公共卫生支出是否会影响马达加斯加的母婴健康?
Marilys Victoire Razakamanana1, Voahirana Tantely Andrianatoandro2, Tiarinisaina Olivier Ramiandrisoa3,4
1Centre de Recherche pour le Développement (CRD), Université Catholique de Madagascar Ambatoroka, Catholic University of Madagascar, Antananarivo 101, Ambatoroka, BP, 6059, Madagascar. r.lalys@gmail.com.
Health economics review
|October 18, 2023
概括
通过设备捐赠为孕产妇健康提供资金改善了马达加斯加的健康结果,与儿童健康融资不同. 资金延迟和挪用等瓶阻碍了对儿童健康服务的有效资源分配.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 发展研究 发展研究 研究
背景情况:
- 讨论了医疗支出对健康结果的影响,特别是对贫困人口的差异影响.
- 公共卫生支出本身是不够的;治理质量影响健康结果和支出效率.
- 低收入国家面临服务提供障碍,影响卫生支出效率.
研究的目的:
- 调查马达加斯加的卫生支出与母亲和儿童死亡率之间的关系.
- 确定母婴健康基金分配和使用的瓶.
主要方法:
- 在马达加斯加的22个地区 (2010-2017年) 使用固定和随机效应模型进行了小组数据分析.
- 对母婴健康的资金流量的定性瓶分析.
主要成果:
- 孕产妇健康资金,主要是通过设备捐赠,显著改善了孕产妇健康结果 (系数 -0.35,p=0.00).
- 通过资金转移为儿童健康提供资金,对儿童健康没有显著影响 (系数为0.22,p=0.88).
- 瓶分析揭示了资金延迟,挪用和减少受益人获得儿童健康融资的机会.
结论:
- 设备捐赠比货币融资机制更有效地改善健康结果.
- 解决资金流的瓶对于提高儿童健康融资影响至关重要.
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