Professional Documents
Culture Documents
CHAPTER ONE
INTRODUCTION
Nigeria operates a federal system of Government which comprises the federal government, 36
States plus the Federal Capital Territory (FCT), and 774 Local Government Areas/Councils
(LGAs). The 36 states and the FCT are also grouped into six geo-political zones, namely: the
South-South, the South-East, the South-West, the North-East, the North-West and the North
Central zones. The Nigerian health sector is broad and comprises of public, private for-profit,
Budget allocation management of Nigeria health sector involves health allocation go to three
tiers of government namely federal, state and local government and these three tiers of
government use their health allocation to three tiers of health services – the primary, secondary
and tertiary respectively. The primary health service, which is closest to the people, is said to be
the constitutional responsibility of local government while, the State Ministries of health are
generally responsible for secondary care. The tertiary health service deals with the most
specialist hospitals and are supervised by the Federal Ministry of Health (FMOH). FMOH also
has responsibility to develop policies, strategies and plans that provide direction for the national
health care delivery system. Other providers of health care include the private sector health
facilities (i.e. private for profit, private not for profit) including religious missions and NGOs,
Health is one of the most important factors that determine the quality of human capital, a
necessary factor for economic growth. In line with the above, a consensus of opinion have been
formed among researchers recognizing health as a public good, the demand and supply of which
cannot be left at the mercy of invisible hands or profit maximizing individual as well as on
considerations of utility maximizing conduct alone . Hence, the need for the government to play
a major role in delivering good and qualitative healthcare services that is accessible and
affordable for the teeming population. The recognition of the importance of the above led the
World Health Organisation (WHO) to propose at the 2010 World Health Assembly, issues that
will address financing of health, which will ensure qualitative and affordable healthcare services
(Ataguba and Akazili, 2010). The pattern of health financing is therefore closely and indivisibly
linked to the quality of health outcomes (health status), capable of achieving the long term goal
of enhancing nation’s economic development (Riman and Akpan, 2012). Alluding to the above
fact and as an evidence of its commitment towards the restructuring of the health sector in its
fiscal operation, the Nigeria government has taken up the responsibility of providing good
healthcare facility for its citizens by improving on the amount of its expenditure on health.
Available data indicated that on the average about 2.1% to 5.8% of total government expenditure
were expended on health within 2000 and 2007 (Mordi, Englama and Adeusuyi, 2010). The
belief is that this would improve the health of the citizenry that can translate into healthy human
capital base with its multiplier effects on economic growth and development.
4
control measure for revenue and expenditure. In Nigeria, every ministry, department and agency
(MDA) of government prepares its own budget separately and forwards this to the appropriate
authority. This body then aggregates the separate budgets into one volume for which approval is
sought from the legislature/House of Assembly (HOA) over that jurisdiction. After the
components of the budget may have been debated, adjusted and the House of Assembly (HOA)
approves, it is assented to by the leader of the executive within that jurisdiction and adopted as
the appropriation bill for the period. Budgetary allocations for different sectors, ministries,
departments and agencies (MDAs), institutions, organisations, parties, individuals serve to guide
the implementing/ executing parties in the control of their revenue inflows and channel their
revenue towards achieving set outcomes such as contribution to economic growth when
employed optimally. It is therefore necessary to investigate whether budgets are fulfilling their
intended purpose.
In Nigeria, however, the rate of budget execution is suboptimal. In almost every country, the
implemented budget varies from the adopted one which is brought about by the country’s fiscal
conditions, stability and certainty in the country’s finances, the role of the finance ministry and
the type of budget system (Kazeem, Bwala, & Dunga, 2019). Many issues have, overtime
hindered the successful preparation and implementation of adopted budgets at almost every level
in government including late budget preparation, slow passing of budgets by the legislature,
budget padding, poor execution. Even after the budget may have been passed by the legislature,
there have been cases where there was a delay in assent by the executive powers. Next after
assent and adoption of the budget as an appropriation bill is the issue of implementation. The
5
level of implementation of budgets affect how much they serve their intended purpose. It is
therefore as important to evaluate the extent of budget execution as it is to draw up, and pass the
budget.
Where budgets are not fully employed or implemented, they are said o have low budget burn rate
or low budget execution rate. Budgets with low burn rate do not usually solve the issues they
were designed to solve or meet the needs for which they were created.
The broad objective of this study is to examine the effect of sectorial budget allocation
management on GDP in Nigeria health sector. The specific objectives are to:
1) examine the effect of allocation to drugs and medical supplies on GDP in Nigeria.
2) investigate the effect of allocation to National Agency for the Control of AIDS (NACA)
on GDP in Nigeria.
3) verify the effect of allocation to National Health Insurance Scheme (NHIS) on GDP in
Nigeria.
Owing to the problem statement, this study was channelled towards answering the following
questions:
1) What is the extent to which the allocation to drugs and medical supplies affects the GDP
in Nigeria?
6
2) What is the extent to which the allocation to National Agency for the Control of AIDS
3) What is the extent to which the allocation to National Health Insurance Scheme (NHIS)
4) What is the extent to which the allocation to Ministry of Health affects the GDP in
Nigeria?
The hypotheses for the study have been formulated. These null hypotheses are as follows:
Ho The allocation to drugs and medical supplies has no significant effect on the GDP in Nigeria.
Ho The allocation to National Agency for the Control of AIDS (NACA) has no significant effect
Ho The allocation to National Health Insurance Scheme (NHIS) has no significant effect on the
GDP in Nigeria.
Ho The allocation to Ministry of Health has no significant effect on the GDP in Nigeria.
This study is important and very beneficial to government, ministry of health and researchers.
