How Public Health Expenditure Affect Health Outcomes in Cameroon

References

[1] Akinkugbe, O., & Mohanoe, M. (2009). Public health expenditure as a determinant of health status in Lesotho. Social Work in Public Health, 24(1-2), 131–147. https://doi.org/10.1080/19371910802569716

[2] Akinlo, A., & Sulola, A. (2019). Health care expenditure and infant mortality in sub-Saharan Africa. Journal of Policy Modeling, 41(1), 168–178. https://doi.org/10.1016/j.jpolmod.2018.09.001

[3] Alemu, G., Stevens, B., Ross, P., & Chandler, J. (2017). The use of a constructivist grounded theory method to explore the role of socially-constructed metadata (Web 2.0) approaches. Qualitative and Quantitative Methods in Libraries, 4(3), 517–540. http://qqml-journal.net/index.php/qqml/article/view/264

[4] Anyanwu, J. C., & Erhijakpor, A. E. O. (2009). Health expenditures and health outcomes in Africa. African Development Review, 21(2), 400–433. https://doi.org/10.1111/j.1467-8268.2009.00215.x

[5] Bado, A. R., & Susuman, A. S. (2016). Women’s education and health inequalities in under-5 mortality in selected sub-Saharan African countries, 1990–2015. PLOS ONE, 11(7), e0159186. https://doi.org/10.1371/journal.pone.0159186

[6] Baldacci, E. M. (2004). Health expenditure in developing countries. European Journal of Health Economics, 20(3), 517–549. https://doi.org/10.1016/j.ejpoleco.2003.12.002

[7] Bamako Initiative. (n.d.). Economic Journal of Health. https://www.unicef.org/sowc08/docs/sowc08_panel_2_5.pdf

[8] Bettany‐Saltikov, J., & Whittaker, V. J. (2014). Selecting the most appropriate inferential statistical test for your quantitative research study. Journal of Clinical Nursing, 23(11–12), 1520–1531. https://doi.org/10.1111/jocn.12343

[9] Biadgilign, S., Ayenew, H. Y., Shumetie, A., Chitekwe, S., Tolla, A., Haile, D., Gebreyesus, S. H., Deribew, A., & Gebre, B. (2019). Good governance, public health expenditures, urbanization and child undernutrition nexus in Ethiopia: An ecological analysis. BMC Health Services Research, 19, 40. https://doi.org/10.1186/s12913-018-3822-2

[10] Boachie, M. K., Ramu, K., & Polanjeva, T. (2018). Public health expenditures and health outcomes. Economics, 6(4), 58. https://doi.org/10.3390/economies6040058

[11] World Bank. (n.d.). Expenditures with the Goals of Vision 2035. Washington, D.C.: World Bank.

[12] Filmer, D., & Pritchett, L. (1999). The impact of public spending on health: Does money matter? Social Science and Medicine, 49(10), 1309–1323.

[13] Fisher, A. V., Godwin, K. E., & Seltman, H. (2014). Visual environment, attention allocation, and learning in young children: When too much of a good thing may be bad. Psychological Science, 25(7), 1362–1370. https://doi.org/10.1177/0956797614533801

[14] Fopoussi, A. O. M. (2021). Impact of out-of-pocket fees on under-5 infant mortality in Cameroon (Publication No. 28718114) [Doctoral dissertation, Walden University]. ProQuest Dissertations and Theses Global.

[15] Ghimire, S., Shrestha, A., Yadav, U. N., Mistry, S. K., Chapadia, B., Yadav, O. P., Ali, A. M., Rawal, L. B., Yadav, P., Mehata, S., & Harris, M. (2022). Older adults with pre-existing noncommunicable conditions and their healthcare access amid COVID-19 pandemic: A cross-sectional study in eastern Nepal. BMJ Open, 12(2), e056342. https://doi.org/10.1136/bmjopen-2021-056342

[16] Grossman, M. (1999). The human capital model of the demand for health (Working Paper No. 7078). National Bureau of Economic Research. https://doi.org/10.3386/w7078

[17] Haile, F., & Niño-Zarazúa, M. (2018). Does social spending improve welfare in low-income and middle-income countries? Journal of International Development, 30(3), 367–398. https://doi.org/10.1002/jid.3326

[18] Hatasa, N. (2016). Public health spending and health outcomes. International Journal of Public Health, 50(38), 164–170. https://doi.org/10.13189/ujph.2019.070304

[19] Işık, H., & Ndıfusah, H. (2013). Health care system and health financing structure: The case of Cameroon. International Anatolia Academic Online Journal Health Sciences, 1(2), 24–44.

