Abstract
Motivated by the remarkable increases in the private health spending in Sub-Saharan Africa (SSA), this study aims at examining the factors that influence out-of-pocket health expenditure (OOPHE) in the region. The study also investigates the factors that push OOPHE to reach catastrophic levels. The study applies dynamic panel data method for a sample of 40 SSA countries over the period 1995-2014. The results indicate that economic factors such as per capita income, trade openness and inflation have significant effects on out-of-pocket health expenditure. The results also show that the expansion in urbanization pushes OOPHE to become catastrophic. Moreover, the morbidity factors such as the prevalence of anemia and tetanus diseases among under-five children boost OOPHE and raise the likelihood for incurring catastrophic health expenditure (CHE). Conversely, the increases in government expenditure lower the probability of undertaking OOPHE. Furthermore, the impact of accountability on OOPHE is found to be negative and statistically significant, indicating that the institutional quality decreases OOPHE and prevents it from reaching catastrophic levels.
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Article Details
- Year: 2021
- Volume: 42
- Issue: 1
- Pages: 91 - 116
- Accepted: 26.11.2020
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DOI:
https://doi.org/10.5281/zenodo.16925084 -
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How to Cite?
Ebaidalla Mahjoub Ebaidalla, Mohammed Elhaj Mustafa Ali (2021). Explaining Out-of-Pocket Health care Expenditure in Sub-Saharan Africa: Evidence from Panel Data Analysis. Journal of Economic Cooperation and Development, 42(1), 91-116. https://doi.org/10.5281/zenodo.16925084
