Governance and public health expenditure in Côte d'Ivoire: examination of the dynamic relationship
Abstract Background The difficulties in mobilizing financial resources in developing countries combined with the low level of health of populations reveal the need to seek levers for optimal use of available resources. This paper aims at analyzing the dynamics of the relationship between governance...
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| Format: | Article |
| Language: | English |
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BMC
2025-08-01
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| Series: | Health Economics Review |
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| Online Access: | https://doi.org/10.1186/s13561-025-00627-6 |
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| author | Alliou Salihini Diarrassouba Foungnigué Noé Coulibaly Anzoumana Comoé |
| author_facet | Alliou Salihini Diarrassouba Foungnigué Noé Coulibaly Anzoumana Comoé |
| author_sort | Alliou Salihini Diarrassouba |
| collection | DOAJ |
| description | Abstract Background The difficulties in mobilizing financial resources in developing countries combined with the low level of health of populations reveal the need to seek levers for optimal use of available resources. This paper aims at analyzing the dynamics of the relationship between governance and public health expenditure in Côte d’Ivoire as part of the “health for all” policy. Methods The estimates show, from a cointegration model based on the ARDL (self-regressive with staggered delays) approach and causality in the sense of that corruption influences and causes the increase in public health expenditure in the long term. Results The results includes poor health outcomes due to the diversion of resources on budgetary allocations. A 1% increase in the level of corruption generates 0.9% short-term and 0.5% long-term decrease in public health spending. Also, causality indicates a unidirectional link between the two variables ranging from corruption to the level of public health resources. Conclusions The authorities should therefore strengthen the institutional framework and the quality of central and internal governance of vertical health structures and programs in order to induce better use of resources likely to improve health outcomes. |
| format | Article |
| id | doaj-art-d71c34abc5a34d89a8dc6fe4c89a7947 |
| institution | Kabale University |
| issn | 2191-1991 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Health Economics Review |
| spelling | doaj-art-d71c34abc5a34d89a8dc6fe4c89a79472025-08-20T03:45:45ZengBMCHealth Economics Review2191-19912025-08-011511810.1186/s13561-025-00627-6Governance and public health expenditure in Côte d'Ivoire: examination of the dynamic relationshipAlliou Salihini Diarrassouba0Foungnigué Noé Coulibaly1Anzoumana Comoé 2Department of Economics, Faculty of Economics and Management, Jean Lorougnon Guédé UniversityDepartment of Economics, Faculty of Economics and Management, Alassane Ouattara UniversityDepartment of Economics, Faculty of Economics and Management, Félix Houphouët Boigny UniversityAbstract Background The difficulties in mobilizing financial resources in developing countries combined with the low level of health of populations reveal the need to seek levers for optimal use of available resources. This paper aims at analyzing the dynamics of the relationship between governance and public health expenditure in Côte d’Ivoire as part of the “health for all” policy. Methods The estimates show, from a cointegration model based on the ARDL (self-regressive with staggered delays) approach and causality in the sense of that corruption influences and causes the increase in public health expenditure in the long term. Results The results includes poor health outcomes due to the diversion of resources on budgetary allocations. A 1% increase in the level of corruption generates 0.9% short-term and 0.5% long-term decrease in public health spending. Also, causality indicates a unidirectional link between the two variables ranging from corruption to the level of public health resources. Conclusions The authorities should therefore strengthen the institutional framework and the quality of central and internal governance of vertical health structures and programs in order to induce better use of resources likely to improve health outcomes.https://doi.org/10.1186/s13561-025-00627-6ARDLCorruptionCôte d’IvoirePublic health expenditureGovernanceCausality |
| spellingShingle | Alliou Salihini Diarrassouba Foungnigué Noé Coulibaly Anzoumana Comoé Governance and public health expenditure in Côte d'Ivoire: examination of the dynamic relationship Health Economics Review ARDL Corruption Côte d’Ivoire Public health expenditure Governance Causality |
| title | Governance and public health expenditure in Côte d'Ivoire: examination of the dynamic relationship |
| title_full | Governance and public health expenditure in Côte d'Ivoire: examination of the dynamic relationship |
| title_fullStr | Governance and public health expenditure in Côte d'Ivoire: examination of the dynamic relationship |
| title_full_unstemmed | Governance and public health expenditure in Côte d'Ivoire: examination of the dynamic relationship |
| title_short | Governance and public health expenditure in Côte d'Ivoire: examination of the dynamic relationship |
| title_sort | governance and public health expenditure in cote d ivoire examination of the dynamic relationship |
| topic | ARDL Corruption Côte d’Ivoire Public health expenditure Governance Causality |
| url | https://doi.org/10.1186/s13561-025-00627-6 |
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