Government: Findings from this study will help government to make policy that will improve
Nigeria health sector because it is an important sector that ensure good health to a country’ s
Ministry of health: Again, this study is very important to head and staff ministry of health to
make careful use of budgeted fund in line with proposed budget because health is the life wire of
the economy.
Researchers and students: Researchers and students are not left out in the benefits. The study
empirical findings are capable of adding new insights to present knowledge in the field of
management in general but specifically in the area of budget and Nigeria health sector. Thus, this
The scope of this study is to examine the effect of sectorial budget allocation management on
GDP of Nigeria health sector over a period of 1990 to 2019.The study discusses the concept of
the key words: sectorial budget allocation, GDP of Nigeria health sector, SMEs, components of
revenue allocation formula in Nigeria, institutional framework for revenue allocation in Nigeria,
allocation in Nigeria arranging from Prof. Aboyade commission (1978), Okigbo presidential
commission (1980), revenue allocation under Ibrahim Badamasi Babangida (IBB) regime 1985 –
1989, revenue allocation under Abacha regime 1994 – 1998, revenue allocation under president
A lot of impediments were encountered in the process of conducting the research. The most
Time factor —The time for the accomplishment of this study coincided with other academic and
non-academic activities and at such, the researcher could not cover so much in the study. There
is no doubt whatsoever that data collection, presentation, analysis and interpretation require so
much time.7
Availability of verifiable data - Secondary data is not readily, easily available in Nigeria. The
internet-sourced statistical data are not always complete and may be difficult to come by.
Budget: Budget is the government’s forecast of revenue and planned expenditure, usually
estimate revenues and expenditures for a specific period of time on sectors of the economy such
the all encompassing process that includes budget preparation, follow-up, monitoring, release,
execution and evaluation to ascertain the amount released under specific budget headings, budget
burn rates or budget performance of different institutions, ministries, departments and agencies
References
Ataguba, J. E-O., Akazili J. (2010). “Healthcare financing in South Africa: Moving towards
universal coverage”. Continue Medical Education Journal, Vol 28, No 2. Pp.74 -78
Mordi, N. O. C., Abwaku, E., Banji, S. A. (2010). “The Changing Structure of the Nigerian
Economy”. Published by Research Department, CBN, 2010 Pp. 297.
Riman Hodo Bassey (2012) “Healthcare Financing and Health outcomes in Nigeria: A State
Level Study using
Multivariate Analysis” International Journal of Humanities and Social Science vol. 2, No 15
Pp.296-305
World Bank. (1993), World Development Report 1993: Investing in Health. Oxford University
Press: New York, NY. World Bank. (1993), World Development Report 1993: Investing in
Health. Oxford
10
CHAPTER TWO
LITERATURE REVIEW
2.1 Introduction
This chapter discusses the conceptual framework, theoretical review, empirical review, summary
Budgetary allocations are integral components to an annual financial plan, or budget, of all
or program. Without allocation limits, expenditures can exceed revenues and result in financial
shortfalls. Anyone working with budgets should understand how they are used and the
limitations they provide. A budgetary allocation is the amount of cash, or budget, you allocate to
Sectorial Budgetary Allocation is a financial plan used to estimate revenues and expenditures for
a specific period of time on sectors of the economy such as education, health, defence,
transportation, communication etc. It is a management and planning tool, not just an accounting
authority on the amount of funding designated to each sectors of the economy such as education,
health, defence, transportation, communication for a specific period of time. It designates the
maximum amount of funding an organization is willing to spend on a given item or program, and
11
Narrowly defined, the budget is the government’s forecast of revenue and planned expenditure,
usually provided on an annual basis. A health budget is the portion of the national budget
allocated to the health sector, including all ministries and agencies involved in health-related
activities. A health budget is more than a simple accounting instrument to present revenues and
expenses – rather, it is a crucial orienting text, declaring the country’s key financial objectives
and its real commitment to implementing its health policies and strategies (World Health
Budgeting is related to the process of defining the allocation of resources to produce the best
outputs given the level of revenues. A health budget, typically included in the general
government budget, is more than a simple accounting instrument to present revenues and
expenses– rather; it is a crucial orienting text, declaring key financial objectives of the country
and its real commitment to implementing its health policies and strategies (WHO, 2019).
(iii)Balanced Development
(iv) Derivation
12
The above principles have continued to serve as the yardstick for revenue allocation up to this
day.
Fundamentally, there are two components of the revenue allocation formula used for the
The Vertical Allocation Formula: This formula shows the percentage allocated to the three tiers
of government i.e. federal, states and local governments. This formula is applied vertically to the
total volume of disbursable revenue in the Federation Account at a particular point in time. The
VAF allows every tier of government to know what is due to it; the Federal Government on one
hand and the 36 States and 774 Local Governments on the other (Bashir, 2008:3).
13
The Horizontal Allocation Formula: The formula is applicable to States and Local Governments
only. It provides the basis for sharing of the volume of revenue already allocated to the 36 States
and 774 Local Governments. Through the application of the principles of horizontal allocation
formula, the allocation due to each State or Local Government is determined. Thus, it can
conveniently be concluded that the vertical allocation formula is for inter-tier sharing between the
three tiers of government while the horizontal allocation formula is for intra tier sharing amongst
the 36 States and the 774 Local Governments in Nigeria (Bashir, 2008:3)
For analytical purpose, the table below provides at a glance the process which takes place
This was a six-member Committee charged with the responsibility of ensuring that each level of
government of the Federation has adequate revenue to enable it discharged its responsibilities
with due regard to the principles of:
The Committee however, set aside all the criteria mentioned above and instead formulated five
principles for the determination of statutory allocation to the states. These prevailing principles
are as indicated below:
1.
