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Research Article

Does Public Financial Management Save Life? Evidence from a Quantitative Review of PFM and Health Outcomes in Sub-Saharan African Countries

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Article: 2298190 | Received 14 May 2023, Accepted 19 Dec 2023, Published online: 15 Jan 2024

Figures & data

Figure 1. Analytical framework: linking PFM, health financing and health outcomes.

Figure 1. Analytical framework: linking PFM, health financing and health outcomes.

Figure 2. Trend in budget prioritization for health.

Source: Global Health Expenditure database, WHO.
Figure 2. Trend in budget prioritization for health.

Figure 3. Trend in a key proxy for institutional quality.

Source: Worldwide Governance Indicators database.
Figure 3. Trend in a key proxy for institutional quality.

Figure 4. PEFA score distribution per sub-Saharan African subregion.

Source: PEFA Secretariat database. Note: “Other” refers to the countries that do not belong to any regional-integration zone (Ethiopia, Mauritania, and Sudan).
Figure 4. PEFA score distribution per sub-Saharan African subregion.

Figure 5. PEFA score distribution per PFM dimension.

Source: PEFA Secretariat database.
Figure 5. PEFA score distribution per PFM dimension.

Figure 6. Key health outcomes distribution per sub-Saharan African subregion.

Source: World Development Indicators database.
Source: Global Burden of Disease database.
Note: “Other” refers to the countries that do not belong to any regional-integration zone (Ethiopia, Mauritania, and Sudan).
Figure 6. Key health outcomes distribution per sub-Saharan African subregion.

Figure 7. Scatterplots between overall PFM quality and health outcomes.

Source: PEFA Secretariat and World Development Indicators databases.
Figure 7. Scatterplots between overall PFM quality and health outcomes.

Table 1. Findings from the estimation of statistical relationship between PFM quality and health outcomes.

Table 2. Findings from the estimation of statistical relationship between PFM dimensions and health outcomes.

Table 3. Findings from the estimation of statistical relationship between PFM quality and health outcomes, depending on budget prioritization for health.

Table 4. Findings from the estimation of statistical relationship between PFM quality and health outcomes, depending on governance ineffectiveness.