Maternal & Child Health

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Browsing Maternal & Child Health by Subject "Child Health Financing"

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    Financing for child health-related sustainable developing goals in Malawi – The potential impact of increasing domestic resources mobilisation on SDG and HSSP II targets
    (Kamuzu University of Health Sciences, 2022-05-19) Nkhalamba, Lovemore Mzati
    Type of study The proposed study is a policy analysis that seeks to identify resources for increasing government revenues and spending on child health and its related social determinants to improve child outcomes in Malawi to meet the health sector strategic plan II’s (HSSP II) commitments. Problem Malawi has made strides in improving child health outcomes over the past three decades. This was achieved through considering and addressing child health determinants by developing relevant policies and increasing health financing. The current HSSP II emphasises the need to address determinants of child health and the importance of increased resource mobilisation and efficient utilisation and mobilisation. The SDGs also include child health targets and related determinants, which will require increased resource mobilisation. Government expenditure on health and its determinants must therefore increase and be allocated and used efficiently. The primary source of governments revenue is tax revenue (70% in low-income countries), and it is reasonable to focus on how this could be increased. There are both international and domestic tax gaps (the difference between that raised and what could be raised). Other upstream influences include quality of governance, as it is known that improved governance results in more efficient use of resources. Objectives The broad objective is to assess the potential for progress towards the child health related SGD and the HSPP II targets if the domestic tax gap were reduced. . The sub-objectives are to: - Review literature on international treaties relevant to child health that Malawi has ratified or signed and identify the parts of the constitution and policies pertinent to child rights. - assess the progress on child health related SGD targets through revenue raising and - Identify the domestic tax gaps and use economic modelling to estimate the additional number of children who would access their fundamental rights if the domestic tax gap was reduced with an equivalent increase in government revenue. Methodology The analysis will identify all available estimates of government revenue losses in Malawi by reviewing the literature, including reports by non-governmental organisations, international financial organisations, and the government. We will employ the economic modelling from the Government Revenue and Development project (the GRADE ) to estimate the number of children who could access their fundamental rights if revenue losses were curtailed and if domestic resource mobilisation increased. The GRADE uses panel data to model the impact of increased government revenues on the SDGs while assuming the government spends any additional income in the same way it has in recent years. Expected findings We expect to find a significant potential for increased government revenues to advance progress on SGD targets critical for child health in Malawi. Dissemination The findings will be reported locally to COMREC and at the College of Medicine research dissemination conference, in addition to peer-reviewed publication and presentation at international scientific meetings.