Journal of Economics and International Finance
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Article Number - 797EE6441527

Vol.5(7), pp. 258-272 , October 2013
DOI: 10.5897/JEIF2013.0523
ISSN: 2006-9812

Full Length Research Paper

Health care expenditure, health status and national productivity in Nigeria (1999-2012)

Mathias Agri Eneji 1,2*,  Dickson Vonke Juliana1 and Bisong John Onabe3

1Department of Economics, University of Jos, Nigeria.

2China-Africa Science and Technology Foundation, Beijing, China.

3Department of Health Statistics, Federal Ministry of Health, Nigeria.


 Accepted: 10 October 2013  Published: 31 October 2013

Copyright © 2013 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0

The major challenge facing policy makers is how to allocate limited resources across the range of preferences that contribute to poverty reduction and economic development; including capital expenditures on health, education, infrastructure and recurrent expenditures. The aim of this study is to establish the relationship between healthcare expenditure, the health status and national productivity in Nigeria. The motivation for this study is the relevance of the subject matter. Most of the studies in this area have treated the impact of government’s expenditure on health in Nigeria, without linking such expenditure appropriately to productivity. This study is situated in applied economics and the relevance of applied research cannot be overestimated. Since the public and private health care sectors are broad, we focused on the public healthcare expenditure from 1999-2012 for objective analysis. We reviewed several literatures and also used secondary data to run regression. We also used questionnaires to elicit responses. Public health care expenditure is considered as the explanatory variable for health status, productivity and poverty reduction. However, the causal relationship is weak in the Nigeria scenario. If people are a country’s principal asset, then their health status defines the course of development, and their health characteristics determine the nature and direction of sustainable human development. Nigeria needs investment in health research and innovation. We recommend a universal healthcare coverage; a system that   everyone can access healthcare. More so, in an increase ngly globalized world, it is recognized that high levels of investment in research and innovation are essential, both for economic competitiveness, and to yield innovation in areas such as healthcare and environmental technologies. These make tangible improvements to quality of life. The challenges and prospect of the primary healthcare delivery for rural development need further study.

Key words: Federal Government of Nigeria, productivity, health status, reproductive health, sustainable development, primary healthcare.

