Government health care spending and child mortality

Pediatrics
Mahiben MaruthappuT Zeltner

Abstract

Government health care spending (GHS) is of increasing importance to child health. Our study determined the relationship between reductions in GHS and child mortality rates in high- and low-income countries. The authors used comparative country-level data for 176 countries covering the years 1981 to 2010, obtained from the World Bank and the Institute for Health Metrics and Evaluation. Multivariate regression analysis was used to determine the association between changes in GHS and child mortality, controlling for differences in infrastructure and demographics. Data were available for 176 countries, equating to a population of ∼ 5.8 billion as of 2010. A 1% decrease in GHS was associated with a significant increase in 4 child mortality measures: neonatal (regression coefficient [R] 0.0899, P = .0001, 95% confidence interval [CI] 0.0440-0.1358), postneonatal (R = 0.1354, P = .0001, 95% CI 0.0678-0.2030), 1- to 5-year (R = 0.3501, P < .0001, 95% CI 0.2318-0.4685), and under 5-year (R = 0.5207, P < .0001, 95% CI 0.3168-0.7247) mortality rates. The effect was evident up to 5 years after the reduction in GHS (P < .0001). Compared with high-income countries, low-income countries experienced greater deteriorations of ∼ 1.31 times neon...Continue Reading

References

Nov 13, 2004·BMJ : British Medical Journal·Anthony CostelloDharma Manandhar
Dec 8, 2004·Lancet·Joy E LawnJose Martines
Mar 16, 2005·Lancet·Gary L DarmstadtUNKNOWN Lancet Neonatal Survival Steering Team
Jul 30, 2005·International Journal of Epidemiology·José A Tapia Granados
May 23, 2006·Economics and Human Biology·Ulf-G Gerdtham, Christopher J Ruhm
Aug 30, 2008·Proceedings of the National Academy of Sciences of the United States of America·David StucklerLawrence King
Feb 21, 2009·The New England Journal of Medicine·Ralph Catalano
Nov 9, 2010·Annual Review of Public Health·Ralph CatalanoElizabeth Anderson
Jan 7, 2011·Health Affairs·Anne MartinUNKNOWN National Health Expenditure Accounts Team
Mar 29, 2011·Journal of Epidemiology and Community Health·David StucklerMartin McKee
Apr 12, 2012·Globalization and Health·Greg MartinMark D'Agostino
Jun 15, 2012·JAMA : the Journal of the American Medical Association·Roger I GlassRobert E Black
Aug 16, 2012·BMJ : British Medical Journal·Ben BarrDavid Stuckler
Sep 25, 2012·Lancet·Agbessi AmouzouUNKNOWN Niger Countdown Case Study Working Group
Oct 4, 2012·Health Policy and Planning·Rifat Atun
Nov 17, 2012·American Journal of Public Health·Callum Williams, Mahiben Maruthappu
Mar 12, 2013·Lancet·Zoltan RihmerPeter Dome
Sep 12, 2014·Lancet·Peter SidebothamCatherine Ellis

❮ Previous
Next ❯

Citations

Nov 2, 2017·Health Policy and Planning·Judith KabajuliziRichard D Smith
Nov 24, 2018·Globalization and Health·Mohammad Mafizur RahmanMaisha Rahman
Jul 13, 2018·BMJ Global Health·Adriano MassudaRifat Atun
Dec 3, 2016·Journal of Global Health·Gabriel Seidman, Rifat Atun
May 17, 2019·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Camilo Cid PedrazaLorena Prieto
Aug 21, 2020·Global Public Health·Srinivas GoliVenkatesh Srinivasan
Dec 5, 2021·The International Journal of Health Planning and Management·Tiken Das, Diganta Das

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.