The Impact of Public Healthcare Expenditure and Other Determinants on Life Expectancy in Nigeria

Silva Opuala-Charles, Mina Tele Ikuru
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Abstract

This study's core objective is to empirically investigate the impact of public healthcare expenditure and other determinants on life expectancy in Nigeria for the period 1981 to 2018, with the aim of proffering policies to improve life expectancy. Grossman's health model was used to analyze life expectancy as a function of gross domestic product (GDP), government health expenditure, inflation, secondary school enrolment, food production, and urban population. The autoregressive distributed lag (ARDL-bounds) technique, Granger causality test based on Toda Yamamoto approach, and Augmented Dickey Fuller test, was utilized to analyze the data. The results show a long-run causal relationship between life expectancy and the variables: per capita income, government health expenditure, inflation rate, secondary school enrolment, and urbanization in Nigeria. Thus, highlighting the significant long-run impact of public healthcare expenditure on life expectancy at birth in Nigeria. Based on the study's findings, key recommendations for Nigeria to improve the life expectancy of its citizenry were; to increase its public healthcare expenditure and GDP per capita expenditure, address issues of inadequate and insecure food production, develop new regional cities to cut down rural-urban drift, reduce inflation and ensure price stability.
尼日利亚公共医疗支出和其他决定因素对预期寿命的影响
本研究的核心目标是实证调查1981年至2018年期间尼日利亚公共医疗支出和其他决定因素对预期寿命的影响,目的是提供提高预期寿命的政策。格罗斯曼的健康模型被用来分析预期寿命作为国内生产总值(GDP)、政府卫生支出、通货膨胀、中学入学率、食品生产和城市人口的函数。采用自回归分布滞后(ARDL-bounds)技术、基于Toda Yamamoto方法的Granger因果检验和Augmented Dickey Fuller检验对数据进行分析。结果表明,尼日利亚的人均收入、政府卫生支出、通货膨胀率、中学入学率和城市化等变量与预期寿命之间存在长期因果关系。因此,突出了公共保健支出对尼日利亚出生时预期寿命的重大长期影响。根据研究结果,尼日利亚提高公民预期寿命的主要建议是:增加公共卫生支出和人均国内生产总值,解决粮食生产不足和不安全的问题,发展新的区域城市,以减少城乡流动,降低通货膨胀,确保价格稳定。
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