Population Growth and Healthcare Financing in Nigeria: Causality and Policy Implications
##plugins.themes.bootstrap3.article.main##
Abstract
Rising population comes with consequences, but we are concern about the health implications of this trend especially in regards to Nigeria, hence the need to interrogate population growth and healthcare financing in Nigeria: causality and policy implications, between year 2000 to 2022. Time series data were sourced from relevant organisations. The study explored the Auto Regressive Distributed lag model approach and Granger causality test for estimation. Outcome of the ARDL indicated that, the employment status of Nigerians citizens has noteworthy effect on healthcare financing in the future and population growth, educational expenditure and unemployment rate are all influential on healthcare financing in the interim. While the Granger causality test indicated a unidirectional causality between; population growth and healthcare financing, population growth and educational expenditure, unemployment rate and population growth, gross domestic product per capita and unemployment rate and a weak causality between unemployment rate and healthcare financing. While there was no causation between healthcare financing and gross domestic product per capita, educational expenditure and healthcare financing, educational expenditure and gross domestic product per capita, unemployment rate and healthcare financing and unemployment rate and educational expenditure. It is on this premise that the following suggestions where arrived at; budgetary allocation to the health and educational sector should be done in reflection to the rising population and that skills acquisition should go along with the educational curriculum to enhance the chances for economic mobility.
Downloads
##plugins.themes.bootstrap3.article.details##
Adesola, R. O., Opuni, E., Idris, I., Okesanya, O. J., Igwe, O., Abdulazeez, M. D., & Lucero-Prisno
III, D. E. (2024). Navigating Nigeria’s health landscape: population growth and its health
implications. Environmental health insights, 18, 1-8.
https://doi.org/10.1177/117863022412502
Agboola, O.P., Alotaibi, B.S., Dodo, Y.A., Abuhussain, M.A, Abuhussain, M. (2024). Built
environment transformation in Nigeria: the effects of a regenerative framework. J Asian
Archit Build Eng. 23:789-812.
Beitz, C. R., (1986). Amartya Senís resources, values and development, Economics and Philosophy, 2(2), pp.282-91.
Brida, J.G., Alvarez, E., Cayssials, G., & Matias Mednik., (2023). How does population growth affect economic growth and vice versa? An empirical analysis.
Erinoso, O., Oyapero, A., Familoye, O., Omosun, A., Adeniran, A., Kuyinu, Y. (2023). Predictors
of health insurance uptake among residents of Lagos, Nigeria. Popul Med [Internet].
Https://Www.Populationmedicine.Eu/Predictors-Of-Health-Insurance-Uptake-Among-
Residents-Of-Lagos-Nigeria,169666,0,2.Html
Gatome- Munyua, A., et al. (2025). Reducing fragmentation of primary healthcare financing for more equitable, people- centred primary healthcare. BMJ Glob Health. 2025;10:e015088. doi:10.1136/bmjgh-2024-015088
Haward, V., (2024). Impact of Japan’s aging population on healthcare costs and the long-term care insurance system. studies in social science & humanities. doi:10.56397/SSSH.2024.02.06.
Igbinedion, S. O., & Mogbolu, F. (2023). Public health financing, remittances, and inclusive
growth in resource-rich countries: Evidence from Nigeria and Mozambique.
Jurnal Ekonomi dan Studi Pembangunan, 15 (1). 19-35.
DOI: http://dx.doi.org/10.17977/um002v15i12023p019.
Ogaji, D., Brisibe, S. (2015). The Nigerian health care system: evolution, contradictions, and
proposal for future debates. Port Harcourt Med J. 9:79–88.
Okwuarinma, A.C., (2024). Public Versus Private Hospitals: Sources and Constraints of Financing Public Healthcare Units: A Case Study of Hospitals in the Delta State of Nigeria.
15% Benchmark to Health Sector in Nigeria, the Journey so Far. https://drpcngr.org/wp-content/uploads/2021/04/15-BENCHMARK-TO-HEALTH-SECTOR-IN-NIGERIA-MODIFIED-03.pdf.
Onwujekwe, O., Chinyere Ojiugo Mbachu, C.O., Agyepong, I., & Elsey, H., (2025). Institutionalizing linkages between informal healthcare providers and the formal health system in Nigeria: what are the facilitating and constraining contextual influences? doi.org/10.1093/heapol/czaf009
Onwujekwe O, Ezumah N, Mbachu C, Obi F, Ichoku H, Uzochukwu B, et al. (2019). Exploring
effectiveness of different health financing mechanisms in Nigeria; what needs to change and
how can it happen? BMC Health Serv Res.19(1):661.
https://doi.org/10.1186/s12913-019-4512-4
Sahoo, P. M., Rout, H. S., & Jakovljevic, M., (2023). Consequences of India’s Population Aging to its Healthcare Financing and Provision. Journal of Medical Economics. 26(1), 308–315. doi.org/10.1080/13696998.2023.2178164.
Silva, N., Tavares, A. I., Koengkan, M., & Fuinhas, J. A. (2024). Analyzing the impact of fiscal conditions on private health expenditures in OECD countries: a quantile ARDL investigation. International Journal of Health Economics and Management, 24(3), 439-463.
Welcome, M. O. (2011). The Nigerian health care system: Need for integrating adequate medical
intelligence and surveillance systems. J Pharm Bioallied Sci. 3(4):470–8.
https://doi.org/10.4103/0975-7406.90100 PMID: 22219580
Wright, K. O., Adeniran, A., Aderibigbe, A., Akinyemi, O., Fagbemi, T., Ayodeji, O., Adepase, B.,
Zamba, E., Abdulrrazzaq, A., Oniyire, F., Ogboye, O., & Abayomi, A. (2025). Factors
associated with catastrophic healthcare expenditure in communities of Lagos Nigeria: A
Megacity experience. PloS one, 20(1), e0316814.doi.org/10.1371/journal.pone.0316814
Wu, W., Long, S., Cerda, A. A., Garcia, L. Y., & Jakovljevic, M. (2023). Population ageing and
sustainability of healthcare financing in China. Cost Effectiveness and Resource
Allocation, 21(1), 1-10.

This work is licensed under a Creative Commons Attribution 4.0 International License.