A time series analysis of government expenditure and health outcomes in Nigeria

J Public Health Afr. 2023 May 24;14(7):1409. doi: 10.4081/jphia.2023.1409. eCollection 2023 Jul 26.

Abstract

Background: Despite a significant share of Nigeria's budget in the health sector, the health status has not improved, as reflected by poor health indicators.

Objective: This study investigates the linkages between government expenditure and health outcomes in Nigeria.

Methods: The Autoregressive Distributed Lag technique was used to examine the short- and long-run effects of government health expenditure on health outcomes separately. The health outcome was captured by life expectancy at birth and mortality rate.

Results: Findings show a negative relationship exists between health expenditure and mortality rate, implying that a rise in health expenditure leads to a decrease in mortality rate, while life expectancy at birth positively responds to the changes in health expenditure.

Conclusions: As a policy recommendation from this study, the government should pursue increasing health expenditure and partner with the private sector in the form of Public-Private Partnerships to improve the health sector and outcomes.

Keywords: Nigeria; health expenditure; health outcome; life expectancy; mortality rate.