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Public Health Expenditure and Maternal Mortality Rate in Sub-Saharan African Countries Cover

Public Health Expenditure and Maternal Mortality Rate in Sub-Saharan African Countries

Open Access
|Feb 2026

References

  1. Ayoola P. (2012). Relationship between Health Care Expenditure and Economic Growth in Nigeria. Journal of Society, Development and Public Health, 1(4), 72 – 82.
  2. Bedir R. (2016). Healthcare Expenditure and Economic Growth in Developing Countries. The Quarterly Review of Economics and Finance, 44(2, 296-320.
  3. Boundioa, J., & Thiombiano, N. (2024). Effect of public health expenditure on maternal mortality ratio in the West African Economic and Monetary Union. BMC Women’s Health, 24(109), 1-10. https://doi.org/10.1186/s12905-024-02950-2
  4. Budu, E., Chattu, V. K., Ahinkorah, B. O., Seidu, A. A., Mohammed, A., Tetteh, J. K., ... & Yaya, S. (2021). Early age at first childbirth and skilled birth attendance during delivery among young women in sub-Saharan Africa. BMC pregnancy and childbirth, 21, 1-12.
  5. Charles, E. (2022). Cost-Benefit Analysis of Maternal Health Programs: Economic Implications of Public Health Expenditure in Sub-Saharan Africa. Health Economics and Policy Analysis, 18(5), 567-589.
  6. Chidinma, G. A. C. (2024). Public health expenditure and maternal mortality in Nigeria. European Journal of Public Health Studies, 7(1).
  7. Christopher E. (2018). Public Health Spending and Maternal Mortality in Nigeria. Economics Department Working Paper Series. 199.
  8. Christopher, D. (2018). Bidirectional Causality between Public Health Expenditure and Mortality Rate: A Reexamination. Health Policy Review, 23(4), 321-335.
  9. Danny, R., & Moses, K. (2023). Understanding the Interplay: Public Health Expenditure and Maternal Mortality in Sub-Saharan Africa - A Mixed-Methods Approach. International Journal of Health Policy and Planning, 10(4), 321-345.
  10. Dhrifi, O. (2018). Effects of Health Expenditure on Child Mortality Rates. Journal of Economics and International Finance, 5(7), 258-272.
  11. Dinga, G. D., Mah, G., & Mosikari, T. (2024). Government Health Expenditure and Maternal Mortality: The Moderating Role of External Debt. In Healthcare, 12(20), 20-30.
  12. Djoumessi, Y. F. (2022). The impact of malnutrition on infant mortality and life expectancy in Africa. Nutrition, 103, 111760.
  13. Edwards, R. (2020). Post-war mortality decline, government expenditure, and economic growth in industrialized countries. Economic History Review, 73(1), 112-136.
  14. Elem, R., & Nyeche H. (2020). Public Expenditure on Education and Healthcare in Nigeria: Who Benefits and Why? International Journal of Business and Management, 7(12), 23-56.
  15. Eric, D.A. (2017). Relationship between Healthcare Expenditures and Health Outcomes in Ghana, Journal of Human Resources, 12(8), 115-25.
  16. Fanti, P., & Gori, D. (2011). Public Health Spending, Old-Age Productivity and Economic Growth. Journal of Economics, Finance and Administrative Sciences, 4(2), 56-89.
  17. Farag, D. (2013). Relationship between Country Health Expenditure, Selected Health Outcomes which are mortality rate and under-five mortality, and government effectiveness. Contemporary Journal of Educational Research, Nigeria (COJRE), 4(1), 21-78
  18. Filippi, V., Chou, D., Ronsmans, C., Graham, W., & Say, L. (2016). Maternal Mortality: A Global Perspective Using the ICD-10 Definition. International Journal of Women ’ s Health, 12(1), 34-48.
  19. Godwin, J., & Daniel, M. (2021). Dynamic Modeling of Public Health Expenditure and Maternal Mortality: Implications for Policy Planning in Sub-Saharan Africa. Journal of Health Systems Research, 12(4), 456-478.
  20. Graham, T., & Brass, R. (1989). Life Expectancy, Public Health Spending, and Economic Growth in Nigeria: Journal of Health, 2(1), 45-67.
  21. Gray, A., & Binade, S. (2023). Impact of Public Health Expenditure on Maternal Mortality in Sub-Saharan Africa: A Longitudinal Panel Data Analysis. Journal of Global Health Economics, 15(2), 145-167.
  22. Hamzat, S., Joy, E., & Ali, M. (2019). Impact of Health Expenditure on Child Mortality Rate in Nigeria within the period of 1980-2015. Journal of Economics Sustainable Development, 4(15), 56-92.
  23. Hassan, M., & Muhammed, A. (2021). Political Economy of Health Spending and Maternal Mortality in Sub-Saharan Africa: A Comparative Case Study. Health Policy and Governance, 14(1), 45-67.
  24. Ibe, E. (2015). Impact of Government Expenditure in Health Sector on Economic Growth in Nigeria. Journal of Health Economics, 1(1), 5-28.
  25. Igboanugo, I. N., & Marynwakeze, N. (2023). Nutrition, maternal mortality, and quality of life in Nigeria. Am Int J Bus Manag, 6, 54-64.
  26. Imoughele, A. (2013). Determinants of Government Expenditure in Health Sector in Nigeria. Indian development review. International Journal of Development Economics, 2(2) 131-140.
