IJERPH, Vol. 21, Pages 333: Health Expenditure, Institutional Quality, and Under-Five Mortality in Sub-Saharan African Countries

IJERPH, Vol. 21, Pages 333: Health Expenditure, Institutional Quality, and Under-Five Mortality in Sub-Saharan African Countries International Journal of Environmental Research and Public Health doi: 10.3390/ijerph21030333 Authors: Kin Sibanda Alungile Qoko Dorcas Gonese The aim of this study is to examine the relationship between health expenditure, institutional quality, and under-five mortality rates in sub-Saharan African countries. Specifically, the study seeks to explore the mediating role of institutional quality in this relationship, focusing on understanding how variations in healthcare spending and institutional frameworks impact child health outcomes. By examining these dynamics, the study aims to provide valuable insights that can inform evidence-based policy interventions to reduce under-five mortality and improve child health outcomes in the region. Utilizing data spanning the years 2000 to 2021 from 46 sub-Saharan African countries, this study employs a systems GMM model to explore the intricate relationship between health expenditure and under-five mortality rates (U5MRs), with a particular focus on the mediating role of institutional quality. The findings reveal that the quality of institutions significantly influences the impact of health expenditures on the U5MR. Strong institutional quality enhances the effectiveness of health expenditure in improving child health outcomes, particularly concerning the allocation of external health funds. Conver...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research