Equality of access to development opportunities 0.25
2.
National minimum standard for National integration0.22
3.
Absorptive Capacity. 0.20
4.
Independent Revenue. 0.18
5.
Fiscal Efficiency. 0.15
Total Weight. 1.00
Furthermore, the Aboyade Committee recommended the sharing of the consolidated fund as
follows:
Federal Government – 5%
In spite of the fact that a greater proposition of the revenue allocation went to the Federal
Government, the Federal Military government still exerts its influence and ensured the further
inflation of its grant by 3% to the detriment of the federating units. Having done this, the report
of the Aboyade Technical Committee was presented to the Constituent Assembly for approval.
Unfortunately, the Constituent Assembly members failed to give the report the serious attention
it deserved because of their pre-occupation with controversial issue such as the creation of more
state, the Sharia Law Controversy and the formula for election of the President (Adewale,
1960:20) the next Commission on revenue allocation is the Okigbo Presidential Commission
of1980.
The Okigbo Presidential Commission on revenue allocation which was constituted in 1980 gave
Just like other post-independence formulae on revenue allocation, the Okigbo Commission
(Ademolekun1986:30)
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The thorniest issue under Babangida regime was the fiscal scheme. The issue of revenue
allocation was so thorny that Babangida regime had to review the revenue allocation four times
during its duration. From the inception of the Babangida regime in 1985 all through 1989, the
Federal – 55%
State – 32.5%
Local – 10%
Allocation to the oil mineral producing states, and general ecological problems stood at 1.5% and
1% respectively.
SOURCE: First Bank: Monthly Business and Economic Reports for 1988, 1989, 1999,
1991, 1992 and 1993
Abacha regime adopted and maintained the formula bequeathed to it by the Babangida regime.
According to T.Y. Danjuma, the Federation Account here is made up of revenue from the
following sources:
tiers of government. The formula adopted for the sharing of the VAT fund (vertically) since the
The higher percentage enjoyed by the VAT revenue sharing has been justified by Chief Anthony
Ani – Former Finance Minister when he said: in order to compensate state government whose
18
incomes from the PAYE (Tax) are likely to be adversely affected by the enhanced allowances
granted tax payer, the VAT distribution formula is further reviewed in favour of state….
The proposed formula by Revenue Mobilization, Allocation and Fiscal commission gives:
Apparently, not satisfied with what it considered an upside formula, the Southern Governors
insist that only equal revenue sharing between the federal government and the states in Nigeria
will be considered fair and realistic by the Southern States. They therefore requested for the
Federal Capital – 1%
Ecology –2%
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The current vertical allocation formula which is based on Presidential Executive order is as
follows:
While the horizontal allocation formula which captures factors/principles and percentage is
as follows:
Equality – 40%
Population – 30%
Landmass/Terrain – 10%
Internally Generated Revenue – 10%
Social Development Factor – 10%
For purpose of emphasis, the Social Development Factor comprised of Education (4.0),
Health (3.0) and water (3.0) (Bashir 2008:7).
Health services are provided by the private and public sectors. From private sector, there are
religious and traditional caregivers. Government assumes the responsibility of health service
provision in public sector. The provision of health services in public sectors are at three levels
namely the Primary, Secondary and Tertiary. At the primary level, services are at the door step of
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communities where preventive, curative; primitive and pre-referral cares are provided. Medical
personnel that provide such services are nurses, community health officers, community health
extension workers (CHEWs) and environmental health officers. The available facilities at this
At secondary level, there are general hospitals to provide medical, laboratory and specialized
health services, namely, surgery, obstetrics, paediatrics, genecology and so on. Major health
workers that are at the secondary level are doctors, nurses, midwives, laboratory scientists and
pharmacists. The typical facility use is general hospitals. Tertiary level of health service
provision is the highest health care in the country. The facilities include specialist and teaching
hospitals, and federal medical centres. They are equipped with high technology for special health
The health status in Nigeria is ranked low among other developing country in the same category.
Life expectancy is put at 52 years in 2011(according to World Bank) and crude death rate, in that
It is estimated that 124 out of 1000 new births do not survive beyond age 5. Only 39.56% of
male and 42.25% of female survive up to the age of 65 years. There are close to 3 million adults
(ages 15-49) living with HIV. While the estimated HIV/AIDS prevalence rate is 3.7. Nigeria has
large stock of health workers that is comparable to that of Egypt and South Africa. However,
births attended by skilled health personnel are estimated at 39 percent of total birth.
The expenditure pattern shows that only few amounts are spent on health in Nigeria. In 1997,
4.6% of gross domestic product (GDP) is accounted to have been spent on health care. The figure
rose to 6.6% in 2005 and latter fell to 5.8 in 2009. The actual total expenditure for 1997, 2001,
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2005 and 2009 stood at 134,522, 256,283, 972,921 and 1,596,573 (in million naira),
respectively. The figure is an indication of poor commitment of the nation to improved health
provisions and deliveries. In the total expenditure on health (THE), the available data shows that
out of pocket expenditure constitutes higher proportion. Public expenditure on health (PHE) was
36.7% of the total health expenditure in 2011. While out of pocket expenditure accounts for
2.2.1 Adolph Wagner’s law of “increasing expansion of public and state activities”
Adolph Wagner’s law of “increasing expansion of public and state activities” postulates that as
real income increases, there is a long-run tendency for the share of public expenditure to increase
relative to national income (Wagner, 1883). Wagner's law, known as the law of increasing state
observed it for his own country and then for other countries. The theory holds that for any
country, that public expenditure rises constantly as income growth expands. The law predicts
The advent of modern industrial society will result in increasing political pressure for social
progress and increased allowance for social consideration by industry. Wagner’s law suggests
that a welfare state evolves from free market capitalism due to the population voting for ever-
increasing social services as general income levels grow across broad spectrums of the economy.
