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The Impact of Government Health Expenditure on Health Outcomes in Southern Africa

Shilongo, Henock (2019): The Impact of Government Health Expenditure on Health Outcomes in Southern Africa.

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Abstract

Does government spending on health lead to better health outcomes in southern African countries? Government spending on health in these 10 countries (Angola, Botswana, Eswatini, Lesotho, Malawi Mozambique, Namibia, South Africa, Tanzania and Zambia) is greater than private sector health spending. A need arises to empirically estimate whether government health spending impacts health outcomes more than private spending. Using the fixed-effects regression method, this paper finds that despite more health expenditure by government, it is private health expenditure, in comparison, that impacts health outcomes the most in southern African countries with mixed health systems. The results further show that after controlling for corruption, government health expenditure has no significant effect on life expenditure at birth but considerably improves mortality rates.

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