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The purpose of this paper is to examine the effect of unemployment during the COVID-19 pandemic on mental health, quality of life and the labour market outcome across North and Southern Nigeria.

Data was obtained from staff laid off in selected tertiary institutions in North East and South West Nigeria using a self-administered questionnaire with a total sample size of 185. Findings are shown using the heteroscedastic linear regression and descriptive statistics.

The results showed a significant negative effect of unemployment during the pandemic on mental health and quality of life. Less than half of those laid off are reabsorbed into the labour market with the majority in the South than the Northern region and most are in self-employment.

The coronavirus pandemic negatively affected the human race, with a huge socio-economic impact linked to health and well-being. This reality calls for attention to the role it played on mental health and the quality of life as well as how it has influenced the labour market. Labour empowerment during a pandemic is key to cushion the effect of pandemics on health and the labour market. This can be in the form of skill empowerment and increased access to funds for business start-ups to enable self-employment that typifies the labour market after a pandemic. This in turn will reduce mental health challenges and low quality of life associated with pandemics.

To the best of the authors’ knowledge, this research is the first in the literature that provides empirical evidence of the effect of unemployment during the pandemic on well-being captured using mental health and the quality of life in Nigeria. Findings on labour market outcomes due to the pandemic and across regions in Nigeria are also scarce in the literature.

This paper aims to analyze the relationship between public health spending and health outcome using time series data in Nigeria over the period 1980 to 2017, taking into account the role of governance by assessing how the quality of governance directly affects health status and indirectly as a mediator for the effectiveness of public health spending.

Using the Hausman statistical tests to check for the existence of endogeneity, the proper method for estimating the model for this study is the two-stage least square regression model. The two-stage least squares regression model addresses the problem of endogeneity using instrumental variables. The mediating role of governance on the effectiveness of public health spending on health was considered by an interaction of governance indicators with public health spending.

The results showed that public health spending had no significant effect on health outcome except when interacted with governance quality. The interaction of government health spending with governance effectiveness as well as that for control of corruption improved health by inducing a fall in maternal deaths, whereas government health expenditure interacted with rule of law raised maternal mortality. Public health spending interacted with regulatory quality improved life expectancy while that for political stability with public health spending induced a fall in life expectancy, poor maternal and infant health. Political stability and the control of corruption had direct influence on maternal health.

Given the predominance of public health spending in promoting access to health care and population health status for developing economies, the effectiveness of such spending should be top priority in policy makers’ agenda. This again is important because for developing economies, government revenue is generated from a small tax base due to their highly informal nature. To improve health status from public intervention in the health sector, there is indeed need for improvement in the overall state of governance in Nigeria.

This paper is one of the few country case studies which uses time series data to examine the role of governance on the efficacy of public health spending with extension of findings to maternal health and covering more measures of governance quality. The results fundamentally illuminate the importance of governance in fostering development in health and consequently enhancing economic development and growth.

This study investigates the effect of user fees on access and waiting time in Nigeria. For access, the effect of user fees on both preventive and curative care; and the effect of user fees on waiting time at public healthcare facilities were examined. User fees are vital for the fiscal sustainability of healthcare provision for most African economies. Its imposition could debar healthcare access by the poor while its removal can reduce quality of care and induce longer waiting time.

The wave 3 of the Nigerian General Household Survey (2015/16) data was used for users of public health facilities. Access to healthcare was modelled using utilization data in a logistic regression model while waiting time was through the Negative Binomial Regression Model (NBRM).

The analyses showed significant effects of user fees on access to both preventive and curative care and on time spent waiting to make use of healthcare services. Individuals were able to access healthcare services regardless of amounts paid. Also, there was a non-negative effect of user fee imposition on waiting time.

Nigeria should improve healthcare facilities to address the enormous demand for healthcare services when designing policy for health sector.

This paper shows that even with the imposition of user fees, healthcare facilities could still not cater for the rising healthcare needs of the populace but cautioned that its abolition may not be a preferred option.