In spite of some ambiguity, Wagner's statement in formal terms has been interpreted by Richard
Musgrave as follows:
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As progressive nations industrialize, the share of the public sector in the national economy grows
continually. The increase in State Expenditure is needed because of three main reasons. Wagner
himself identified these as (i) social activities of the state, (ii) administrative and protective
actions, and (iii) welfare functions. The material below is an apparently much more generous
Socio-political, i.e., the state social functions expand over time: retirement insurance, natural
assignments into the sciences, technology and various investment projects, etc.
Historical: the state resorts to government loans for covering contingencies, and thus the sum
of government debt and interest amount grow; i.e., it is an increase in debt service expenditure.
Peacock and Jack Wiseman advanced the study of growth of public expenditure through
Peacock Wiseman Hypothesis by their study of public expenditure at Great Britain during the
period 1890 to 1955.Peacock Wiseman Hypothesis focused on the pattern of public expenditure
and stated that public expenditure does not follow a smooth or continuous trend but the increase
in public expenditure takes place in jerks or steps. They gave three separate concepts to justify
Displacement Effect
Inspection Effect
Concentration effect
23
economy there is a need for increased expenditure as the existing public revenue cannot solve the
disturbance. The fiscal activities of the government rise step by step to successive new higher
Displacement Effect
When a social disturbance occurs the government raises taxes to increase revenue and increases
public expenditure to meet the social disturbance. This creates a displacement effect by which
low taxes and expenditures are replaced by higher tax and expenditure levels. However, after the
disturbance ends, the newly emerged level of tax tolerance makes the people willing to support
higher level of public expenditure since it is capable of bearing heavier tax burden than before.
As a result, the new level of public expenditure and public revenue stabilize but are soon
Inspection effect
Even if there is no new disturbance there is no strong motivation to return to lower level of
taxation as the increased revenue can be used to support a higher level of public expenditure.
Therefore government expands its fiscal operations partly due to disturbance and partly to
expand economic activity and take up new functions that were earlier neglected. This is known
as Inspection effect.
Concentration effect
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economic activities to grow at a faster rate than that of state and local government`s activities.
This is known as concentration effect. It is related to the political set up of the country.
John Maynard Keynes was the first proponent of government expenditure as instrument of fiscal
policy in 1936 after when classicalist’s postulation stated that economy is regulated with the help
of market mechanism and there is no government intervention has failed and led to the great
depression of 1930. Keynesian (Modern Concept) view: this opines that Government must play a
positive role in order to regulate the economy by government spending and taxes in the most
desirable manner. This school of thought discredits the belief of classical that supply creates its
own demand and the automaticity of the economic system to generate full employment and
growth by itself without interference. Keynes believes that the propensity to consume reduces as
income increase and the propensity to save increase as income increase. This will bring about
with savings when income is rising. Thus, to maintain income, employment and growth it is
necessary to off-set the effects of reducing demand for outputs by a corresponding increase in
public expenditure. Hence, if undesirable economic conditions are to be avoided the gap between
the income and expenditure must be filled either by increasing propensity to consume in the
The Peacock Wiseman hypothesis of government spending trend is more convincing than in
Wagner`s hypothesis. The natural course of advancement and structural changes in an economy
25
expenditure can also be accredited to urbanization, population growth, and awareness of civil
attracted the attention of the researchers and scholars. The approaches of the examination of this
topic have been taking several dimensions by different scholars. However, this study focuses on
the effect of sectorial budget allocation management and GDP in Nigeria Health Sector. Let get
2.3.1 Sectorial Budget Allocation Management and GDP in Nigeria Health Sector
Abada and Ugwunta, (2016) examined the effects of budgetary allocations on public sector
reform agenda in Nigeria. The data were presented and analyzed using trend analysis to show the
increases and decreases in data trend as well as interactions between variables. The findings
revealed that the Federal Government budgetary allocations to the health sector have a positive
Idowu, (2014) conducted a study to examine the impacts of health on Economic growth in
Nigeria over a period of 1995 to 2009. The co-integration and Granger Causality techniques
were used in analysing Quarterly time series data. The study finds that GDP is positively
influenced by health indicators in the long run and health indicators cause the per capita GDP. It
reveals that health indicators have a long run impact on economic growth. Thus, the impact of
health is a long run phenomenon. The major policy implication of the study is that, a high level
of economic growth can be achieved by improving the health status of the populace.
26
Odior (2011) examined the potential impact of increase in government expenditure on health in
Nigeria using an integrated sequential dynamic computable general equilibrium (CGE) model,
His result shows that the re-allocation of government expenditure to health sector is significant in
explaining economic growth in Nigeria. Thus, there is need for government to invest in health
services.
economic development. The empirically examines the short-run and long-run relationships
between sectorial allocations to long sectors of the economy and economic development of
Nigeria. The study adopted multivariate OLS analysis for the estimation process, co-integration
analysis for long-run relationship and the associated error correction model to determine the
short-run impact of the variables. The Granger causality test was used to determine the direction
of causality among the variables. The findings of the study were that budgetary allocations to
education, health and agricultural sectors positively and significantly affect economic growth in
Bello (2005) determines the relationship between deaths from malaria and public health and non-
health expenditure in Nigeria, the impact of malaria deaths on the economy and how much more
public expenditure is required to reduce deaths from malaria. Using the Filmer and Pritchet, and
the gross output transfer models. His study revealed that there is a negative relationship between
deaths from malaria, public health expenditure, per capital income and non-public health
expenditure, but a positive relationship between deaths from malaria and political instability. His
27
study further found that an average of 5.86% of the GDP was lost malaria deaths annually,
between 1975 and 2001. Therefore, there is a need to increase public spending of the health
sector.
