ArticleApplied health economics and health policy2020
An Assessment of Domestic Financing for Reproductive, Maternal, Neonatal and Child Health in Sub-Saharan Africa: Potential Gains and Fiscal Space.
Article in Applied health economics and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Innovative domestic financing mechanisms for health in Africa: An evidence review.Journal of health services research & policy · 2024Pooled it
- Expanding budget space to improve health outcomes in low- and middle-income countries: what role for tax expenditures?Health policy and planning · 2026Article
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- Unwrapping the Global Financing Facility: understanding implications for women's children's and adolescent's health through layered policy analysis.Global health action · 2025Review
- Countdown to 2030: overview of current and planned health financing reforms for universal health coverage in the WHO African Region.Journal of global health · 2025Article
- Which socio-economic groups benefit most from public health expenditure in Senegal? A dynamic benefit incidence analysis.SSM - population health · 2024Article
- Antenatal care services in Benin and Tanzania 2021/2022: an equity analysis study.BMJ public health · 2024Article
- Article
- Leveraging COVID-19 pandemic response for improved health system financing: Lessons from Ghana.The International journal of health planning and management · 2022Article
- Sustainability of Donor-Funded Health-Related Programs Beyond the Funding Lifecycle in Africa: A Systematic Review.Cureus · 2022Review
- Tax abuse-The potential for the Sustainable Development Goals.PLOS global public health · 2022Article
- Health Financing in Sub-Saharan Africa: From Analytical Frameworks to Empirical Evaluation.Applied health economics and health policy · 2020Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReproductive, maternal, neonatal and child health (RMNCH) remains an important public health objective. In sub-Saharan Africa (SSA), inadequate financial commitment continues to pose a major challenge to improving RMNCH outcomes. Understanding financing gains and potential fiscal space for RMNCH can therefore not be overemphasized.
objectiveThis study sought to analyse the potential gains from increased domestic financing as a source for improving RMNCH outcomes in SSA. We also assessed, in addition to the potential gains, the potential fiscal space available for financing RMNCH in SSA.
methodsOur study used panel econometric techniques to estimate gains from increased health financing in terms of RMNCH. We also reviewed tax system performance as well as debt sustainability to identify fiscal space potentials across countries.
resultsWe found significant gains from both domestic and external financing. The estimated elasticities suggest that the gains from domestic public financing were much stronger. The fiscal space options identified include tax revenue performance improvements, improved public financial management, and borrowing, at least in the short to medium term. The results show that fiscal space from improved tax systems ranged from US$34.6 per capita in Uganda to US$310.6 per capita in Nigeria.
conclusionThis result reinforces calls for increased domestic financing for health through innovations in domestic resource mobilization. Improving the performance of tax systems will be a step in the right direction, with possible long-term gains to the health sector.
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