| Abstrakt: |
This study seeks to investigate the analysis of public healthcare financing, access, and outcomes drawing evidence from Nigeria. The Nigerian health sector has been identified as one of the most poorly performed sectors in the world going by global standards and ranking. The general health status and outcomes all over the world and Nigeria, in particular, are measured by life expectancy, maternal mortality rate, under-five mortality rate, infant mortality rate, stillbirth rate, crude death rate, and morbidity rate. However, low public health spending and limited health insurance coverage have militated against improved health outcomes in Nigeria. The Grossman Model of Health Demand was used and it states that the idea of investing in human capital (health and education), is to improve health outcomes in both the market and non-market sectors of the economy. This suggests that spending or investment in health and education in any economy leads to positive health outcomes, contributing to higher gross domestic product (GDP) and is represented thus. The study adopted the Two-stage least squares (2SLS) approach and employs the Root Mean Square (RMSE), and formal tests, including the Campbell and Thompson test statistic for data analysis. The findings among others revealed that the coefficient (-0.00453) of LNPSH in the model implies that low public spending on health (recurrent expenditure) reduces the health outcome of the populace at a statistical significance p-value level of less than 1%, and the coefficient (-0.006940) of LNCAPEXP in the model also implies that poor capital spending on health reduces health outcomes significantly. The recommends among others that, the provision of health care infrastructures and technology as well as the recruitment of more health personnel, training and retraining of health personnel, and increased salary for health personnel reflected in the recurrent expenditure will put a stop to the brain drain in the health sector and on the long run reverse the negative impact on health outcome. [ABSTRACT FROM AUTHOR] |
