Review Article

A time series analysis of government expenditure and health outcomes in Nigeria

Bosede O. Awoyemi, Aderonke A. Makanju, Jane Mpapalika, Rita S. Ekpeyo
Journal of Public Health in Africa | Vol 14, No 7 | a147 | DOI: https://doi.org/10.4081/jphia.2023.1409 | © 2024 Bosede O. Awoyemi, Aderonke A. Makanju, Jane Mpapalika, Rita S. Ekpeyo | This work is licensed under CC Attribution 4.0
Submitted: 03 April 2024 | Published: 26 July 2023

About the author(s)

Bosede O. Awoyemi, Department of Economics, Afe Babalola University of Ado-Ekiti, Nigeria
Aderonke A. Makanju, Research Department, Lagos Business School, Nigeria
Jane Mpapalika, Capacity Building and Collaborations Department, Research on Poverty Alleviation (REPOA), Dar-es-Salaam, Tanzania, United Republic of
Rita S. Ekpeyo, Department of Economics, Afe Babalola University of Ado-Ekiti, Ekiti State, Nigeria

Abstract

Background: Despite a significant share of Nigeria’s budget in the health sector, the health status has not improved, as reflected by poor health indicators.

Objective: This study investigates the linkages between government expenditure and health outcomes in Nigeria.

Methods: The Autoregressive Distributed Lag technique was used to examine the short- and long-run effects of government health expenditure on health outcomes separately. The health outcome was captured by life expectancy at birth and mortality rate.

Results: Findings show a negative relationship exists between health expenditure and mortality rate, implying that a rise in health expenditure leads to a decrease in mortality rate, while life expectancy at birth positively responds to the changes in health expenditure.

Conclusions: As a policy recommendation from this study, the government should pursue increasing health expenditure and partner with the private sector in the form of Public-Private Partnerships to improve the health sector and outcomes.


Keywords

life expectancy; mortality rate; health outcome; health expenditure; Nigeria

Metrics

Total abstract views: 4773
Total article views: 2023

 

Crossref Citations

1. The Effect of Public Health Expenditure on Health Outcomes in Ethiopia
Fikadu Meno, Irfan sheikh, Tafa Mosissa
Open Research Africa  vol: 8  first page: 13  year: 2025  
doi: 10.12688/openresafrica.16009.1

2. The impact of government health expenditure on malaria, infant and maternal mortality rates in Nigeria
Emmanuel Oghenekome Akpoghelie, Emmanuella Obiajulu Chiadika, Tayser Sumer Gaaz, Morenike Olufunmilayo Akpo, Great Iruoghene Edo, Emad Yousif, Joseph Oghenewogaga Owheruo, Ufuoma Augustina Igbuku, Lilian Oghenenyoreme Itoje-Akpokiniovo, Raghda S. Makia, Arthur Efeoghene Athan Essaghah, Dina S. Ahmed, Dilber Uzun Ozsahin, Huzaifa Umar
Discover Public Health  vol: 23  issue: 1  year: 2026  
doi: 10.1186/s12982-026-01978-z

3. Does public indebtedness matter in the effect of public health expenditure on human longevity in Sub-Saharan Africa countries? Evidence from dynamic panel threshold regression
Jacques Boundioa
Health Economics Review  vol: 15  issue: 1  year: 2025  
doi: 10.1186/s13561-025-00673-0

4. The Nexus of Health Workers’ Incentives, Health Workers’ Migration and Nigeria’s Economic Growth and Development, 1999 – 2023: An Analytical Review
Olumayowa Idowu
International Journal of Health Economics and Policy  vol: 10  issue: 2  first page: 36  year: 2025  
doi: 10.11648/j.hep.20251002.12

5. US new playbook for global health: balancing national interest and global responsibility
Stephen Olaide Aremu, Adamu Ishaku Akyala, Fortune Barituka Dugbor, Umbochun Ladan Zamani, Onuche Noah John, Sarah Onyinoyi Seriki, Aishat Temitope Kasali
BMJ Global Health  vol: 11  issue: 3  first page: e022235  year: 2026  
doi: 10.1136/bmjgh-2025-022235

6. Political economy of vaccine distribution and acceptance in Nigeria: critical analysis of global health interventions and local realities
Idowu Peter Adewumi, Ojo Femi Ogunboyo, Victor Ibrahim Kolo, Adesola Victoria Adewumi, Abisola Esther Babatope, Oluyemi Adewole Okunlola, Damola Olanipekun Ajisafe, Kayode Olayiwola Adepoju
Discover Public Health  vol: 22  issue: 1  year: 2025  
doi: 10.1186/s12982-025-01246-6

