What is it about?

This paper examines how the quality of governance directly affects health status and indirectly as a mediator for the effectiveness of public health spending.

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Why is it important?

Given the predominance of public health spending in promoting access to health care and population health status for developing economies, the effectiveness of such spending should be top priority in policy maker’s agenda. This again is important because for developing economies, government revenue is generated from a small tax base due to their highly informal nature.


Findings indicate that public health spending has no significant effect on health outcome except when interacted with governance quality. Specifically, the interaction of government health spending with governance effectiveness as well as control of corruption improved health by inducing a fall in maternal deaths while that for rule of law raised maternal mortality, Similarly, the interaction of public health spending and regulatory quality improved life expectancy in years. However, the interaction of political stability with public health spending induced poor health for maternal, infant health and a fall in life expectancy. Direct effects of the quality of governance on health outcome was also observed with the indicator for political stability inducing a rise in maternal mortality on one hand and the control of corruption prompting a fall on the other hand.

Dr Uche Abamba Osakede
Bowen University

Read the Original

This page is a summary of: Public health spending and health outcome in Nigeria: the role of governance, International Journal of Development Issues, June 2020, Emerald,
DOI: 10.1108/ijdi-10-2019-0169.
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