GOVERNANCE AND INCLUSIVE HEALTH SYSTEM IN SUB-SAHARAN AFRICA

¹Abdulhakeem A. Kilishi & ²Nimotullahi Obasa

¹Department of Economics, University of Ilorin, Nigeria
²Department of Economics, University of Ilorin, Nigeria

Correspondence Author’s E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Abstract

In this paper, Inclusive Health Index (IHI) for 44 Sub-Saharan African (SSA) countries were computed using Principal Component Analysis (PCA). The impact of relevant governance indicators on inclusive health in SSA were empirically investigated. The data covers 44 SSA countries over a period of 2002 to 2013. The findings reveal that health system in most SSA countries is not inclusive: only five countries have active inclusive health system, while few have potential to attain inclusive health. It was showed that government effectiveness and control of corruption has significant positive impact on inclusive health. The analysis suggests that any model using only the traditional determinant of health outcomes (per capita income and health expenditure), omitting governance variables, would not yield adequate understanding of determinants of inclusive health. To make health care inclusive in SSA, efforts should be directed towards making formulation and implementation of government policies and programmes more effective, as well as curb public corruption at levels of governance.

Keywords: Inclusive Health, Principal Component Analysis, Government Effectiveness

GOVERNANCE AND INCLUSIVE HEALTH SYSTEM IN SUB-SAHARAN AFRICA