Macroeconomic Determinants of Under-Five Mortality Rate in Nigeria

Kehinde Kabir Agbatogun, Opeloyeru Olaide Sekinat

Abstract


This paper examined the macroeconomic determinants of under-five mortality rate in Nigeria between 1980 and 2017. The study was predicated on the Grossman analytical framework rooted in the human capital development theory. A macro-econometric model incorporating major macroeconomic variables in explaining under-five mortality health outcomes. ARDL bound test estimation technique that took into consideration error correction mechanism was used. Tests of the model’s reliability were carried out using unit root and co-integration tests. The influences of government health expenditure was significant, however both immunisation initiatives and health workers exerted an insignificant positive influence on under-five mortality rate. Thus, the study recommends policies targeted to improve Nigeria health system both in terms of creation of awareness relating to the service delivery and human capital development of the professionals in the sector to avert brain drain syndrome in the country.

JEL Classification: J11, J13

 

How to Cite:

Agbatogun, K. K., & Opeloyeru, O. K. (2020). Macroeconomic Determinants of Under-Five Mortality Rate in Nigeria. Signifikan: Jurnal Ilmu Ekonomi, 9(2), 177-186. https://doi.org/10.15408/sjie.v9i2.13751.


Keywords


under-five mortality; per capita income; macroeconomic; literacy rate; government health expenditure

References


Asiedu, E., Gaekwad, N.B., Nanivazo, M., Nkusu, M., & Jin,Y. (2015). On the Impact of Income per Capita on Health Outcomes: Is Africa Different?. Retrieved on 10/02/2020 from https://www.aeaweb.org/conference/2016/retrieve.php?pdfid=1019

Berger, M. C., & Messer, J. (2002). Public financing of health expenditures, insurance, and health Outcomes. Applied Economics, Taylor & Francis. 34(17), 2105-2113.

Bokhari, F., Gai, Y., & Gottret, P. (2007). Government health expenditures and health outcomes. Health Economics,16(3), 257-273.

Christopher E. N. (2018). The Effects of Public Health Spending on Maternal Mortality in Nigeria. Journal of Economics and Sustainable Development, 9(20), 141-152.

Fayissa, B., & Gutema, P. (2005). Determinants of health Status in Sub-Sahara Africa (SSA). The American Economist. 49(2), 60 – 66.

Filmer, D., & Pritchett, L. (1997). Child mortality and public spending on health: How much does money matter?. World Bank Policy Research Working Paper No.1864 Washington: World Bank.

Francesco, R., & Marios, Z. (2006). Determinants of public health outcomes: A macroeconomic perspective. Dynamics, Economic Growth, and International Trade, 1-29.

Global Health Observatory (GHO) data, 2017. http://www.who.int/gho/child_health/mortality/mortality_under_five_text/en/.

Granger, C.W.J. (1988). Causality, cointegration and control. Journal of Economic Dynamics and Control, 12(3), 551-559.

Grossman, M. (1972). The demand for health: A Theoretical and Empirical Investigation. New York. NBER Book.

Grossman, M. (1972). On the concept of health of health capital and the demand for health. Journal of Political Economy, 80(2), 223-55.

Grossman, M. (2004). The demand for health, 30 years later; A very personal retrospective and prospective reflection. Journal of Health Economics, 23(4), 629-636.

Gupta, S., Verhoeven, M., & Tiongson, E. (1999). Does higher government spending buy better results in education and health care?. IMF, Washington D.C., Working paper 99/21.

Gupta, S., Verhoeven, M., & Tiongson, E. (2001). Public spending on health care and the poor. IMF working paper 01/127. Fiscal Affairs Department.

Gupta, S., Verhoeven, M., & Tiongson, E. (2002). The effectiveness of government spending on education and health care in developing and transition economies. European Journal of Political Economy, 18(4), 717–37.

Gupta, S., Verhoeven, M., & Tiongson, E. (2003). Public spending on health care and the poor. Health Economics, 12, 685–96.

Jourmand, I., Andre, C., Nicq, C., & Chatal, O. (2008). Health status determinants: Lifestyle, environment, health care resources and efficiency. OECD Economic Department Working Papers, No. 627, OECD Paris.

Judge, K., & Peterson, L. (2001). Poverty, income inequality and health. New Zealand Treasury Working Paper, no 01/29, New Zealand Government, The Treasury, Wellington.

Kaplan, G., Pamuk, E., Lynch, J., Cohen, R., & Balfour, A. (1996). Inequality in income and mortality in the United States: Analysis of mortality and potential pathways. British Medical Journal, 312, 999-1003.

Kawachi, I., & Kennedy, B. (1997). The relationship of income inequality to mortality; Does the choice of indicator matter?. Social Science and Medicine, 45(7), 1121-27.

Liu, L., Oza, S., & Hogan, D. (2016). Global, regional, and national causes of under-5 mortality in 2000– 15: an updated systematic analysis with implications for the Sustainable Development Goals. Lancet, 388, 3027-35.

Mackenbach, J. P. (2008). Socioeconomic inequalities in health in 22 European countries. New England Journal of Medicine, 358(23), 2468-2481.

Millennium Development Goals-(MDGs). United Nation Poverty Eradication Strategic Plan Document (1990 – 2015).

Multiple Indicator Cluster Survey-MICS. (2016/17). Monitoring the situation of children and women in Nigeria. UNICEF and World Bank Group.

Musgrave, R. A. (1996). Public Finance and Finanzwissenschaft Traditions Compared. Finanzarchiv, 53(2), 145-193.

Narayan, P. K. (2005). The saving and investment Nexus for China: Evidence from cointegration tests. Applied Economics, 37(17), 1979-1990.

National Bureau of Statistics, Demographic Statistics Bulletin. (2012).

Nigerian Demographic Health Survey (2008)

Perrin, B. (1998). How does literacy affect the health of Canadians? A profile paper presented to the policy Development and coordination division. Health promotion and promotion development/pube/literacy-health/literacy.htm.

Pritchett, l., & Summers, L. H. (1996). Wealthier is Healthier. The Journal of Human Resources, 31(4), 841-868.

Schillinger D., Grumbach K., Piette J., Wang F., Osmond D., Daher C., Palacios J., Sullivan G. D., &Bindman, A.B. (2002). Association of health literacy with diabetes outcomes. JAMA, 288(4), 475-482.

Shaw, J., Williams H., & Ronald, V. (2005). The Determinants of Life expectancy: An analysis of the OECD Health Data. Southern Economic Journal, 71(4), 768-783.

Sustainable Development Goals-(SDGs). United Nation Poverty Eradication Strategic Plan Document (2015 - 2030).

Van Malderen C., Amouzou A., Barros A. J. D., Masquelier B., Van Oyen H., & Speybroeck, N. (2019). Socioeconomic factors contributing to under-five mortality in sub-Saharan Africa: a decomposition analysis. BMC Public Health, 19(760), 1-19.

WDI. (2018). World Development Indicator. World Bank, 2018 Edition.

World Bank. (2004). Development Database (online). Washington, D.C.: The World Bank Group (cited 17 April 2004). Retrieved December 21, 2018 (http://devdata.worldbank.org/hnpstats/query/countries.htm)

World Health Organization -WHO. (2013). Health Literacy- Solid Facts.

Yaya, S., Bishwajit, G., Okonofua, F. and Uthman, O. A. (2018). Under five mortality patterns and associated maternal risk factors in Sub-Saharan Africa: A multi-country analysis. PLoS ONE, 13(10), 1-14.


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DOI: 10.15408/sjie.v9i2.13751

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