Relationship between Health and Economic Growth in Sub-Saharan African Countries: Examining the Moderating Effect of Institutional Quality

Authors

DOI:

https://doi.org/10.62054/ijdm/0302.19

Abstract

This study investigates health-growth relationship with the moderating effect of institutional quality (control of corruption) in Sub-Saharan African countries from 2000 to 2022. Utilizing Driscoll-Kraay fixed effect regression with standard errors, the analysis addresses autocorrelation, heteroskedasticity and cross-sectional dependence. Empirical results highlight that while school enrolment and life expectancy positively impact GDP per capita, control of corruption does not have a significant direct effect. Gross fixed capital formation shows a minor negative effect, and labour force participation has a small yet significant negative impact. The interaction between health improvements and institutional quality reveals that higher life expectancy significantly boosts economic growth, especially when corruption is reduced. The study underscores the crucial role of control of corruption on health improvements and economic growth. Strong institutions are important in converting health improvements into sustainable economic benefits, indicating that improving institutional quality can amplify the positive impacts of health on economic growth. The findings emphasize the importance of addressing institutional weaknesses to fully realize the benefits of health investments in the region. These insights are crucial for policymakers aiming to foster economic growth through investments in health human capital and institutional reforms in Sub-Saharan Africa. 

Author Biographies

  • Agness Titus, Department of Economics, Taraba State University, Jalingo, Nigeria

    Department of Economics

  • Sikiru J. Babalola, Department of Economics, Modibbo Adama University, Yola, Nigeria

    Associate Professor

    Department of Economics

  • Suleiman G. Purokayo, Department of Economics, Modibbo Adama University, Yola, Nigeria

    Professor

    Department of Economics

References

Acaro, A. A. (2014). The relationship between human capital and economic growth in MENA

Countries. Journal of Public Administration and Governance. 4(3), 2161-7104

Achim, M. V., Văidean, V. L., & Borlea, S. N. (2020). Corruption and health outcomes

within an economic and cultural framework. European Journal of Health Economics,

(2), 195–207

Ahmed, D., & Suardi S. (2007). Sources of economic growth and technology transfer in Sub-

Saharan Africa. South African Journal of Economics. 75(2), 159-178.

Akram, H., & Khan M. (2008). The long-term impact of health on economic Growth in

Pakistan. Pakistan Development Review, Pakistan Institute of Development Economics, 47(4), 487-500.

Alexandra, N., & Zhang, Z. (2016). Health and economic growth: Are there general Effects?

Evidence from selected Southern African Development Community Region Journal of Development Areas, 50(5), 205-216.

Anand, S. & M. Ravallion, (1993). Human Development in Poor Countries: On the Role of

Private Incomes and Public services. Journal of Economic Perspective, 7(1), 133-150. Arusha, C. (2013). Does health capital have differential effects on economic growth? Applied

Economic Letter, 20(3), 244-249.

Barro, R.J. (1991). Economic Growth in a Cross Section of Countries. Quarterly Journal of

Economics, 106(2), 407-443.

Barro, R.J. (1996). Health and economic growth. Mimeo. Cambridge, MaA, Harvard

University.

Barro, R. J. (1997). Cross country empirical study of economic growth: A Cross-Country

Empirical Study. Cambridge, MA: MIT Press, 145 ISBN: 0- 262-02421-7.

Barro, R.J. (2013). Health and economic growth. Annals of economic and Finance, 14(2),

-342.

Barro, R.J. & Sala-I-Martin. (1995). Empiric for economics and convergence. European

Economic Review, 40(1), 1325-1352.

Barro, R.J. & Sala-I-Martin. (2003). Economic growth. Second edition. Am J Agric Econ,

(4), 1087-1088.

Becker, G. (1975). Human capital: A theoretical analysis, with special reference to education.

Second Edition, 22 NBER ISBN: 0-226-04109.

Becker, G. S. (2013). The economic approach to human behavior. University of Chicago press.

Bernanke, & Gurkaynak. (2001). Is growth exogenous? Taking Mankiw, Romer and Weil

seriously. National Bureau of Economic Research Macroeconomics Annual MIT Press,

ISBN: 0-262-02520-5.

Bhargava, D., & Christopher M. (2001). Modelling the effects of health on Economic growth.

Journal of Health Economics, 20(3), 423-440.

Bloom, David Canning. (2000). The health and wealth of nations. Science 287 (5456),120708.

Bloom, David Canning. (2005). Health and economic growth: Reconciling the micro and

Macroeconomic evidence. Journal of economic literature, 32 (3), 1-13.

Bloom, David Canning. (2008). Population Health and Economic Growth. World Bank

Working Paper, No:24.

Bloom, David E., David Canning & Bryan Graham. (2003). Longevity and Life-Cycle Savings.

Scandinavian Journal of Economics, 105(3),319-338.

Bloom, David E., David Canning & Gunther. (2014). Disease and development revisited.

Journal of Political Economy, 122(6), 1355-1366.

Bloom, David E., David Canning & Jaypee S. (2002). The Demographic Dividend: New

Perspective on the Economic Consequences of Population Change (Santa Monica,

Califonia RAND). ISBN:0-8330-2926-6.