Odubunmi et al (2012) examined the relationship between health care expenditure and economic
growth in Nigeria for the period 1970-2009. They employed the multivariate co-integration
technique proposed by Johansen and found the existence of at least one co-integrating vector
describing a long run relationship among economic growth, foreign aids, health expenditure,
total saving and population. The co-integrating equation however shows some deviations in
terms of the signs of the coefficients of foreign aids and health expenditure which they attributed
to some diversification of foreign aids to other uses or inadequate allocation to health services .
Riman and Akpan (2010) investigate the causal direction and long run relationship between
government health expenditure, poverty and health status, in Nigeria shows the existence of a
long-run relationship between poverty and health status. However, they found non- significant
long-run relationshipbetween health status and government health expenditure. They concludes
that policies that would improve health status should be such as would promote adult literacy
level, reduce the poverty and income disparity since, increasing budgetary allocation to funding
health sector alone without reducing poverty level, would not sufficient to improve the health
Yaqub et al (2013) investigate the impact of public health spending on infant and under-
mortalities as well as life expectancy. Using the two-stage-least squares in addition to the
28
ordinary least squares techniques, because of the possibility of reverse causality, revealed that
public health expenditure has negative effect on infant mortality and under-5 mortalities when
the governance indicators are included, with a reversed signs without the governance indicators.
They argued that as the level of corruption goes down and value of the corruption perception
index rises, there is an improvement in health status since infant and under-5 mortalities decline
and life expectancy rises. Thus, simply increasing public expenditure on health is less likely to
Mehrara and Musai (2011), examine the causal relationship between the health expenditure and
the GDP in a panel of 11 sampled oil exporting countries by using panel unit root tests and panel
co-integration analysis. They used a three variable model with oil revenues as the third variable.
Their results show a strong causality from oil revenues and economic growth to health
expenditure in the oil exporting countries. While health spending does not have any significant
effects on GDP in short- and long-run. Their findings show high vulnerability of oil dependent
Rivera and Currais (2003) analyze the effect of health investment on productivity as an important
variable associated with human capital accumulation. Using descriptive survey method, the
authors reported a positive relationship between health expenditure and income growth.
Furthermore, while looking at the bounded gains of health status, the authors divided the sample
according to the median of total health expenditure and found that the countries with lower levels
of health spending obtain larger benefits when other determinants of growth are held constant.
29
Bloom et al (2001) extend production function models of economic growth to account for two
and health. The main finding show that good health has a positive, sizable, and statistically
significant effect on aggregate output, with a little variation across countries in average work
experience, thus differentials in work experience account for little variation in rates of economic
growth. Their reports further indicate that the effects of average schooling on national output are
Abada and Ugwunta, (2016) examine the effects of budgetary allocations on public sector reform
agenda in Nigeria. The data were presented and analyzed using trend analysis to show the
increases and decreases in data trend as well as interactions between variables. The findings
revealed that the Federal Government budgetary allocations to the health sector have a positive
but insignificant impact on life expectancy. Conclusion was drawn and it was recommended
based on the findings of the study among others that the Federal Government should continue
with the implementation of the public sector reform program but should strengthen the audit
institutions to be able to carry out the responsibilities which the reform of public sector demands.
Akram et al (2011) investigate the impacts of different health indicators on Economic growth in
Pakistan, employs the Co-integration, Error Correction and Granger Causality techniques on the
time series data of Pakistan for the period of 1972-2006. They find that Per capita GDP is
positively influenced by health indicators in the long run and health indicators cause the per
capita GDP. However, in the short run the health indicators fail to put significant impact on per
30
capita GDP. This suggests that impact of health is only a long run phenomenon and in the short
run there is no significant relationship between health variables and economic growth.
Badri and Badri (2016) examine effect of health spending on economic growth in 24 selected
countries of OECD in the period 2006-2013 using GMM methods. The results show that health
spending has a significant and positive effect on economic growth, so that an increase of1
percent of its value, economic growth 0/04 percent increased. Also, physical capital and the
working population have a significant positive effect on economic growth. However, inflation
has a negative effect on economic growth, as inflation increased the rate of economic growth
decreased.
Atari and Mousa (2017) examine the impact of the development of the health sector on economic
growth in Palestine over a period of 1997 to 2015, through investigated the causality and co-
integration relationships between health expenditure and GDP per capita. The result of co-
integration showed the existence of a long-term relationship between economic growth and
spending on health. Granger casualty test indicate there only unidirectional relationship from
economic growth to health expenditure in long and short run, but no casualty from health
expenditure to economic growth, the study found the lack impact from health on economic
growth.
Babatunde, (2014) examine causal relationship between health expenditure and economic growth
over a period of 1970– 2010.Multiple regression analysis was employed and the result shows
that gross capital formation, total health expenditures and the labour force productivity are
important determinants of economic growth in Nigeria while life expectancy rate has negative
31
impact on growth for the period covered by the study. As a result, the following policy measures
are suggested among others that government should encourage savings and investments in the
economy, increase expenditures on health provisions, induce the level of labour productivity and
Akintunde and Satope (2013) investigate the effect of health investment on economic growth in
Nigeria, from 1977 to 2010. Using the vector error correction model, the study finds that there is
a long run relationship between health expenditure and economic growth. The results from the
study also reveal a positive relationship between health expenditure and economic growth in
Nigeria. However, the results from the vector error correction model showed that in the short
run, the impact of health expenditure on the economic growth did not converge to the long run
growth. Investment in health boosts economic growth, if government invests more in this aspect
of human capital.
