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Short Report
Climate change and the burden of healthcare financing in African households
Submitted: 12 July 2022 | Published: 31 January 2023
About the author(s)
Chinwe F. Ezeruigbo, Department of Nursing, Faculty of Health Sciences and Technology, Ebonyi State University, Abakaliki, NigeriaAbel Ezeoha, Department of Banking and Finance, Faculty of Management Sciences, Alex-Ekwueme Federal University, Abakaliki, Nigeria
Abstract
Climate change is a mounting pressure on private health financing in Africa – directly because of increased disease prevalence and indirectly because of its negative impact on household income. The sources and consequences of the pressure constitute an important area of policy discourse, especially as it relates to issues of poverty and inequality. Relying on a panel dataset involving 49 African countries and the period 2000–2019, as well as a random effect regression analysis, this report shows that climate change has a positive and significant impact on the level of out-of-pocket health expenditure (OPHE) in Africa, and an increase in the level of greenhouse (CO2) emissions by 1% could bring about a 0.423% increase in the level of OPHE. Indirectly, the results show that, compared with the regional average, countries that have higher government health expenditure levels, above 1.7% regional average, and face higher climate change risk may likely record an increase in OPHE. Alternatively, countries with higher per capita income (above the regional annual average of $2300.00) are likely to record a drop in OPHE. Countries with lower climate change risk and a lower than the regional average age dependency (above the regional average of 80.4%) are also likely to record a drop in OPHE. It follows that there is a need for policy alignment, especially with regard to how climate change influences primary health care funding models in Africa.
Contribution: The results of this research offer policymakers in-depth knowledge of how climate change erodes healthcare financing capacity of government and shifts the burden to households. This raises concerns on the quality of accessible healthcare and the link with poverty and inequality.
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7. Dependency ratio and emission trading scheme: a case study in China
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doi: 10.1007/s10584-023-03651-9
8. Opportunities and challenges for financing women’s, children’s and adolescents’ health in the context of climate change
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doi: 10.1136/bmjgh-2023-014596
9. The influence of health resources on income inequality in Europe
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Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine year: 2026
doi: 10.1177/13634593251404654
10. RETRACTED: Exploring the nexus between green finance and energy efficiency: Unravelling the impact through green technology innovation and energy structure
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11. Climate and health: a path to strategic co-financing?
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doi: 10.1093/heapol/czae044
12. Health expenditure in Africa: examining the synergistic impact of economic policy uncertainty and governance quality
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The European Journal of Health Economics vol: 27 issue: 6 first page: 1213 year: 2026
doi: 10.1007/s10198-025-01879-z
13. A health economics perspective on behavioural responses to climate change across geographic, socio-economic and demographic strata
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Environmental Research Letters vol: 19 issue: 8 first page: 081001 year: 2024
doi: 10.1088/1748-9326/ad5d0c
