

World Bank. (2014). The World Bank Annual Report 2014. Washington, DC. http://hdl.handle.net/10986/20093

World Health Organization (2010). The World Health Report. Health Systems Financing: The Path to Universal Coverage. Geneva: WHO.

World Health Organization (2015). Global Health Observatory Data: Life Expectancy. Geneva, Switzerland: World Health Organization (WHO).

World Health Organization (2016). WHO Sustainable Development Goal 3: Health. https://www.who.int/topics/sustainable-developmentgoals/targets/en/

World Health Organization (2018). World Health Statistics 2018: Monitoring Health for the SDGs, Sustainable Development Goals. Geneva.

Yildirim J., Yilmaz E., & Korucu N. (2011). The Determinants of Out-Of-Pocket Payments: Evidence from Selected Hospitals in Ankara, Turkey. Applied Economic Letters 18, 1159 –1162.

Zhuang, J; Dios, D. E, & Lagman-Martin, A (2010). Governance and Institutional Quality and the Links with Economic Growth and Income Inequality: With Special Reference to Developing Asia. ADB Economics Working Paper Series, No. 193, February.


Refbacks

  • There are currently no refbacks.


 

 

 

 

   

 

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.