Olarinde and Bello, (2014) investigate and explain the impact of government healthcare
expenditure and health sector outcome. The analysis employs the use of annual data for the
sample period from 1970 to 2011. The autoregressive distributed lag (ARDL) and VECM
granger non-causality techniques were used for estimating the long-run and short run coefficients
of the health sector model as well as to confirm direction of causality between the variables. The
empirical results from ARDL bound testing approach provide strong evidence of the existence of
a long-run and short- run stable relationship among the variables included in both models. In
addition, the study verify that good institutions are germane to positive health sector outcome,
and that causality runs from all the variables in the model to infant mortality rate. This is an
32
important finding for the achievement of healthy human capital necessary for a sustainable
Fatima, ET al (2014) investigates the causality and co-integration relationships between public
spending on health and economic growth in Algeria during 1974-2014 using annual data. This
paper concentrated on time series co-integration and causality in ECM framework. The findings
revealed that there is a long-run causality from public spending on health to economic growth
while it is not observed any short-run causality from public spending on health to economic
growth. The lack of strong link from public spending on health to economic growth is not
necessarily a reason to reallocate health investment away from the health sector. The
improvements in health status will be worth the effort even if they turn out to have little effect on
growth.
Ahmed-Yusuf and Yakubu, (2017) examine the effects of defence and health expenditures on
Economic growth in Nigeria over a period of 1970 to 2015. The Error Correction Mechanism
(ECM) and Granger Causality methods were methods of analysis used in the estimation of the
models. Among other findings, the result of the ECM model shows that defence spending has
positive and statistically significant impact on the Nigerian economy in the short run. Health
spending also has positive and significant short run impact on the economy. The labour force
however did not have any significant impact on the gross domestic product. The Granger
causality result also revealed a unidirectional causality running from DSP to GDP but not the
other way round. Also, there exists a one-directional causal relationship between GDP and health
spending in Nigeria. The result shows causality running from health spending to GDP but not the
Udeorah, Obayori and Onuchuku, (2018) examine the impact of health care expenditure on
economic growth in Nigeria for the period of 1980 to 2016. The study used descriptive statistics
and Generalized Method of Moments (GMM) test as the estimation techniques of data analysis.
The descriptive statistics result revealed that RGDP has an average of N31292.50billion; health
care expenditure has an average of N10322.47billion while education expenditure has an average
of N45895.95billion during the period of study. The GMM result revealed that the coefficient of
health care expenditure with positive sign which conformed to economics theory is not
economics theory (i.e. positive) and statistically significant at 5% level. The study concluded that
health care expenditure had no significant impact on economic growth while education
expenditure had positive significant impact on economic growth in Nigeria during the period of
study.
and economic growth for Egypt, Israel, and Syria. In the bivariate framework, the authors
observed a bi-directional (feedback) and long run negative relationships between government
spending and economic growth. Moreover, the causality test within the trivariate framework (that
include share of government civilian expenditures in GDP, military burden, and economic
growth) illustrated that military burden has a negative impact on economic growth in althea
Loizides and Vamvoukas (2005) employed the trivariate causality test to examine the
relationship between government expenditure and economic growth, using data set on Greece,
United Kingdom and Ireland. The authors found that government size granger causes economic
growth in all the countries they studied. The finding was true for Ireland and the United
Kingdom both in the long run and short run. The results also indicated that economic growth
granger causes public expenditure for Greece and United Kingdom, when inflation is included.
Komain and Brahmasrene (2007) examined the association between government expenditures
and economic growth in Thailand, by employing the Granger Causality Test. The results
revealed that government expenditures and economic growth are not co integrated. Moreover,
expenditures to growth. Lastly, the results illustrated a significant positive effect of government
Olugbenga and Owoye (2007) investigated the relationships between government expenditure
and economic growth for a group of 30 OECD countries during the period 1970-2005. The
expenditure and economic growth. In addition, the authors observed a unidirectional causality
from government expenditure to growth for 16 out of the countries, thus supporting the
expenditure in 10 out of the countries, confirming the Wagner’s law. Finally, the authors found
the existence of feedback relationship between government expenditure and economic growth
Liu, Hsu and Younis (2008) examined the causal relationship between GDP and public
expenditure for the US data during the period 1947-2002. The causality results revealed that total
government expenditure causes growth of GDP. On the other hand, growth of GDP does not
cause expansion of government expenditure. Moreover, the estimation results indicated that
public expenditure raises the US economic growth. The authors concluded that, judging from the
causality test Keynesian hypothesis exerts more influence than the Wagner’s law in US.
Loizides and Vamvoukas (2005) employed the trivariate causality test to examine the
relationshipbetween government expenditure and economic growth, using data set on Greece,
United Kingdom and Ireland. The authors found that government size granger causes economic
growth in all the countries they studied. The finding was true for Ireland and the United
Kingdom both in the long run and short run. The results also indicated that economic growth
granger causes public expenditure for Greece and United Kingdom, when inflation is included.