Abu N, Abdullahi U (2010). Government Expenditure and Economic Growth in Nigeria; 1970-2008-A Disaggregated Analysis. Bus. Econ. J. 4(1):11.
Angie R, Asoka T (2011). Health Reform Foundation of Nigeria (HERFON). Annual Review, December, pp94. DFID Human Development Resource Centre.
Aniekwu NI (2006). Health Sector Reforms in Nigeria: A Perspective on Human Rights and Gender Issues. Int. J. Justice Sustain. 11(1):128-140.
Aranda P (2010). The Determinants of Health and the Differences in Healthcare Expenditures among Countries. J. Health Econ. 15:103-118.
Bakare AS, Olubokun S (2011). Health Expenditure and Economic Growth in Nigeria: An Empirical Study. J. Emerg. Trend Econ. Manage. Sci. 2(2):83-87.
Baumol W (1986). "Productivity Growth, Convergence, and Welfare: What the Long Run Data Show? Am. Econ. Rev. 76(5):1072-1085.
Bhargava A, Jamison D, Lau L, Murray C (2001). Modelling the Effect of Health on Economic Growth. J. Health Econ. 20(3):423-440.
Berger MC, Messer J (2002). Public Financing of Health Expenditures, Insurance and Health Outcomes. Appl. Econ. 34:2105-2113.
Brown RL, Durbin J, Evans JM (1975). Techniques for Forecasting the Constancy of Regression Relationships Over time. R. Stat. Soc. B37:149-163.
Clements B, Coady D, Shang B, Tyson J (2011). Healthcare Finances; J. Financ. Dev. 3(1):15-23.
David EB, Heather S (2007). The Effect of Fertility on Female Labour supply and Household Poverty in Indonesia. Boston Harvard school of Public Health.
David EB, David C (2000). "The health and Wealth of Nations". Science 287(5456):1207-1209.
Denton M, Walters V (1999). Gender Differences in Structural and Behavioural Determinants of Health; An Analysis of the Social Production of Health. J. Soc. Sci. Med. 48:1221-1235.
Denton M, Prus S, Walters V (2004). Gender Differences in Health. A Canadian Study of the Psycho-social, Structural and Behavioural Determinants of Health. Soc. Sci. Med. 58:2585-2600.
Deverajan S, Swaroop V, Zou H (1996). The Composition of Public Expenditure and Economic Growth. J. Monetary Econ. 37(3):313-344.
Emile T (2002). The Impact of Health on Productivity: Empirical Evidence and Policy Implications.
Eneji MA, Mai-Lafia D, Song W (2013). Socio-Economic Impact of Graduate Unemployment on Nigeria and the Vision 20:2020. Int. J. Dev. Sustain. 2(1):1-22.
FMOH (2004). Healthcare in Nigeria: Annual Bulletin of the Federal Ministry of Health, Nigeria.
Freeland RK, McCabe BPM (2004). Forecasting Discrete Valued Low Count Time Series. Int. J. Forecast. 20(3):427-434.
Grossman M (1972). "The Demand for Health: A Theoretical and Empirical Investigation". Occasional Paper, 119. Cambridge, M.A. National Bureau of Economic Research.
Grossman M (2000). "The Human Capital Model" In Handbook of Health Economics, (ed) Culyer AJ and Newhouse JP.
Grossman M, Kaestner R (1997). "Effects of Education on Health" In the Social Benefits of Education, (ed), Behrman JR and Stacey N. Ann Arbor: University of Michigan Press.
Grunwald GK, Hyndman RJ, Tedesco L, Tweedie RL (2000). Non-Guassian Conditional Linear AR (1) Models. Austr. N. Zealand J. Stat. 42(4):479-495.
Harris RG (1999). "Determinants of Canada Productivity Growth: Issues and Prospects". Discussion Paper, N0.8, Ottawa: Industry Canada.
Hartha T (2008). "The Economic Impact of AIDS Treatment" J. Hum. Resour. 43(3):511-52.
HDR (2013). The Rise of the South; Human Progress in a Diverse World. Human Development Report. Available at
Heynes CF, Bornman MS (2008). Men's Health in Africa Part 2; Non-Communicable Diseases, Malignancies and Socio-economic Determinants of Health. J. Manage. Health 15(2):127-132.
James AL (2011). "HIV/AIDS Status and Labour Market Participation in South Africa". National Bureau of Economic Research, Working Paper series 16901.
Jane GF (2011). "Mortality Risk and Human Capital Investment; The Impact of HIV/AIDS in Sub-Saharan Africa". Rev. Econ. Stat. 93(1):1-15.
Janet C (2006). Healthy, Wealthy and Wise? The Relationship between Health and Human Capital Development. Columbia University and NBER. Available at
Laudau D (1983). Government Expenditure and Economic Growth: A Cross-Country Study. Southern Econ. J. 49(2):783-792.
Mwabu G (2008). Handbook of Development Economics. Vol.4. Available at D01:10:1016/S1573-447(07)04053-3. Accessed January, 2013.
Nurudeen A, Usman A (2010). Government Expenditure and Economic Growth in Nigeria, 1970-2008; A Disaggregated Analysis. Bus. Econ. J. 4(1). Available at Accessed March,2013.
Nwakeze NM (2010). Distortions in Nigeria's Healthcare System; A Spartial Analysis of Health Establishments in Nigeria. Nigerian Economic Society (NES), Proceedings of Annual Conference, Abuja.
OECD (1995). New Directions in Healthcare Policy. Health Policy Studied, N0.7, Paris.
Pritchett I, Summers LH (1996). Wealthier is Happier. J. Hum. Resourc. 31:84-868.
Riman HB, Bassey JU, Edu BE (2010). Healthcare Expenditure in Nigeria; Does the Level of Government Spending Really Matters? Available at SSRN:
Steckel RH (2002). "Health Indicators of the Standard of Living". Indicators: J. Soc. Health 1(1):139-159.
Uwem E, Ndem A (2012). Jobless Growth, The "Active Poor" Phenomenon & Youth Unemployment in Cross River State, Nigeria: Learning From Europe 2020 Flagship Initiative "Agenda for New Skills and Jobs". Sci. J. Econ. pp.108-160.
WDR (2005). World Development Indicators: Country; Nigeria. Nttp:// Accessed February 2013.
WHO (2004). "Regional Macroeconomics and Health Framework" World Health Organization Regional Office for South-East Asia p.22.
WHO (2011). Health Financing and Social Protection, pp40. Available at Accessed March, 2013.
WHO (2000). World Health Report 2000-Health System: Improving Performance-Geneva, World Health Organization.
WHO (2010). National Health Account Database, Supplemented by Country Data. Available at
Wilson K, Eyles J, Elliott S, Keller-Olaman S (2008). Health in Hamilton Neighbourhoods: Exploring the Determinants of Health at the Local Level. Health Place 15:374-382.
World Bank (2012). Data Bank- Health Nigeria. Accessed April, 2013. NHIS (2005). National Health Insurance Take off. Presidential Research and Communication Unit, Abuja Nigeria. Accessed March, 2013. NPC (2004). National Planning Commission: National Economic Empowerment and Development Strategy (NEEDS), Abuja, Nigeria.
Omeruan AI, Bamidele AP, Phillips OF (2009). Social Health Insurance and Sustainable Healthcare Reform in Nigeria. Ethno-Medicine 3(2):105-110.


APA (2013). Health care expenditure, health status and national productivity in Nigeria (1999-2012). Journal of Economics and International Finance, 5(7), 258-272.
Chicago Mathias Agri Eneji ,  Dickson Vonke Juliana and Bisong John Onabe. "Health care expenditure, health status and national productivity in Nigeria (1999-2012)." Journal of Economics and International Finance 5, no. 7 (2013): 258-272.
MLA Mathias Agri Eneji ,  Dickson Vonke Juliana and Bisong John Onabe. "Health care expenditure, health status and national productivity in Nigeria (1999-2012)." Journal of Economics and International Finance 5.7 (2013): 258-272.
DOI 10.5897/JEIF2013.0523

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