7. Understanding colorectal cancer-related stigma and its impact on cancer survivors in South-West Nigeria: a qualitative study of patients, caregivers, and healthcare professionals
Catherine N. Zivanov, Israel A. Owoade, Erica J. Mann, Oluwadayomi E. Adedeji, Grace I. Bassey, Oluwaleke J. Fayenuwo, Titilope A. Adeyanju, Christopher O. Bamidele, Akintayo T. Olaniyan, Adeoluwa O. Adeleye, Oluwabusayomi R. Ademakinwa, Adeyemi A. Amuda, Olaoti O. Ogundare, H. Dean Hosgood, Rivka Kahn, Cristina Olcese, Grace Fitzgerald, Olalekan Olasehinde, Funmilola O. Wuraola, Tajudeen Mohammed, Matthew O. Bojuwoye, Adewale Aderounmu, T. Peter Kingham, Olusegun I. Alatise, Adebola A. Adedimeji
Journal of Cancer Survivorship  year: 2025  
doi: 10.1007/s11764-025-01953-8

8. Understanding variation in catastrophic health expenditure from socio-ecological aspect: a systematic review
Kaniz Fatima Mohsin, Md. Nasif Ahsan, Mohammed Ziaul Haider
BMC Public Health  vol: 24  issue: 1  year: 2024  
doi: 10.1186/s12889-024-18579-7

9. Vaccination coverage and equity in Nigeria: implications for malaria vaccine rollout
Glory Olalekan Adebajo, Gbenga Joseph Alabi, Jeremiah Oluwatomi Itodo Daniel, Olorunnisola Oluwatayo Micheal, Damilola Jeremiah Ayowole
Discover Public Health  vol: 22  issue: 1  year: 2025  
doi: 10.1186/s12982-025-00948-1

10. Charting the path to the implementation of universal health coverage policy in Nigeria through the lens of Delphi methodology
Jibril M. Bashar, Sulaiman Hadiza, Ozoilo J. Ugochi, Lawal S. Muhammad, Adeoye Olufemi, Ukoh Eberechi, Yakubu Agada-Amade, Alhassan Yusuf, Abdulhamid H. Abdullahi, Hassan S. Musa, Ahmad A. Ibrahim, Kalu-Umeh Nnennaya, Jennifer Anyanti, Dayyabu Yusuf, Kenneth Okoineme, Jennifer Adebambo, Samuel O. Ikani, Dennis Aizobu, Musa Abubakar, Babandi S. Zaharaddeen, Lawal Aminu, Yusuf H. Wada
BMC Health Services Research  vol: 25  issue: 1  year: 2025  
doi: 10.1186/s12913-024-12201-7

11. Assessing the willingness of Nigerian dentists to adopt salivary diagnostic kits: a pilot cross-sectional study
Olubusayo Bolarinwa, Adetola Emmanuel Babalola, Olayinka Julianah Onasanya, Victor Miracle Johnson, Torojah Mayaline Williams, Oluwaseun Akinola Azeez, Victor Adeyanju Somoye, Abraham Oloture Ogwuche, Yakub Burhan Abdullahi, Kudirat Abike Giwa, Adaeze Favour Egemonye
BMC Oral Health  vol: 26  issue: 1  year: 2026  
doi: 10.1186/s12903-026-07981-9

12. Financial risk protection and Nigeria’s journey towards universal health coverage
Nkaiso Lawrence Essien
npj Health Systems  vol: 2  issue: 1  year: 2025  
doi: 10.1038/s44401-025-00021-8

13. The State of Open-Heart Surgery in Nigeria: Challenges, Opportunities, and the Way Forward
Obinna Ikegwuonu, Chibuike F Obi, Ayo-Oladapo Kolawole, Marthins Akhigbe, Victor O Elekwa
Cureus  year: 2026  
doi: 10.7759/cureus.100692

14. Eco-friendly revenues for healthcare: assessing the relationship between green taxation, public health expenditures, and life expectancy in China
Di Zhang
Frontiers in Public Health  vol: 12  year: 2024  
doi: 10.3389/fpubh.2024.1358730

15. Bridging technology and health: A panel analysis of internet use, mobile subscriptions, and health spending in G7
Funda Kaya, Mamunur Rashid, Miguel Angel Esquivias, Salma Akter, Sumit Chandra Podder
Social Sciences & Humanities Open  vol: 12  first page: 101813  year: 2025  
doi: 10.1016/j.ssaho.2025.101813