ArticleAfrican health sciences2017
Healthcare spending and health outcomes: evidence from selected East African countries.
Article in African health sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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32 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.
- Democracy, Culture and Cancer Patients' Willingness to Pay for Healthcare Services: A Meta-analysis.Inquiry : a journal of medical care organization, provision and financingPooled it
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- Learning from the Kenyan experiment: key takeaways for implementing managed equipment services in developing countries.Frontiers in health services · 2025Article
- Effect of public health expenditure on maternal mortality ratio in the West African Economic and Monetary Union.BMC women's health · 2024Article
- Effects of healthcare spending on public health status: An empirical investigation from Bangladesh.Heliyon · 2024Article
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- The impact of health insurance enrollment on health outcomes in Kenya.Health economics review · 2023Article
- Analysis of Medico-Legal Complaint Data: A Retrospective Study of Three Large Italian University Hospitals.Healthcare (Basel, Switzerland) · 2023Article
- What is the impact of national public expenditure and its allocation on neonatal and child mortality? A machine learning analysis.BMC public health · 2023Article
- [Health expenditure and health outcomes in Latin America and the CaribbeanGastos em saúde e resultados de saúde na América Latina e no Caribe].Revista panamericana de salud publica = Pan American journal of public health · 2023Article
- Exploring spatiotemporal trends and impacts of health resources and services on under-5 mortality in West African countries, 2010-2019: a spatial data analysis.Frontiers in public health · 2023Article
- Sustainable thresholds, health outcomes, health expenditures and education nexus in selected African countries: quadratic and moderation modelling.Globalization and health · 2022Article
- The Impact of Public, Private, and Out-of-Pocket Health Expenditures on Under-Five Mortality in Malaysia.Healthcare (Basel, Switzerland) · 2022Article
- Population health outcomes in Nigeria compared with other west African countries, 1998-2019: a systematic analysis for the Global Burden of Disease Study.Lancet (London, England) · 2022Article
- Effect of Primary Health Care Expenditure on Universal Health Coverage: Evidence from Sub-Saharan Africa.ClinicoEconomics and outcomes research : CEOR · 2022Article
- Determinants of life expectancy in most polluted countries: Exploring the effect of environmental degradation.PloS one · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOver the last decade, total healthcare expenditures, comprised of both public and private healthcare expenditures, have increased in most East African countries. At the same time, health outcomes such as infant mortality rates, life expectancy at birth and other health outcome indicators have improved.
objectivesThis paper examines the association between healthcare expenditures and health outcomes for eight East African countries: Burundi, Eritrea, Ethiopia, Kenya, Rwanda, Sudan, Tanzania, and Uganda. In this study, health outcomes are defined as an improvement in adult life expectancy and a reduction in the number of neonatal, infant, and under-five deaths.
methodsWe implemented a panel data regression technique, analyzing both cross-sectional and time series information. This combined method has been used in healthcare studies by several authors. Data obtained from world development indicators for the years 2000-2014 was used for the panel study.
resultsFirst, we documented that there is a strong, positive association between total healthcare expenditures and total life expectancy. While we identified a positive relationship between healthcare expenditures and female and male life expectancy, we found that healthcare had a stronger effect on improving life expectancy in females than in males. Moreover, we found a negative relationship between healthcare expenditures and the number of neonatal, infant, and under-five deaths.
conclusionThe results of this study have important policy and management implications for the eight East African countries. From a policy perspective, it is necessary to understand if a greater allocation of resources to the healthcare sector is worthwhile and to determine whether to encourage private healthcare investment. From the management perspective, investing in more private institutions, such as hospitals and clinics, is essential for health outcomes in the average country. The results of this study can be used by the World Health Organization as well as other non-governmental organizations that provide financial assistance to East African countries.
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