Download Free Child Mortality And Public Spending On Health Book in PDF and EPUB Free Download. You can read online Child Mortality And Public Spending On Health and write the review.

December 1997 Roughly 95 percent of cross-national variation in child or infant mortality can be explained by a country's per capita income, the distribution of income, the extent of women's education, the level of ethnic fragmentation, and the predominant religion. Public spending on health has relatively little impact. Filmer and Pritchett use cross-national data to examine the impact on child (under 5) and infant mortality of both nonhealth (economic, cultural, and educational) factors and public spending on health. They come up with two striking findings: * Roughly 95 percent of cross-national variation in mortality can be explained by a country's per capita income, the distribution of income, the extent of women's education, the level of ethnic fragmentation, and the predominant religion. * Public spending on health has relatively little impact, with a coefficient that is numerically small and statistically insignificant at conventional levels. Independent variations in public spending explain less than one-tenth of 1 percent of the observed differences in mortality across countries The estimates imply that for a developing country at average income levels, actual public spending per child death averted is $50,000 to $100,000. This contrasts markedly with a typical range of estimates for the cost-effectiveness of medical interventions to avert the main causes of child mortality of $10 to $4,000. They outline three possible explanations for this divergence between the actual and apparent potential of public spending: the allocation of public spending, the net impact of additional public supply, and public sector efficacy. This paper-a product of the Development Research Group-is part of a larger effort in the group to investigate the impact of health sector policies. The study was funded by the Bank's Research Support Budget under the research Project Primary Health Care: A Critical Evaluation (RPO 680-29). Deon Filmer may be contacted at [email protected].
Background: India has achieved a substantial decline in its infant mortality rate from 110 to 47 deaths per 1000 in the last two decades. But, in 2011 there were still 1.7 million deaths in children under-5 in India, accounting for 24% of global under-5 child deaths. On the one hand, per-capita public spending on health has doubled during the same period, but out-of-pocket health expenditure still constitutes 70% of total health spending. In this context, the present study investigated the association between public health spending and infant and child mortality in India. Methods: In the study, data from the first, second, and third National Family Health Survey were used to create a birth cohort for the years 1980 to 2006 that provided individual death history. The mortality data for each individual were merged with yearly state health expenditure, income, fiscal deficit, and the Gini coefficient for the 27 years, 1980-2006. As health expenditure varies over time by state but not by individual, a state-level fixed effects model was adopted for probit estimation, along with a time fixed effect probit estimation to give the time varying effect. Findings: State-level fixed effect regression results show public spending on health has a marginal effect of -0.077 (SE 0.021) on infant mortality and -0.126 (0.025) on under-5 mortality. Marginal effects of per-capita income and its distribution are statistically insignificant in a state-level fixed model, but they become significant in a time fixed model. Mother's education and age at the birth of the child are significant determinants of infant and under-5 mortality in both of the specified models. Interpretation: Even though overall public health expenditure has a marginal effect, its effect is greater on under-5 mortality than on infant mortality. Maternal characteristics, such as age at the birth of the child and education, are significantly associated with infant and child mortality. Given the large variation in public health expenditure across the state, this study suggests that a substantial targeted investment in public health is required to improve health outcomes in the laggard states of India.
The health status of Egypt requires attention and requires critical solutions to help in mitigating its chronic problems. Egypt's health statistics are significantly worse than countries with a comparable political and economic situation, such as Cuba, but are better than some other countries within the region with comparable population size, such as Libya. Nowadays, Egypt plays a leading role in the developing world in efforts to save the lives of its children.So, the current question is What is the effect of increasing government spending on health care services on of children mortality rate in Egypt? This paper attempts to study the relationship between the real per capita public health expenditures and of children mortality rates in Egypt over past ten years. The current study will rely on secondary data from the internet and statistical yearbook (CAPMAS), Egypt, UN data, and they produce results that are easy to compare and analyze. Some unavailable data such as government expenditure in 2008 have been forecasted using regression forecasting techniques.
Economic shocks pose a threat to health and health system performance by increasing people's need for health care and making access to care more difficult - a situation compounded by cuts in public spending on health and other social services. But these negative effects can be avoided by timely public policy action. While important public policy levers lie outside the health sector, in the hands of those responsible for fiscal policy and social protection, the health system response is critical. This book looks at how health systems in Europe reacted to pressure created by the financial and economic crisis that began in 2008. Drawing on the experience of over 45 countries, the authors:' analyse health system responses to the crisis in three policy areas: public funding for the health system; health coverage; and health service planning, purchasing and delivery 'assess the impact of these responses on health systems and population health' identify policies most likely to sustain the performance of health systems facing financial pressure' explore the political economy of implementing reforms in a crisisThe book is essential reading for anyone who wants to understand the choices available to policy-makers - and the implications of failing to protect health and health-system performance - in the face of economic and other forms of shock.--
During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages-cancer and cardiovascular disease-available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which-unlike randomized controlled trials-are subject to many biases.
Background: To investigate the association between public health spending and probability of infant and child death in India.Methods: We used data from the three rounds of National Family Health Survey (NFHS) conducted in India during 1992-93, 1998-99 and 2005-06 to investigate the association between public health spending and probability of infant and child death. We used data from the birth history of three NFHS rounds to create state-year panels of births, infant and child deaths, state-level public finance variables, food grain production, household and individual variables for the period 1980-2005. Two-stage probit regression model is used to investigate the association. State-level per capita gross fiscal deficit is used as an instrument for estimating two-stage probit model.Findings: Findings suggest association between public health spending and infant and child mortality in India. A 10% increase in per capita public health spending is likely to reduce the probability of infant and child deaths by 0•005 (95% CI: 0•003, 0•007) and 0•003 (95% CI: 0•002, 0•004) respectively. The second and third lags of public health spending were also statistically significant. Other factors affecting infant and child death were sex of the child, birth order, mother's age at birth of the index child, mother's schooling and urban-rural residence.Interpretation: Public health spending was associated with probability of infant and child death in India. Our findings lend support to the government's initiative to increase public health spending in India.
There is little empirical evidence to support the claim that public spending improves education and health indicators. This paper uses cross-sectional data for 50 developing and transition countries to show that expenditure allocations within the two social sectors improve both access to and attainment in schools and reduce mortality rates for infants and children. The size and efficiency of these allocations are important for promoting equity and furthering second-generation reforms.