A Disaggregated Analysis was carried out by Abu and Abdullahi (2010), using the co-integration
and error correction methods, the study has its basis on the Keynesian and endogenous growth
models. The result reveals that government total capital expenditure, total recurrent expenditure
and government expenditure on education have negative effect on economic growth while,
growth in Nigeria used time series data covering 1977-2006 to analyse the RAM model. The
study employed three variants of Ram model were developed to regressed Real GDP on private
investment. The empirical result showed that private and public investments have no significant
effect on economic growth. However, the study shows that long run relationship between public
Usman, et al (2011) empirically examined the public expenditure and economic growth in
Nigeria. The study adopted augmented Solow model is specified in Cobb-Douglas. The study
expenditure on building human capital- public expenditure on education and health, expenditure
economic growth. The result shows that public spending doesn’t has impact on growth in the
short run, however there is long run relationship between public expenditure and economic
growth.
between the Military and Civilian Regime in Nigeria’ the papers adopt descriptive approach in
its study. The research work compares the proportion of public expenditure on agricultural with
the allocation to other sectors of the economy such as education, health and transport. The study
reveals the agricultural sector received more percentage of public expenditure during civilian
37
regime but the contribution of agriculture to GDP during military regime is greater than the
civilian regime.
Adewara and Oloni, (2012) in Composition of Public Expenditure and Economic Growth in
Nigeria analyzed the relationship between public expenditure compositions from 1960 to 2008
on economic growth using the Vector Autoregressive Model (VAR). The study finds out that
expenditure on education has failed to enhance economic growth due to the high rate of rent
seeking in the country and high rate of unemployment. The study also recommends that
expenditure on health and agriculture should be encouraged due to their positive contributions to
growth.
Ben-Caleb and Godwins (2012) researched on Budget discipline in Nigeria: A critical evaluation
of military and civilian regimes. The paper juxtaposes military and civilian regimes with respect
to adherence to budgetary estimates. The study employs descriptive statistics, simple variances
and percentages with the help of independent T-test of difference of variances. The paper reveals
that budget indiscipline under democratic regime is higher than the budget indiscipline under
democratic regime by analyzing budget expenditure variances between the two regimes.
Anyanwu et al (2012) in their Comparative Regime Analysis of the Trend and Structure of
Military Expenditure in Nigeria, the study covers from 1980 to 2010 where the descriptive
statistical tool employed in the analysis ironically shows civilian administrations spend more for
defence purposes than military and that recurrent defence expenditure takes a higher proportion
remain the bedrock of Nigeria’s economic growth. The work adopted the ECM method to
analyse the long run effect of selected macro economic variables on growth. The findings of their
work shows that expenditure on telecommunication, defence and security, education and health
sectors have positive effect on Nigeria economic growth. But, transportation and agricultural
Ogbulu and Torbira (2012) carried out empirical study on Budgetary Operations and Economic
Growth: The Nigerian Perspective. The study adopted the linear OLS mechanism in the analysis
of budgetary economic growth model patterned after multivariate regression model of linear
formation. The ECM was used to indicate how the departure from the long-run equilibrium is
corrected. The study reveals that five budgetary items: non-oil revenue, economic,
administrative, social and transfer expenditures exerted a significant effect on the GDP.
Nigeria: An Disaggregated Time Series Analysis from 1970-2009. The study use the OLS
multiple regression model. The result of the analysis shows that capital and recurrent expenditure
on economic services have insignificant negative effect on economic growth; capital expenditure
has insignificant positive effect on growth. While capital and recurrent expenditure on social and
community services and recurrent expenditure on transfers has significant positive effect on
economic growth.
39
Chude and Chude (2013) examine the Impact of Government Expenditure on Economic Growth
in Nigeria between the periods of 1977 to 2012. The study focuses on the sectorial expenditures
analysis. The study employed ex post-facto design and Error Correction Model in its analysis.
The study reveals that total expenditure education is highly and statistically significant and has
Oyinlola and Olusijibomi (2013) investigated public expenditure and economic growth nexus:
Further evidence from Nigeria during the period of 1970 to 2009. The study employed
disaggregated public expenditure using the structural breaks co-integration technique. The result
of the research confirms Wagner’s law in two models in the long run, the result also shows that
economic growth and development are the main objectives of government expenditure,
especially investment in infrastructure and human resources all of which falls under social and
community services.
Egbetunde and Fasanya (2013) delve into the Public Expenditure and economic Growth in
Nigeria: Evidence from Auto-Regressive Distributed Lag Specification during the period 1970-
2010. The Bounds approach to co-integration was used in the analysis to examine the long run
and short run relationships between public expenditures and economic growth. The ARDL
approach signifies that the variables are bound together in the long-run. The study reveals that
recurrent expenditure has significant impact on growth; total public spending has negative effect
on growth.
40
Okoro (2013) explores Government Spending and Economic Growth in Nigeria covering 1980 to
2011. The study used Error correction mechanism and Granger causality test in its analysis. The
findings reveal that there exist a long run equilibrium relationship between government spending
Nazifi (2014) researched on the capital expenditure and its impact on economic growth in
Nigeria: 1980-2010.The multiple regression model of Ordinary Least Square was used to analyse
the data. The findings of the study shows that total capital expenditure, capital expenditure on
Akpan (2005) used a disaggregated approach to determine the components (that include capital,
recurrent, administrative, economic service, social and community service, and transfers) of
government expenditure that enhances growth, and those that do not. The author concluded that
there was no significant association between most components of government expenditure and
Ighodaro and Okiakhi (2010) used time series data for the period 1961 to 2007 and applied co-
integration Test and Granger Causality test to examine government expenditure disaggregated
into general administration and community and social services in Nigeria. The results revealed
Loto (2011) investigated the impact of sectorial government expenditure on economic growth in
Nigeria for the period 1980-2008 and applied Johansen co-integration technique and error
correction model. The results inferred that in the short run expenditures on agricultures and
national security, transportation, and communication were positively related to economic growth,
Studies in Nigeria, like Nurudeen and Usman (2010) showed mixed results. Therefore, this study
relationship in Nigeria. It considers government spending only in two categories – capital and
recurrent expenditure as important variables that affects economic growth. Secondly, it extends
the study period to 2011 and finally employed the Error Correction Mechanism (ECM) in the
study.
