This paper studies the effect of health care expenditure on health outcomes in sub‐Saharan Africa (SSA) using data from 1995 to 2018 for 45 countries. It uses fixed effects and generalized methods of moments estimation approaches for the analysis. The paper measures health care expenditure using three proxies: namely, total health care expenditure per capita, public health care expenditure to gross domestic product (GDP), and private health care expenditure to total health expenditure. Health outcomes are measured by child health outcomes (under‐5 mortality rate) and life expectancy. The results show that increase in health care expenditure as measured by total health care expenditure per capita and public health care expenditure to GDP leads to decline in under‐5 mortality rates. The results also show that total health care expenditure per capita leads to an increase in life expectancy. The study therefore recommends that governments in SSA increase budget allocations towards the health care sector to achieve better health outcomes.

中文翻译：

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撒哈拉以南非洲国家的医疗保健支出和健康成果

本文使用1995年至2018年间45个国家/地区的数据研究了撒哈拉以南非洲（SSA）的医疗保健支出对健康结果的影响。它使用固定效应和矩量估算方法的广义方法进行分析。本文使用三个代理来衡量医疗保健支出：即人均医疗保健总支出，公共医疗保健支出占国内生产总值（GDP），以及私人医疗保健支出占医疗保健总支出。健康结局通过儿童健康结局（5岁以下死亡率）和预期寿命来衡量。结果表明，按人均总医疗保健支出和公共医疗保健支出对国内生产总值的衡量，医疗保健支出的增加导致5岁以下儿童死亡率下降。结果还表明，人均医疗总支出导致预期寿命的增加。因此，研究建议，撒哈拉以南非洲地区的政府应增加对卫生保健部门的预算拨款，以取得更好的卫生成果。