Can Public Health Spending and Maternal Education Predict Future Under-5 Mortality Rate in Nigeria?
Objective: This research explores the direction of impact transmissions among public health spending, maternal education, and under-5 mortality, of which the previous researches ignored, in Nigeria.
Method/Findings: The study utilizes yearly time series data covering the period between 1980 and 2018 and employs the Toda-Yamamoto non-Granger causality test approach as the principal tool of analysis. The study controls for instability emanating from the structural break in the model. Surprisingly, the study finds both public health spending and maternal education not to Granger cause under-5 mortality. However, the study established a unidirectional relationship running from under-5 mortality to public health spending and maternal education. This finding appears to align with Wagner's law of increasing state activities, such that an increase or decrease in the rate of under-5 mortality leads to an increase or decrease in the level of public health spending and not vice-versa. The study thus concluded that change in the rate of under-5 mortality could be used to model or predict the future growth in public health spending and maternal educational level, reverse not the case.
Application: Findings emanating from this study is applicable in terms of health funds budget and forecast, and national development policy design.
- UNICEF. Under-five Mortality. https://data.unicef.org/topic/child-survival/under-five-mortality/. Date accessed: 09/2019.
- UNICEF for every child. https://data.unicef.org/country/nga/. Date accessed: 11/2019.
- Nigeria - Under-five mortality rate. https://knoema.com/atlas/Nigeria/Child-mortality-rate. Date accessed: 2019.
- UNICEF says Nigeria has one of the world's highest infant mortality rates. https://www.trtworld.com/life/unicef-says-nigeria-has-one-of-world-s-highest-infant-mortality-rate-23596. Date accessed: 25/01/2019.
- National Bureau of Statistics (NBS) and United Nations Children’s Fund (UNICEF). 2018 Multiple Indicator Cluster Survey 2016-17, Final Report. Abuja, Nigeria: National Bureau of Statistics and United Nations Children’s Fund. 2018.
- D. Mekonnen. Infant and Child mortality in Ethiopia: The role of socioeconomic, demographic and biological factors in the previous five years period of 2000 and 2005. Lund, Sweden: Lund University. 2011.
- S. Badji. Mother’s Education and increased child survival in Madagascar: What can we say? Halshs-01407812. 2016; 46.
- C.E. Nwankwo. The effects of public health spending on maternal mortality in Nigeria. Journal of Economics and Sustainable Development. 2018; 9(20), 141- 152.
- J.M. Keynes. The general theory of employment interest and money. London, Macmillian Publisher. 1936.
- I.A. Ilori, S.S. Olalere, B.M. Adeleye. An empirical analysis of public health expenditure on life expectancy: evidence from Nigeria. British Journal of Economics, Management and Trade.2007; 17(4), 1-17.
- M. Grossman. Education and Non-market outcomes. In Handbook of the Economics of Education edited by E. Hanushek and F. Welch. Amsterdam: North-Holland, Elsevier Science. 2006; 1, 577-633.
- S. Chou, J. Liu, M. Grossman, T.J. Joyce. Parental education and child health: evidence from a natural experiment in Taiwan. Working Paper 13466. 2007; 2(1), 33-61.
- G.T. Kinross, C. Chojenta, D. Barker, T.Y. Tiruye, D. Loxton. The effect of maternal education on infant mortality in Ethiopia: a systematic review and meta-analysis. PLoS ONE. 2019; 14(7), 1-12.
- J. David. Infant mortality and public health expenditure in Nigeria: the empirical explanation of the nexus. Timisoara Journal of Economics and Business. 2018; 11(2), 149-164.
- K. Kato, A. Mugarura, W. Kaberuka, F. Matovu, B.L. Yawe. The effect of public health spending on the under-five mortality rate in Uganda. African Journal of Economic Review. 2018; 6(1), 47-71
- M. Maruthapu, K.Y.B. Ng, C. Williams, R.Atun, P. Agrawal, T. Zeltner. The association between government health care spending and maternal mortality in the European Union, 1981 to 2010: A Retrospective Study. Obstetric Anesthesia Digest. 2016; 36(2), 73-74
- C. Burnside, D.C. Dollar. Aid, the incentive regime and poverty reduction. The World Bank, Washington DC. Macroeconomics and Growth Group. 1998.
- H.Y. Toda, T. Yamamoto. Statistical inference in vector autoregressions with possibly integrated processes. Journal of Econometrics. 1995; 66(1-2), 225-250.
- M.H. Pesaran, Y. Shin, R. Smith. Bounds testing approaches to the analysis of level relationships. Journal of Applied Econometrics, 2001; 16(3), 289-326.
- P.K. Narayan. Reformulating critical values for the bound f-statistics approach to co-integration: An Application to the Tourism Demand Model for Fiji. Discussion Paper No. 02/04. 2004
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