Spatiotemporal patterns of healthy life expectancy and the effects of health financing in West African countries, 1995-2019

A Spatial Panel Modelling Study

Datos Bibliográficos

ID19550520
AutoresMeng Zeng (0009-0009-5605-6496, Central South University), Lu Niu (0009-0008-3320-6378, Central South University, autor de correspondencia)
Año2023
Volumen13
Páginas04123-04123
Fecha de publicación2023-10-20
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of Global Health (JOURNAL)
Identificadores de la revistaISSN: 2047-2978 • E-ISSN: 2047-2986
EditorialInternational Society of Global Health (PUBLISHER • GB)
DOI10.7189/jogh.13.04123
PMID37861131
OpenAlexW4387798129
IdiomaEN
Citas recibidas1
Referencias citadas35

Background: Health financing produce a broad range of healthy life expectancy (HLE) disparities. In West Africa, limited research exists on the association between health financing and HLE at ecological level during a consecutive period of time from the spatial perspectives. This study aimed to determine the existence, quantify the magnitude, and interpret the association between health financing and HLE. Methods: A Dynamic Spatial Durbin model was used to explain the association between HLE and health financing level and structure during 1995-2019 in West Africa. Spatial spillover effects were introduced to interpret the direct and indirect effects caused by health financing level and structure on HLE during the long and short terms. Results: Spatial dependence and clustering on HLE were observed in West Africa. Although the overall level of total health spending, government health spending, out-of-pocket health spending, and development assistance for health (DAH) increased from 1995 to 2019, government health spending per person experienced a declining trend. Out-of-pocket health spending per total health spending was the highest among other sources of health financing, decreasing from 57% during 1995-1999 to 42% during 2015-2019. Total health spending and out-of-pocket health spending affected HLE positively and negatively in the long term, respectively. Government health spending and prepaid private health spending per person had positive effects on local and adjacent country HLE in the short-term, while DAH had negative effects on the same. The short-term spatial spillover effects of government health spending, DAH, and prepaid private health spending per person were more pronounced than the long-term effects. Conclusions: Spatial variations of HLE existed at country-level in West Africa. Health financing regarding government, non-government, as well as external assistance not only affected HLE disparities at local scale but also among nearby countries. Policymakers should optimise supportive health financing transition policies and narrow the national gap to reduce health disparities and increase HLE. Externalities of policy of those health financing proxies should be took into consideration to promote health equity to improve global health governance

Business · Demographic economics · Economic growth · Economics · Environmental health · Geography · Government spending · Health care · Health insurance · Health spending · Life expectancy · Population · Sociology · Spillover effect · Welfare · Demography · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine