What is the impact of national public expenditure and its allocation on neonatal and child mortality? A machine learning analysis
Abstract Background Understanding the impact of national public expenditure and its allocation on child mortality may help governments move towards target 3.2 proposed in the 2030 Agenda. The objective of this study was to estimate the impacts of governmental expenditures, total, on health, and on o...
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-023-15683-y |
| _version_ | 1797836203649662976 |
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| author | Leandro Pereira Garcia Ione Jayce Ceola Schneider Cesar de Oliveira Eliane Traebert Jefferson Traebert |
| author_facet | Leandro Pereira Garcia Ione Jayce Ceola Schneider Cesar de Oliveira Eliane Traebert Jefferson Traebert |
| author_sort | Leandro Pereira Garcia |
| collection | DOAJ |
| description | Abstract Background Understanding the impact of national public expenditure and its allocation on child mortality may help governments move towards target 3.2 proposed in the 2030 Agenda. The objective of this study was to estimate the impacts of governmental expenditures, total, on health, and on other sectors, on neonatal mortality and mortality of children aged between 28 days and five years. Methods This study has an ecological design with a population of 147 countries, with data between 2012 and 2019. Two steps were used: first, the Generalized Propensity Score of public spending was calculated; afterward, the Generalized Propensity Score was used to estimate the expenditures’ association with mortality rates. The primary outcomes were neonatal mortality rates (NeoRt) and mortality rates in children between 28 days and 5 years (NeoU5Rt). Results The 1% variation in Int$ Purchasing Power Parity (Int$ PPP) per capita in total public expenditures, expenditure in health, and in other sectors were associated with a variation of -0.635 (95% CI -1.176, -0.095), -2.17 (95% CI -3.051, -1.289) -0.632 (95% CI -1.169, -0.095) in NeoRt, respectively The same variation in public expenditures in sectors other than health, was associates with a variation of -1.772 (95% CI -6.219, -1.459) on NeoU5Rt. The results regarding the impact of total and health public spending on NeoU5Rt were not consistent. Conclusion Public investments impact mortality in children under 5 years of age. Likely, the allocation of expenditures between the health sector and the other social sectors will have different impacts on mortality between the NeoRt and the NeoU5Rt. |
| first_indexed | 2024-04-09T15:04:55Z |
| format | Article |
| id | doaj.art-336b5261e31b40c39b362254b125cbf7 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-09T15:04:55Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-336b5261e31b40c39b362254b125cbf72023-04-30T11:30:34ZengBMCBMC Public Health1471-24582023-04-0123111110.1186/s12889-023-15683-yWhat is the impact of national public expenditure and its allocation on neonatal and child mortality? A machine learning analysisLeandro Pereira Garcia0Ione Jayce Ceola Schneider1Cesar de Oliveira2Eliane Traebert3Jefferson Traebert4Graduate Program in Health Sciences, Universidade do Sul de Santa CatarinaGraduate Program in Rehabilitation Science, Public Health and Neuroscience, Universidade Federal de Santa CatarinaDepartment of Epidemiology and Public Health, University College LondonGraduate Program in Health Sciences, Universidade do Sul de Santa CatarinaGraduate Program in Health Sciences, Universidade do Sul de Santa CatarinaAbstract Background Understanding the impact of national public expenditure and its allocation on child mortality may help governments move towards target 3.2 proposed in the 2030 Agenda. The objective of this study was to estimate the impacts of governmental expenditures, total, on health, and on other sectors, on neonatal mortality and mortality of children aged between 28 days and five years. Methods This study has an ecological design with a population of 147 countries, with data between 2012 and 2019. Two steps were used: first, the Generalized Propensity Score of public spending was calculated; afterward, the Generalized Propensity Score was used to estimate the expenditures’ association with mortality rates. The primary outcomes were neonatal mortality rates (NeoRt) and mortality rates in children between 28 days and 5 years (NeoU5Rt). Results The 1% variation in Int$ Purchasing Power Parity (Int$ PPP) per capita in total public expenditures, expenditure in health, and in other sectors were associated with a variation of -0.635 (95% CI -1.176, -0.095), -2.17 (95% CI -3.051, -1.289) -0.632 (95% CI -1.169, -0.095) in NeoRt, respectively The same variation in public expenditures in sectors other than health, was associates with a variation of -1.772 (95% CI -6.219, -1.459) on NeoU5Rt. The results regarding the impact of total and health public spending on NeoU5Rt were not consistent. Conclusion Public investments impact mortality in children under 5 years of age. Likely, the allocation of expenditures between the health sector and the other social sectors will have different impacts on mortality between the NeoRt and the NeoU5Rt.https://doi.org/10.1186/s12889-023-15683-yChild mortalityNeonatal mortalityPublic expendituresCost allocationMachine learning |
| spellingShingle | Leandro Pereira Garcia Ione Jayce Ceola Schneider Cesar de Oliveira Eliane Traebert Jefferson Traebert What is the impact of national public expenditure and its allocation on neonatal and child mortality? A machine learning analysis BMC Public Health Child mortality Neonatal mortality Public expenditures Cost allocation Machine learning |
| title | What is the impact of national public expenditure and its allocation on neonatal and child mortality? A machine learning analysis |
| title_full | What is the impact of national public expenditure and its allocation on neonatal and child mortality? A machine learning analysis |
| title_fullStr | What is the impact of national public expenditure and its allocation on neonatal and child mortality? A machine learning analysis |
| title_full_unstemmed | What is the impact of national public expenditure and its allocation on neonatal and child mortality? A machine learning analysis |
| title_short | What is the impact of national public expenditure and its allocation on neonatal and child mortality? A machine learning analysis |
| title_sort | what is the impact of national public expenditure and its allocation on neonatal and child mortality a machine learning analysis |
| topic | Child mortality Neonatal mortality Public expenditures Cost allocation Machine learning |
| url | https://doi.org/10.1186/s12889-023-15683-y |
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