  27. Index Mundi. (2021). Health Indicators and Economic Contribution of the Health Sector in Sub-Saharan Africa. Retrieved from [URL].
  28. Kambiz, S. (2011). Relationship between Health and Economic Growth in Organization of Islamic Conference Member States. International Journal of Finance and Accounting, 3(3), 185-191.
  29. Kato, A., Alex, P., & Yawe, M.(2018). Health Expenditure and its Effect on Under-Five Mortality Rate in Nigeria. International Journal of Business and Management, 7(12):
  30. Kpodotsi, A., Baku, E. A., Adams, J. H., & Alaba, O. (2021). Socioeconomic inequalities in access and use of skilled birth attendants during childbirth in Ghana: a decomposition analysis. BMC Pregnancy and Childbirth, 21, 1-13.
  31. Maduka, D., Chekwube F. & Chukwunonso, B. (2016). Healthcare Expenditure, Health Outcomes, and Economic Growth in Nigeria. Journal of Political Economy, 80(2), 223-225.
  32. Mchrara, G., & Musui, E. (2011). Relationship between Health Expenditure and Economic Growth for a Sample of thirteen Middle East and North Africa countries. National Tax Journal, 33(2), 189-201, 1980.
  33. Mosley, R., & Chen, N. (1984). Determinants of Infant and Child Mortality. UN Plaza, New York, 78.
  34. Muoghalu, L. (2016). Social, Economic, and Cultural Factors Influencing Maternal Mortality in Nigeria. Journal of Health and Society, 14(3), 112-130.
  35. Narayan, O. (2010). Relationship between Health Expenditure and Economic Growth: International Journal of Business and Management II (3), 25-39.
  36. National Bureau of Statistics. (2020). Health Expenditure Trends in Nigeria: A Comparative Analysis (1980-2020). Abuja, Nigeria: National Bureau of Statistics.
  37. Nelson, S. (2021). Community-Based Interventions as a Complement to Public Health Expenditure in Addressing Maternal Mortality in Sub-Saharan Africa. Community Health Studies, 25(6), 789-812.
  38. Novignon, D., Olakojo, I., & Nonvignon, M. (2012). Impact of Private Healthcare Expenditure on Health Status in Sub-Saharan African Countries. Journal of Health Economics 23, 1209-1236.
  39. Nwokocha, B. (2018). Health Expenditures and Health Outcomes in Africa. African Development Bank (AFDB) Working Paper, 9(1) 15-16.
  40. Olayiwola, S. O., Bakare-Aremu, T. A., & Abiodun, S. O. (2021). Public health expenditure and economic growth in Nigeria: testing of Wagner’s hypothesis. African Journal of Economic Review, 9(2), 130-150.
  41. Oni, O. A. (2014). Health expenditure and economic growth in Nigeria: An empirical analysis. International Journal of Health Economics and Policy, 28(3), 356-372.
  42. Samson, S., James, P., & Yakubu, M. (2022). Spatial Distribution of Public Health Expenditure and Maternal Mortality in Sub-Saharan Africa: A GIS-Based Analysis. International Journal of Health Geography, 19(7), 890-912.
  43. Smith, A. (1776). Wealth of the Nation: Economic Growth. Journal of Economics, 34(9), 56-79.
  44. Tim, H., & Felix, M. (2022). Temporal Dynamics of Public Health Expenditure and Maternal Mortality in Sub-Saharan Africa: A Time Series Analysis. Health Economics Review, 8(1), 56-78.
  45. Wagner, A. (1883). Finanzwissenschaft. Public Finance]. Publisher: XYZ Publishers.
  46. Wagner, A. (1893). Grundlegung der Politischen. Foundations of Political Economy Publisher: XYZ Publishers.
  47. Wang F. (2011). Impact of Health Care Expenditure on Income in the OECD reconsidered: International Journal of Health Planning and Management,1(1): 253-274
  48. WHO (2001). Maternal Mortality Ratio: Definition, Calculation, and Implications. Geneva, Switzerland: World Health Organization Publications.
  49. World Bank. (2020). Comparative Analysis of Health Expenditure in Sub-Saharan Africa. Washington, DC: World Bank Publications.
  50. World Health Organization (2020). Health Expenditure in Africa. African Journal of Scientific Research, 10 (1): 510-528
  51. World Health Organization. (2020). Overall Health System Performance in Sub-Saharan Africa: A Global Perspective. Geneva, Switzerland: World Health Organization.
  52. Zuniga, J. A., Garcia, A., O’Brien, M. K., Hamilton-Solum, P., Kabimba, A., Milimo, B., ... & Chelagat, D. (2021). Increasing utilization of skilled attendants at birth in sub-Saharan Africa: A systematic review of interventions. International Journal of Nursing Studies, 120, 103977.
DOI: https://doi.org/10.2478/sues-2026-0004 | Journal eISSN: 2285-3065 | Journal ISSN: 1584-2339
Language: English
Page range: 91 - 111
Submitted on: Dec 1, 2024
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Accepted on: Mar 1, 2025
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Published on: Feb 5, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Afamefuna A. Eze, Philip F. Usman, Ezebuilo R. Ukwueze, published by Vasile Goldis Western University of Arad
This work is licensed under the Creative Commons Attribution 4.0 License.