Does Health Aid Reduce Infant and Child Mortality from Diarrhoea in Sub-Saharan Africa?
研究了健康援助对47个撒哈拉以南非洲国家五岁以下儿童腹泻死亡率的影响,发现健康援助和公共卫生支出增加与死亡率下降相关,且援助通过增加政府卫生支出和改善水与卫生设施间接发挥作用。
Achieving sustained improvements in health outcomes remains a challenge for sub-Saharan Africa, where diarrhoea remains a leading cause of death in children under the age of five. This paper examines the impact of foreign aid to the health sector on diarrhoea mortality in children under five in 47 sub-Saharan African countries, using panel data on the sectoral allocation of official development assistance in conjunction with country-level data on health outcomes. After controlling for fixed effects and the potential endogeneity of health aid, we find that increased health aid and increased public health expenditure are associated with lower diarrhoea mortality in children under five. In addition, health aid increases government spending on health, suggesting that the overall impact of health aid on diarrheal death rates could exceed the direct effect. Furthermore, increased access to improved sources of water and sanitation are important in reducing child mortality from diarrhoea.