Munich Personal RePEc Archive

Financement Public des dépenses de santé et survie infantile au Togo

ATAKE, Esso - Hanam (2014): Financement Public des dépenses de santé et survie infantile au Togo.

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A review of health budgets reflects a budget shortfall in Togo. Togolese health facilities are characterized by a lack of qualified staff, obsolete technical equipment and outdated health infrastructure. The rate of hospital attendance which was 60% in 1990, declined to 31% in 2010. Barely half of all deliveries occur in health facilities (47,1%). From 2008 to 2012, an average annual increase by more than 10% in the number of inpatient deaths has been observed. These health indicators have led us to examine the effect of public financing of health expenditures on the production of health care over the period 1980-2010. We chose the one-step method of Hendry due to the stationarity of the long term equation’s residues. Our results show that, in the context of Togo, there is a required level of financial resources for the effects on the production of health care to be apparent. Below a certain threshold, operating expenditures are counterproductive. However, regardless of their level, an increase in public health’s expenditures oriented towards rehabilitation and buildings building, the purchase of equipment and medical and technical materials, rolling’ materials lead to a higher child survival. In addition, when the governance and quality of institutions improve, both the effects of public financing of health expenditures and the official development assistance on child survival grow and are statistically positive. The literacy policies for women result in the reduction of the demand for children and lead to improvements in the use of pre and postnatal care.

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