[20] Kar, M., Nazlıoğlu, Ş., & Ağır, H. (2011). Financial development and economic growth nexus in the MENA countries: Bootstrap panel granger causality analysis. Economic Modelling, 28(1–2), 685–693. https://doi.org/10.1016/j.econmod.2010.05.015

[21] Kim, T. K., & Lane, S. R. (2013). Government health expenditure and public health outcomes: A comparative study among 17 countries and implications for US health care reform. American International Journal of Contemporary Research, 3(9), 8–13.

[22] Marshall, G., & Jonker, L. (2010). An introduction to descriptive statistics: A review and practical guide. Radiography, 16(4), e1–e7. https://doi.org/10.1016/j.radi.2010.01.001

[23] Nde, C. J., Raymond, A., Saidu, Y., Cheng, N. I., Nzuobontane, D., Atemnkeng, J. T., & Mbacham, W. F. (2019). Reaching universal health coverage by 2035: Is Cameroon on track? Universal Journal of Public Health, 7(3), 110–117.

[24] Ngo, T. H. D., & La Puente, C. A. (2012, April). The steps to follow in a multiple regression analysis. SAS Global Forum (Vol. 2012, pp. 1–12). http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.373.2807&rep=rep1&type=pdf

[25] Nkemgha, G. Z., Tékam, H. O., & Belek, A. (2020). Healthcare expenditure and life expectancy in Cameroon. Journal of Public Health, 29(3), 683–691. https://doi.org/10.1007/s10389-019-01181-2

[26] Nketiah-Amponsah, E. (2019). The impact of health expenditures on health outcomes in sub-Saharan Africa. Journal of Developing Societies, 35(1), 134–152.

[27] Novignon, J., Olakojo, S. A., & Nonvignon, J. (2012). The effects of public and private health care expenditure on health status in sub-Saharan Africa: New evidence from panel data analysis. Health Economics Review, 2(1), 22. https://doi.org/10.1186/2191-1991-2-22

[28] Nudelman, A., Teri, D., & Ouattara, Y. (2018). Gender and culture-related barriers to access to mother and infant health services in the Far North of Cameroon. Anthropological Researches and Studies, 1(8), 112–124. https://doi.org/10.26758/8.1.11

[29] Nwakanman, O. T., & Ibe, K. C. (2014). Health expenditure and health outcomes in Nigeria. Journal of Health Economics, 5(5), 96–112. https://doi.org/10.11648/j.ajbls.20170505.13

[30] O’Sullivan, E., Rassel, G., Berner, M., & Taliaferro, J. (2017). Research methods for public administrators (6th ed.). Routledge.

[31] Oni, L. B. (2015). Analysis of the growth impact of health expenditure in Nigeria. IOSR Journal of Economics and Finance, 3(1), 77–84. https://doi.org/10.9790/5933-03117784

[32] Philips, E. T. (2016). Economic growth and health. Applied Economics, 5(3), 47–53.

[33] Piabuo, S., & Tieguhong, J. C. (2017). Health expenditure and economic growth: A review of the literature and an analysis between the economic community for central African states (CEMAC) and selected African countries. Health Economics Review, 7, 23. https://doi.org/10.1186/s13561-017-0159-1

[34] Poullier, J. P., Hernandez, P., Kawabata, K., & Savedoff, D. W. (2002). National health accounts: Concepts, data sources and methodology. In C. J. I. Murray & D. B. Evans (Eds.), Health systems performance assessment: Debates, methods and empiricism (pp. 185–193). World Health Organization.

[35] Pritchard, C., & Keen, S. (2016). Child mortality and poverty in three world regions (the West, Asia and sub-Saharan Africa) 1988–2010: Evidence of relative intra-regional neglect? Scandinavian Journal of Public Health, 44(8), 734–741. https://doi.org/10.1177/1403494816675550

[36] Promise, A. M., & Fonchin, A. F. (2020). Public health expenditure and child mortality rate as determinants of full immunization coverage and poverty rates in Cameroon. ARC Journal of Clinical Case, 6(1), 17–30. https://doi.org/10.20431/2455-9806.0601005

[37] Tandi, T. E., Cho, Y., Akam, A. J. C., Afoh, C. O., Ryu, S. H., Choi, M. S., Kim, K., & Choi, J. W. (2015). Cameroon public health sector: Shortage and inequalities in geographic distribution of health personnel. International Journal for Equity in Health, 14, 43. https://doi.org/10.1186/s12939-015-0172-0

[38] World Bank. (2019a). Maternal mortality ratio: Sub-Saharan Africa, world. https://data.worldbank.org/indicator/SH.STA.MMRT?locations=ZG-1W

[39] World Bank. (2019b). Mortality rate, under-5 (per 1,000 live births) – Sub-Saharan Africa, World. https://data.worldbank.org/indicator/SH.DYN.MORT?locations=ZG-1W

[40] UNICEF. (2018). Monitoring the situation of children and women. https://data.unicef.org/topic/child-health/immunization

[41] United Nations. (n.d.). Resolution adopted by the General Assembly, 55/2. United Nations Millennium Declaration.

[42] UNICEF. (2019). Maternal and newborn health disparities: Cameroon. https://data.unicef.org/topic/child-health/immunization

[43] Wagstaff, A. (1986). The demand for health: A simplified Grossman model. Bulletin of Economic Research, 38(1), 93–95. https://doi.org/10.1111/j.1467-8586.1986.tb00206.x

[44] Walden University. (2020). Walden and Social Change. Walden Center for Social Change. https://academicguides.waldenu.edu/social-change/mission

[45] Walden University. (2022). Walden Mission and Vision. Walden University.

[46] Wang, F. (2015). More health expenditure, better economic performance? Empirical evidence from OECD countries. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 52, 0046958015602666. https://doi.org/10.1177/0046958015602666

[47] World Bank. (2013). World development indicators databank. http://data.worldbank.org/indicator/SH.XPD.PUB

[48] World Bank. (2022). Population, total – Cameroon. The World Bank Group. https://data.worldbank.org/indicator/SP.POP.TOTL?locations=CM

[49] Yaqub, J. O., Ojapinwa, T. V., & Yussuff, R. O. (2012). Public health expenditure and health outcome in Nigeria: The impact of governance. European Scientific Journal, 8(13), 189–201.

[50] Zounkifirou, M., Francois, N., Ousseni, M., & Zakariaou, N. (2021). Health expenditure, democracy and child mortality in developing countries. Journal of Health & Medical Economics, 7(2), 51.

@article{1710647,
      author = {Gilbert Ayimaleh, PhD, Douglas Mackinnon, PhD},
      title = {How Public Health Expenditure Affect Health Outcomes in Cameroon},
      journal = {Iconic Research And Engineering Journals},
      year = {2025},
      volume = {9},
      number = {3},
      pages = {514-548},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1710647.pdf},
      abstract = {Most African governments, and Cameroon in particular, have identified the reduction of infant mortality and life expectancy in Africa as a critical priority. The United Nations Millennium Development Goals set a target objective of reducing infant mortality by 60% from 1990 to 2015 in less-developed countries. Good health contributes significantly to the attainment of sustainable development and health outcomes. Despite Cameroon?s progress in achieving health-related Millennium Development Goals regarding reducing infant mortality and increasing life expectancy, the country is still worse in respect to health outcomes compared to other Sub-Saharan Countries like Nigeria and Ghana thus more need to be done by the Cameroon Government to improve infant mortality and life expectancy. It has experienced challenges involving attaining positive results for its population. This study?s primary focus was to investigate Cameroon?s public health expenditure and health outcomes using time series data from 2000 to 2017. Data sets used for this study were from the United Nations Children?s Fund, World Health Organization, and World Bank. Grossman?s human capital model of the demand for health served as the theoretical framework. Ordinary least squares regression was employed to evaluate the effect of public health expenditure on life expectancy and infant mortality. The data analysis showed that public health expenditure per capita was positively associated with lower maternal mortality, lower under-5 mortality, and higher life expectancy, though this was not the case in all variables studied. The results of this study could lead to positive social change by providing guidance for establishing nonbiased health policy intervention strategies in allocation of public health expenditures in Cameroon},
      keywords = {Public Health Expenditure, Health Outcomes, Cameroon Healthcare System, Government Health Spending, Healthcare Financing, Health Indicators, Life Expectancy, Infant Mortality Rate, Maternal Mortality, Disease Burden, Healthcare Access, Health Equity, Healthcare Efficiency, Universal Health Coverage, Public Policy in Health, Economic Growth and Health.},
      month = {September},
      doi = {https://doi.org/10.64388/IREV9I3-1710647-449}
  }