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Drivers of Health in sub-Saharan Africa: A Dynamic Panel Analysis

Globally, life expectancy increased while infant mortality reduced substantially between the 19(th) and late 20(th) century. Although there is relatively mature literature on the drivers behind these gains in life expectancy and reductions in infant mortality, there is a dearth of studies that focus...

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Autores principales: Chewe, Mwimba, Hangoma, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297783/
https://www.ncbi.nlm.nih.gov/pubmed/37383314
http://dx.doi.org/10.1016/j.hpopen.2020.100013
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author Chewe, Mwimba
Hangoma, Peter
author_facet Chewe, Mwimba
Hangoma, Peter
author_sort Chewe, Mwimba
collection PubMed
description Globally, life expectancy increased while infant mortality reduced substantially between the 19(th) and late 20(th) century. Although there is relatively mature literature on the drivers behind these gains in life expectancy and reductions in infant mortality, there is a dearth of studies that focus on the drivers of health in sub-Saharan African (SSA) countries. The few studies that do exist do not account for a broader array of determinants such as the quality of access to health services and institutional quality which may have important implications for health policy. We contribute in filling this gap by estimating the effect of a rich set of socio-economic, environmental, health system and lifestyle factors on life expectancy and infant mortality using a panel of 30 sub-Saharan African countries. We employ a dynamic Generalized Method of Moments (GMM) estimator and focus on the period between 1995—2014. Our findings show that increases in health expenditure, educational attainment, and health care access quality are associated with increases in life expectancy and reductions in infant mortality. Higher HIV prevalence rates are associated with reductions in life expectancy whereas urbanization, per capita income growth and access to clean water are positively associated with life expectancy. We conclude that increases in life expectancy and reductions in infant mortality can be accelerated by paying particular attention to interventions linked to these drivers, including, health care access quality.
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spelling pubmed-102977832023-06-28 Drivers of Health in sub-Saharan Africa: A Dynamic Panel Analysis Chewe, Mwimba Hangoma, Peter Health Policy Open Original Article Globally, life expectancy increased while infant mortality reduced substantially between the 19(th) and late 20(th) century. Although there is relatively mature literature on the drivers behind these gains in life expectancy and reductions in infant mortality, there is a dearth of studies that focus on the drivers of health in sub-Saharan African (SSA) countries. The few studies that do exist do not account for a broader array of determinants such as the quality of access to health services and institutional quality which may have important implications for health policy. We contribute in filling this gap by estimating the effect of a rich set of socio-economic, environmental, health system and lifestyle factors on life expectancy and infant mortality using a panel of 30 sub-Saharan African countries. We employ a dynamic Generalized Method of Moments (GMM) estimator and focus on the period between 1995—2014. Our findings show that increases in health expenditure, educational attainment, and health care access quality are associated with increases in life expectancy and reductions in infant mortality. Higher HIV prevalence rates are associated with reductions in life expectancy whereas urbanization, per capita income growth and access to clean water are positively associated with life expectancy. We conclude that increases in life expectancy and reductions in infant mortality can be accelerated by paying particular attention to interventions linked to these drivers, including, health care access quality. Elsevier 2020-09-22 /pmc/articles/PMC10297783/ /pubmed/37383314 http://dx.doi.org/10.1016/j.hpopen.2020.100013 Text en © 2020 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Chewe, Mwimba
Hangoma, Peter
Drivers of Health in sub-Saharan Africa: A Dynamic Panel Analysis
title Drivers of Health in sub-Saharan Africa: A Dynamic Panel Analysis
title_full Drivers of Health in sub-Saharan Africa: A Dynamic Panel Analysis
title_fullStr Drivers of Health in sub-Saharan Africa: A Dynamic Panel Analysis
title_full_unstemmed Drivers of Health in sub-Saharan Africa: A Dynamic Panel Analysis
title_short Drivers of Health in sub-Saharan Africa: A Dynamic Panel Analysis
title_sort drivers of health in sub-saharan africa: a dynamic panel analysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297783/
https://www.ncbi.nlm.nih.gov/pubmed/37383314
http://dx.doi.org/10.1016/j.hpopen.2020.100013
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