Budgetary allocations are integral components to an annual financial plan, or budget, of all
organizations. Sectorial Budgetary Allocation is a financial plan used to estimate revenues and
expenditures for a specific period of time on sectors of the economy such as education, health,
sharing formula designed by constituted authority on the amount of funding designated to each
sectors of the economy such as education, health, defence, transportation, communication for a
After going through available literature of previous studies, to the best knowledge, there is no
study that covered effect of sectorial budget allocation management on GDP of Nigeria health
sector between the periods of 1990 to 2019 that has done in recent time. The studies in the past
fail to first use pre-diagnostic test to determine which statistical tool most suits the model
specification. The study will use sophisticated econometric estimation tool like error correction
output of unit root test unlike past studies that used ordinary regression.
The literature so far reviewed reveals that there are still unanswered research questions such as
what is extent to which sectorial budget allocation management on GDP of Nigeria health sector.
43
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47
CHAPTER THREE
METHODOLOGY
3.1 Introduction
This chapter aimed at stipulating steps of the research designs for the study. It encompassed the
research design used for the research. It addressed the target population, research design,
sampling procedure, research techniques, data collection and data analysis methods.
Nigeria officially referred to as the Federal Republic of Nigeria is a federal state in West Africa.
It borders Cameroon and Chad to the East, Benin to the west and Niger to the north. It also has a
coast in the south that lies on the Gulf of Guinea in the Atlantic Ocean. Nigeria is made up of 36
cities and the Federal Capital Territory, where Abuja, the capital city is situated.
Nigeria has a lot of historic empires and cultures compared to other countries in Africa. The
history of Nigeria can be traced back to as early as 11,000 BC when a number of ancient African
communities inhabited the area that now makes Nigeria. The greatest and the well-known empire
48
that ruled the region before the British arrived was the Benin Empire whose ruler was known as
Oba of Benin. Other tribes such as the Nri Kingdom also settled in the country, especially in the
Eastern side. The Songhai Empire also settled in some of the country’s territory. By the 11th
century, Islam had arrived in Nigeria via the Hausa States. In 1851, the British forces seized
Lagos, which was later annexed officially in 1861. In 1901, Nigeria was made a British
protectorate and was colonized until 1960, when the country gained independence.
In 1963, Nigeria became a republic but fell under military rule in 1966 as a result of a coup
d'état. In 1967, the Republic of Biafra was formed and this led to the three-year Nigerian Civil
War. The country became a republic again in 1979 after a new constitution was drafted. The
republic, however, did not last for long because the military under the leadership of Major
General Muhammadu Buhari seized the country four years later. A new republic was formed in
August 1993 after Buhari was overthrown but was once again dissolved in November the same
year by General Sani Abacha who passed on in 1998, leading to the creation of a forth republic
in 1999.
This study made use of ex post-facto research design which enables us to measure the effect or
relationship between dependence variable and explanatory variables using time-series secondary
data. An ex post facto research design is a method in which groups with qualities that already
exist are compared on some dependent variable. Also known as "after the fact" research, an ex
post facto design is considered quasi-experimental because the subjects are not randomly
assigned - they are grouped based on a particular characteristic or trait (Ebo, 2009).
The sources of data are obtained from the central Bank of Nigeria statistical Bulletin, the
National Bureau of statistics and budget office federal ministry of finance. The type of data is
The population of the study constitutes Nigeria as a whole, because they are data on the sectorial
covering a period of 1985 to 2018 using time-series secondary data. The population of the study
Since this study is based on time series form secondary data, the sample size is 29 years within
the range of 1990 to 2019. This duration was used because it is detailed enough to give a good
result and analysis. Again, the scope of the study was chosen to concentrate mainly on time
series data.
The study is anchored on Adolph Wagner’s law of “increasing expansion of public and state
economic activities.
Thus, the model is represented in a functional form of the model was shown below:
Where
50
The ordinary least square (OLS) method of estimate will be employed in the study. This is
because of the various assumptions of the classical least square estimation are showed in the
qualities of the variables. The OLS has best linear unbiased estimator (BLUE). Therefore, the
Before the estimation exercise, all variables will be tested with Augmented Dickey Fuller unit
root test because any non stationary time series data produce spurious regression and it also stand
The result emanating from the model shall be evaluated based on the following criterion:
Economic Criterion
This involves examining the result of the estimated model with a view to finding out whether the
estimated parameters meet the economic a priori expectation or conform to the theory. All
variables used in the model specification have positive sign because they have direct relationship
Statistical Criterion
This confirms the significance of the a priori expectation. Most common among them are student
t-test, f-ratio test, the standard error, R-square and adjusted R-square. The student t-statistic
shows how the individual explanatory variables employed in the study are significant in
explaining the dependent variable, the F-ratio statistics shows significant of the entire variable
joined together in explaining the dependent variable. The R-square shows the overall goodness
of fit of the model. It tells the percentage of the dependent variable that has been explained by
Econometric Criterion
Residual Normality test:-This test whether the residuals are normally distributed. A good result
of this test shows that the model is well specified and the test statistics can produce neither type
one error nor type two errors. Jarque-Bera statistics is test statistics that shows both skewness
coefficient and Kurtosis coefficient. When the Jarque-Bera test statistic produces result zero for
skewness and 3 (three) for Kurtosis respectively, it means that the residual of the model is
normal distributed and able to give good value judge on the model.
52
Autocorrelation Test:-The Durbin-Watson (D-W) statistics is test statistics that check whether
the model suffers autocorrelation problem. The present of Autocorrelation problem violates the
This study will employ e-veiws version 9 computer application software. They are user friendly
References