The Growth of Health Expenditure in Lesotho

Authors

  • Paseka B. Ramashamole
  • Retselisitsoe I. Thamae

DOI:

https://doi.org/10.61538/ajer.v3i2.468

Abstract

The study analyses the factors behind the growth of health expenditure in Lesotho over the period 1980 to 2011. The cointegration test results reveal that income is one of the important factors explaining the growth of health spending in Lesotho, with public health expenditure being more responsive to changes in income than private health spending. Although the government’s role in disease patterns may be overshadowed by increased external funding, the findings highlight that Lesotho is still committed to improving the overall healthiness of its people. On the other hand, public and private health expenditure are found to follow different paths, with the ability of the citizens to finance their healthcare needs reducing the government’s pressure to offer more health services. External aid programmes also seem to have impacted positively on Lesotho’s public health spending while reducing a burden for privately-financed health services.

Author Biographies

Paseka B. Ramashamole

Planning Department, Christian Health Association of Lesotho, P.O. Box 1632, Maseru, Lesotho Email: pramashamole@yahoo.com

Retselisitsoe I. Thamae

Department of Economics, National University of Lesotho, P.O. Roma 180, Maseru, Lesotho, Email: rthamae@gmail.com

References

Angko, W. (2013), “The Determinants of Healthcare Expenditure in Ghanaâ€, Journal of Economics and Sustainable Development, Vol. 4, No. 15, pp. 102-124.

Boachie, M. K., Mensah. I. O., Sobiesuo, P., Immurana, M., Iddrisu, A. and Kyei-Brobbey,

I. (2014), “Determinants of Public Health Expenditure in Ghana: A Cointegration Analysisâ€, Journal of Behavioural Economics, Finance, Entrepreneurship, Accounting and Transport, Vol. 2, No. 2, pp. 35-40.

Bokhari, F. A., Gai, Y. and Gottret, P. (2007), “Government Health Expenditures and Health Outcomesâ€, Health Economics, Vol. 16, No. 3, pp. 257-273.

Chaabouni, S. and Abednnadher, C. (2014), “The Determinants of Health Expenditures in Tunisia: An ARDL Bounds Testing Approach†International Journal of Information Systems in the Service Sector, Vol. 6, No. 4, pp. 60-72.

CIRC (2013), “Public Private Partnership: Queen Mamohato Memorial Hospital, Lesothoâ€, Case Study No. 13, CUTS Institute for Regulation and Competition, New Delhi,

India.

Dhoro, N. L., Chidoko, C., Sakuhuni, R. C. and Gwaindepi, C. (2011), “Economic Determinants of Public Health Care Expenditure in Zimbabweâ€, International Journal of Economics and Research, Vol. 2, No. 6, pp. 13-25.

Dickey D.A. and Fuller W.A. (1979), “Distribution of the Estimators for Autoregressive Time Series with a Unit Rootâ€, Journal of the American Statistical Association, Vol. 74, pp. 427-431.

Dickey D.A. and Fuller W.A. (1981), “Likelihood Ratio Statistics for Autoregressive Time Series with a Unit Rootâ€, Econometrica, Vol. 49, No. 4, pp. 1057-1072.

Engle R.F. and Granger C.W.J. (1987), “Cointegration and Error Correction: Pepresentation, Estimation, and Testingâ€, Econometrica, Vol. 55, No. 2, pp. 251-276.

Facchini, F. and Melki, M. (2013), “Efficient Government Size: France in the 20th Centuryâ€, European Journal of Political Economy, Vol. 31, No. 3, pp. 1-14.

GoL (2013), “The Health Sector Strategic Plan 2012/13-2016/17â€, Ministry of Health, Government of Lesotho, Maseru, Lesotho.

Imoughele, L. E. and Ismaila, M. (2013), “Determinants of Public Healthcare Expenditure in

Nigeria: An Error Correction Mechanism Approach†International Journal of Business and Social Science, Vol. 4, No. 13, pp. 220-233.

Johansen S. (1988), “Statistical Analysis of Cointegration Vectorsâ€, Journal of Economic Dynamics and Control, Vol. 12, No. 2-3, pp. 231-254.

Johansen S. (1995), “Likelihood-based Inference in Cointegrated Vector Autoregressive Modelsâ€, Oxford University Press, Oxford, England.

Ke, X., Saksena, P. and Holly, A. (2011), “The Determinants of Health Expenditure: A Country-level Panel Data Analysisâ€, Working Paper of the Results for Development Institute, World Health Organization, Geneva, Switzerland.

Masenyetse, R. F. and Motelle, S. I. (2012), “Government Revenue-Expenditure Nexus in Lesotho: The Decline in SACU Revenueâ€, American Journal of Economics, Vol. 2, No. 1, pp. 8-14.

MCA Lesotho (2013), “Health Project Implementation Unit Exit Reportâ€, MCA Lesotho, Maseru, Lesotho.

Rono, I. J. (2013), “The Determinants of Public Health Care Expenditure in Kenyaâ€, Master’s Dissertation, Unversity of Nairobi, Nairobi, Kenya.

Schieber, G. and Maeda, A. (1999). “Health Care Financing and Delivery in Developing Countriesâ€, Health Affairs, Vol. 18, No. 3, pp. 193-205.

Thamae, R. I. (2013), “The Growth of Government Spending in Lesothoâ€, Economic Analysis and Policy, Vol. 43, No. 3, pp. 339-352.

Vian, T., McIntosh, N., Grabowski, A., Brooks, B., Jack, B. and Nkabane-Nkholongo, E. L.

(2013), “Endline Study for Queen Mamohato Hospital Public Private Partnership (PPP)â€, The Development Policy Centre, Canberra, Australia.

WHO (2011), “Abuja Declaration: Ten Years Onâ€, World Health Organization, Geneva, Switzerland.

WHO (2014), “World Health Statistics 2014â€, WHO Press, World Health Organization, Geneva, Switzerland.

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