Skip to content

Research at St Andrews

Government revenue and child and maternal mortality

Research output: Contribution to journalArticle

Author(s)

Stephen Hall, Janine Illian, Innocent Makuta, Kyle McNabb, Stuart William Murray, Bernadette Ann-Marie O'Hare, Andre Python, Syed Haider Ali Zaidi , Naor Bar-Zeev

School/Research organisations

Abstract

Most maternal and child deaths result from inadequate access to the critical determinants of health: clean water, sanitation, education and healthcare, which are also among the Sustainable Development Goals. Reasons for poor access include insufficient government revenue for essential public services. In this paper, we predict the reductions in mortality rates — both child and maternal — that could result from increases in government revenue, using panel data from 191 countries and a two-way fixed-effect linear regression model. The relationship between government revenue per capita and mortality rates is highly non-linear, and the best form of non-linearity we have found is a version of an inverse function. This implies that countries with small per-capita government revenues have a better scope for reducing mortality rates. However, as per-capita revenue rises, the possible gains decline rapidly in a non-linear way. We present the results which show the potential decrease in mortality and lives saved for each of the 191 countries if government revenue increases. For example, a 10% increase in per-capita government revenue in Afghanistan in 2002 ($24.49 million) is associated with a reduction in the under-5 mortality rate by 12.35 deaths per 1000 births and 13,094 lives saved. This increase is associated with a decrease in the maternal mortality ratio of 9.3 deaths per 100,000 live births and 99 maternal deaths averted. Increasing government revenue can directly impact mortality, especially in countries with low per- capita government revenues. The results presented in this study could be used for economic, social and governance reporting by multinational companies and for evidence-based policymaking and advocacy.
Close

Details

Original languageEnglish
Number of pages17
JournalOpen Economies Review
VolumeFirst Online
Early online date12 Sep 2020
DOIs
Publication statusE-pub ahead of print - 12 Sep 2020

    Research areas

  • Government revenue, Public services, Under-five mortality, Maternal mortality, Human rights

Discover related content
Find related publications, people, projects and more using interactive charts.

View graph of relations

Related by author

  1. Public money creation to maintain fundamental human rights during the COVID-19 pandemic

    Chimowa, T., Hall, S. & O'Hare, B. A-M., Jun 2020, In : Harvard Health and Human Rights Journal. 22, 1, p. 395–397

    Research output: Contribution to journalComment/debate

  2. Comparative evaluation of a low cost ophthalmoscope (Arclight) for red reflex assessment among health care workers in Malawi

    Dooley, E., Kousha, O., Msosa, J., Ndaule, E., Abraham, C., Parr, J., O'Hare, B. A-M. & Blaikie, A., 9 Apr 2020, In : BMJ Innovations. Online First

    Research output: Contribution to journalArticle

  3. International corporate tax avoidance and domestic government health expenditure

    O'Hare, B. A-M., Nov 2019, In : Bulletin of the World Health Organization. 97, 11, p. 746-753 8 p.

    Research output: Contribution to journalArticle

  4. Addressing inequities in child health and development: towards social justice

    Spencer, N., Raman, S., O'Hare, B. A-M. & Tamburlini, G., 1 Aug 2019, In : BMJ Paediatrics Open. 3, 1, 6 p., e000503.

    Research output: Contribution to journalReview article

  5. Social determinants of child health and social justice

    Taylor, S. & O'Hare, B. A-M., 2019, Oxford Textbook of Global Health of Women, Newborns, Children, and Adolescents. Devakumar, D., Hall, J., Qureshi, Z. & Lawn, J. (eds.). 1 ed. Oxford: Oxford University Press

    Research output: Chapter in Book/Report/Conference proceedingChapter

Related by journal

  1. Open Economies Review (Journal)

    Andrew Hughes Hallett (Editor)

    2000 → …

    Activity: Publication peer-review and editorial work typesEditor of research journal

Related by journal

  1. Are international fund flows related to exchange rate dynamics?

    Li, S., de Haan, J. & Scholtens, B., Feb 2018, In : Open Economies Review. 29, 1, p. 31-48 18 p.

    Research output: Contribution to journalArticle

  2. Local currency pricing, foreign monetary shocks and exchange rate policy

    Senay, O. & Sutherland, A., 1 Sep 2015, In : Open Economies Review. 26, 4, p. 633-661

    Research output: Contribution to journalArticle

  3. External imbalances and fiscal fragility in the Euro area

    Alessandrini, P., Fratianni, M., Hughes Hallett, A. & Presbitero, A. F., Feb 2014, In : Open Economies Review. 25, 1, p. 3-34 32 p.

    Research output: Contribution to journalArticle

  4. Leading indicators of currency crises: Are they the same in different exchange rate regimes?

    Zhao, Y., de Haan, J., Scholtens, B. & Yang, H., 1 Nov 2014, In : Open Economies Review. 25, 5, p. 937-957 21 p.

    Research output: Contribution to journalArticle

ID: 268532213

Top