期刊名称:International Journal of Development and Sustainability
印刷版ISSN:2186-8662
出版年度:2014
卷号:3
期号:4
页码:702-714
出版社:International Society for Development and Sustainability (ISDS)
摘要:Conventional wisdom justifies large public expenditure to finance human capital formation. Despite significant achievements in human development, Malawi is slowly making progress to achieve the Millennium Development Goals (MDGs) by 2015. Since the year 2000, Malawi has experienced a decline in infant mortality rates (IMRs) and this study examines the determinants of reductions in IMRs with a focus on the impact of public expenditure. Data come from censuses and various surveys conducted between 1978 and 2011 and regression results generally show that public expenditure per se does not influence reductions in IMR. A number of other factors mediate the impact of public expenditure on IMRs thereby making the effect of government interventions on health more indirect than direct. While public expenditure on health is inevitable, these results call for the Malawi Government to pursue policiesthat balance increased expenditure on health with efficient use of resources. Adopting this strategy is very likely to accelerate progress in achieving the MDGs for health.
关键词:Public expenditure; Infant mortality; Malawi; Least developed countries;Millennium Development Goals