• Adeagbo Mathew Oluwaseun Depertment of Economics School of arts and social sciences Oyo State College of Education, Lanlate



public health spending, infant mortality rate, female literacy, Diphtheria, Pertussis, and Tetanus


One of the numerous responsibilities of the government of any country is to invest in the various sectors of the economy. This should, however, be channeled to the appropriate sectors, such as the health sector, that will lead to a continual growth of the country. It is in the light of this, that this study looks at government spending on the health sector and its effect on infant mortality rate (INFM) in Nigeria. Health is central to the well-being of the citizens. This study made an attempt to provide empirical evidence of the impact of public health expenditure on infant mortality rate in Nigeria between 1991 and 2018 using time series data. The Fully Modified Ordinary Least Square (FMOLS) analytical method was used to examine the relationships. Various robustness checks were carried out to ensure the reliability of the result for policy makers. Findings revealed that all variables employed positively impacted INFM except for Diphtheria, Pertussis, and Tetanus (DPT) immunization and female literacy rate. It was therefore recommended that more public enlightenments on the importance of taking DPT immunization for infants should be embarked upon for the target audience to be able to produce a positive effect, nursing mothers should be educated more on the need to take good care of their children especially at the early stage and not leave chance to the faith of the day care, all in the name of being literate and answering the call of their job at the expense of their parental role among others.


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Anyanwu, J. C. & Erhijakpor, A. E. O. (2009). Health expenditures and health outcomes in Africa. African Development Review, 21(2), 400-433.

Babazono, A. & Hillman, A. L. (1994). A comparison of international health outcomes and health care spending. International Journal of Technology Assessment in Health Care, 10(3), 376-381.

Berger, M. C. & Messer, J. (2002). Public financing of health expenditures, insurance and health outcomes. Applied Economics, 34(17), 2105- 2113.

Bidzha, M. L. (2015). The effectiveness of public health spending in South Africa. Unpublished master degree report. Johannesburg, South Africa: University of Johannesburg

Dorland (1981). New edition Dorland’s medical dictionary. American Journal of Physical Medicine and Rehabilitation, 60(6).

Farag, M., Nandakumar, A. K., Wallack, S., Hodgkin, D., Gaumer, G. & Erbil, C. (2013). Health expenditures, health outcomes and the role of good governance. International Journal of Health Care Finance and Economics, 13(1), 33-52.

Filmer, D. & Pritchett, L. (1999). The impact of public spending on health: Does money matter? Social Science and Medicine, 49(10), 1309-1323. (2018). The fate of Nigeria’s health sector in budget 2018. Retrieved from:

Imoughele, L. E. & Ismaila, M. (2013). Determinants of public healthcare expenditure in Nigeria: An error correction mechanism approach. International Journal of Business and Social Science, 4(13), 220-233.

Kamiya, Y. (2010). Determinants of health in developing countries: Cross-country evidence, Osaka School of International Public Policy (OSIPP) Discussion Paper: DP-2010-E-009.

Kim, K., & Moody, P. M. (1992). More resources, better health? A cross-national perspective. Journal of Social Science and Medicine, 34(8), 837–842.

Lawanson, A. O. (2012). Public sector health care financing and health outcomes in sub-Saharan African countries. In Olaniyan, O., Lawanson, A. O. & Olubajo, O., (Eds.), Economics of Health Sector Governance and Financing in Nigeria (pp. 121-148). Ibadan, Oyo State, Nigeria: Ibadan University Press

Mathias A. E., Dickson V. J. & Bisong J. O. (2013). Healthcare expenditure, health status and national productivity in Nigeria (1999-2012), Journal of International Finance and Economics, 5(7), 258-272.

Mocan, H. N., Tekin. E. & Zax, J. S. (2004). The demand for medical care in urban China. World Development, 32(2), 289-304.

Muhammad, A. & Khan, F. J. (2007). Health care services and government spending in Pakistan. Pakistan Institute of Development Economics working papers 2007, 32.

Murunga, J., Mogeni, G. E. & Kimono, N. D. (2019). Public health spending and health outcomes in Kenya. European Scientific Journal, 15(1), 125-138.

Murthy, V. N. R. & Okunade, A. A. (2009). The core determinants of health expenditure in the African context: Some econometric evidence for policy, Health Policy, 91(1), 57-62.

Musgrave, P. (1996). Public and private roles in health: Theory and financing patterns. Health, Nutrition and Population (HNP) Discussion Paper. Washington D.C., USA: World Bank

Nixon, J. & Ulmann, P. (2006). The relationship between health care expenditure and health outcomes. European Journal of Health Economics, 7, 7-18.

Novignon, J & Lawanson, A. O. (2017). Health expenditure and child health outcomes in Sub-Saharan Africa. African Review of Economics and Finance (9)1.

Nwabuaze, N. (2003). Social institution: Health. In L. Olorode and O. Soyombo (Eds.), Sociology for Beginners (pp. 192-196). Lagos, Nigeria: John West publications OECD (2001). Glossary of statistical terms. Handbook on Vital Statistics System and Method. Vol. 1. Legal organizational and technical aspects, United Nation’s Studies in Methods, Glossary series F, No 35. New York, NY, USA: United Nations

Olaniyan, O., Onisanwa, I. D. & Oyinlola, A. (2013). Health care Expenditure and GDP in Sub-Saharan African Countries. Evidence from Panel data. Paper submitted for presentation at the 2013 Centre for the study of African Economies Conference on Economic Development in Africa held at St Catherine’s College.

Oluyele A. & Afeikhena J, (2015). Public health care spending as a determinant of health status: A panel data analysis from SSA and MENA. Applied Macroeconomics and Economic Development. Ibadan, Oyo State, Nigeria: Ibadan University Press

Rhee, H.-J. (2012). Effects of health care expenditure on the infant mortality rate and life expectancy at birth in Korea. International Journal of Contents, 8(3), 52-56.

Santerre, R. E., Grubaugh, S. G. & Stollar, A. J. (1991). Government intervention in health care markets and health care outcomes: Some international evidence. Cato Journal 11(1), 1-12.

Siddiqui, R., Afridi, U. & Haq, R. (1995). Determinant of health expenditure in Pakistan. Pakistan Development Review, 34(4), 959-970.

UNDP (1990). Human Development Report, New York, NY, USA: Oxford University Press.

WHO (1926). Weekly Epidemiological Record. Volume 1.

WHO (2012). World Malaria Report, 2012. Geneva, Switzerland: World Health Organization.

Williamson, C. R. (2008). Foreign aid and human development: The impact of foreign aid to the health sector. Southern Economic Journal, 75(1), 188-207.

Wilson, S. N., Gebhard, K., Kitterman, A., Mitchell, A., & Nielson, D. (2009). The ineffectiveness of health sector foreign aid on infant and child mortality, 1975-2005. In Annual Meeting of the American Political Science Association. Boston, Massachusetts, USA

World Bank (1993). Investing in Health. World Development Report. Washington D.C., Washington, USA: Oxford University Press.

World Health Organization (2009). WHO Country Cooperation Strategy: Nigeria 2008- 2013. Brazzaville, Congo: WHO Regional office for Africa.

World Bank. (1993). The East Asian Miracle, Economic Growth and Public Policy. Washington D.C., Washington, USA: World Bank.




How to Cite

Mathew Oluwaseun, A. (2020). PUBLIC HEALTH EXPENDITURE AND INFANT MORTALITY RATE IN NIGERIA. Acta Economica, 18(33), 79–96.



Review article