The Impact of Public, Private, and Out-of-Pocket Health Expenditures on Under-Five Mortality in Malaysia

Health financing in Malaysia is intensely subsidised by public funding and is increasingly sourced by household out-of-pocket financing, yet the under-five mortality rate has been gradually increasing in the last decade. In this context, this study aims to investigate the relationship between public...

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Main Authors: Renuka Devi Logarajan, Norashidah Mohamed Nor, Abdalla Sirag, Rusmawati Said, Saifuzzaman Ibrahim
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/3/589
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author Renuka Devi Logarajan
Norashidah Mohamed Nor
Abdalla Sirag
Rusmawati Said
Saifuzzaman Ibrahim
author_facet Renuka Devi Logarajan
Norashidah Mohamed Nor
Abdalla Sirag
Rusmawati Said
Saifuzzaman Ibrahim
author_sort Renuka Devi Logarajan
collection DOAJ
description Health financing in Malaysia is intensely subsidised by public funding and is increasingly sourced by household out-of-pocket financing, yet the under-five mortality rate has been gradually increasing in the last decade. In this context, this study aims to investigate the relationship between public, private, and out-of-pocket health expenditures and the under-five mortality rate in Malaysia using the autoregressive distributed lag (ARDL) estimation technique, whereby critical test values are recalculated using the response surface method for a time-series data of 22 years. The findings reveal that out-of-pocket health expenditure deteriorates the under-five mortality rate in Malaysia, while public and private health expenditures are statistically insignificant. Therefore, an effective health financing safety net may be an option to ensure an imperative child health outcome.
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spelling doaj.art-c82e1ab9b9bf47509b9dfbfc0035896c2023-11-24T01:23:58ZengMDPI AGHealthcare2227-90322022-03-0110358910.3390/healthcare10030589The Impact of Public, Private, and Out-of-Pocket Health Expenditures on Under-Five Mortality in MalaysiaRenuka Devi Logarajan0Norashidah Mohamed Nor1Abdalla Sirag2Rusmawati Said3Saifuzzaman Ibrahim4School of Business and Economics, Universiti Putra Malaysia (UPM), Serdang 43400, Selangor, MalaysiaSchool of Business and Economics, Universiti Putra Malaysia (UPM), Serdang 43400, Selangor, MalaysiaSchool of Business and Economics, Universiti Putra Malaysia (UPM), Serdang 43400, Selangor, MalaysiaSchool of Business and Economics, Universiti Putra Malaysia (UPM), Serdang 43400, Selangor, MalaysiaSchool of Business and Economics, Universiti Putra Malaysia (UPM), Serdang 43400, Selangor, MalaysiaHealth financing in Malaysia is intensely subsidised by public funding and is increasingly sourced by household out-of-pocket financing, yet the under-five mortality rate has been gradually increasing in the last decade. In this context, this study aims to investigate the relationship between public, private, and out-of-pocket health expenditures and the under-five mortality rate in Malaysia using the autoregressive distributed lag (ARDL) estimation technique, whereby critical test values are recalculated using the response surface method for a time-series data of 22 years. The findings reveal that out-of-pocket health expenditure deteriorates the under-five mortality rate in Malaysia, while public and private health expenditures are statistically insignificant. Therefore, an effective health financing safety net may be an option to ensure an imperative child health outcome.https://www.mdpi.com/2227-9032/10/3/589childunder-fivehealth expenditurepublicprivateout-of-pocket
spellingShingle Renuka Devi Logarajan
Norashidah Mohamed Nor
Abdalla Sirag
Rusmawati Said
Saifuzzaman Ibrahim
The Impact of Public, Private, and Out-of-Pocket Health Expenditures on Under-Five Mortality in Malaysia
Healthcare
child
under-five
health expenditure
public
private
out-of-pocket
title The Impact of Public, Private, and Out-of-Pocket Health Expenditures on Under-Five Mortality in Malaysia
title_full The Impact of Public, Private, and Out-of-Pocket Health Expenditures on Under-Five Mortality in Malaysia
title_fullStr The Impact of Public, Private, and Out-of-Pocket Health Expenditures on Under-Five Mortality in Malaysia
title_full_unstemmed The Impact of Public, Private, and Out-of-Pocket Health Expenditures on Under-Five Mortality in Malaysia
title_short The Impact of Public, Private, and Out-of-Pocket Health Expenditures on Under-Five Mortality in Malaysia
title_sort impact of public private and out of pocket health expenditures on under five mortality in malaysia
topic child
under-five
health expenditure
public
private
out-of-pocket
url https://www.mdpi.com/2227-9032/10/3/589
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