Bloom, David E., David Canning & Jaypee S. (2004). The effect of health on economic growth:

A production function approach. World Development. 32, (1), 1-13.

Bloom, David E., David Canning & Michael Moore. (2000). Health, Longevity and Optimal

Retirement. NBER Working paper 10919, August.

Bloom, David E., & Jeffrey G.Williamson. (1998). Demographic Transitions & Economic

Miracles in Emerging Asia, World Bank Economic Review, 12, 419-56.

Case, Anne, Anguafertig, & Christina Paxson. (2005). The lasting impact of childhood health

and circumstance. Journal of health education, 24(2),365-89.

Chen, Shieh & Juin-Jen Chang. (2014). Environmental policy and economic growth: The

Macroeconomic implications of the health effect. Journal of Economic Literature

Classification, 51(3),689-730.

Cohen, D. (1992). Tests of the Convergence Hypothesis. A Critical Note, Center For

Economics Letters, 65(2), 249-253.

Daniel and Coro Chasco. (2016). Long-run determinants of economic growth in South

America. Journal of Applied Economics, XIX(1), 169-172.

David, Orchakiewicz. (2012). The connection between health and economic growth: Policy

Implications re-examined. Global Management Journal, 1(2), ISSN2080-2951.

David, Weil. (2007). Accounting for the effect of health on economic growth. Quarterly

Journal. MIT Press, 122(3), 1265-1306.

Deaton & Angus. (2008). Income, health and well-being around the world: Evidence from the

Gallup world poll. Journal of economics perspective, 22(2),53-72.

Dinopoulos & Peter Thompson. (1999). Reassessing the empirical validity of human-capital

augmented neoclassical growth model. Journal of Evolutionary Economics, 9(1),135

Eggoh, J., Houeninvo, H. & Sossou. (2005). Education health and economic growth in African

Countries. Journal of economic development, 40(1), 93-111.

Gauri K, and David. N. Weil. (2015). How much of cross-country income variation Is

explained by health? Journal of the European Economic Association. 2(3),387-96.

Gillies. P. (1998). Effectiveness of alliances and partnership for health promotion, Health

Promotion International, 13(2), 99-120.

Harbison, F.H. (1973). Human Resources and the Wealth of Nations. London: Oxford

University Press, 40(1), 161-167.

Hoeffler, Anke. (2002). The augmented Solow model and the African growth debate Oxford

Bulletin of Economics and Statistics, 64, 0305-9049.

Howitt, P. (2005). Health, human capital and economic growth: A Schumperian perspective,

In Lopez-Casasnovas, G.; River, B; Currais, L. (Eds.), Health and Economic Growth:

Findings and Policy Implications. Cambridge: The MIT Press: 19-40.

Jude, Houeninvo, & Gilles-Arman Sossou. (2015). Education, Health and Economic Growth

in African Countries. Journal of Economic Development 40(1), 93-111.

Kalemi-Ozcan, Sebnem, Harl E. Ryder & David N. Weil. (2002). Mortality decline, Human

Capital Investment and Economic Growth. Journal of Development Economics,

(1),1-32.

Kefela, G. & R. Rena. (2007). Human capital Investment is a Continuous Prosperity: A study

of North East African State. Journal of Management & Social Science, 2(1), 54-70.

King, R.G & R. Levine. (1993). Finance, Entrepreneurship, and Growth: Theory and Evidence.

Journal of Monetary Economics 32, 513-542.

Knowles, S. and Owen, P.O. (1995). Health Capital and Cross-Country Variation in Income

per Capita. In the Mankiw-Romer Weil model. Economics Letters, 48, 99-106.

Koller, T., Clarke, D., & Vian, T. (2020). Promoting anti-corruption, transparency and

accountability to achieve universal health coverage. Global Health Action, 13

Kormend., R.C. & Meguire, P.G. (1985). Macroeconomics Determinants of Growth: Cross

Country Evidence, Journal of Monetary Economics, 16, 141-163.

Kumar, Shoo. (2015). Investigating the relationship between population and economic growth:

An analysis study of India. Indian Journal of Economics and Business,14(2), 269-288.

Levine, R. & D. Renelt. (1992). A Sensitivity Analysis of Cross-Country Growth Regression.

American Economic Review 82, 194-963.

Lopez, Rivera, & Currais. (2005). Health and economic growth, findings and policy

implication London: MIT press Cambridge, 19-40.

Lucas, R.E., Jr., (1988). On the mechanics of economic development. Journal of monetary

economics, 22(1), 3-42.

Mackenbach, J. P., & McKee, M. (2015). Government, politics and health policy: A

quantitative analysis of 30 European countries. Health Policy, 119(10), 1298–1308.

Mankiw N.G. (1997). Comment on Kleonow and Rodriguez-Clare. In B. Bernake and J.

Rotemberg, eds., NBER Microeconomic Annual. Cambridge, MA: MIT Press.

Makuta, I., & O’Hare, B. (2015). Quality of governance, public spending on health and

health status in Sub-Saharan Africa: A panel data regression analysis. BMC Public

Health, 15(1), 1–11.

Mankiw, Romer, and Weil, D. (1992). A contribution on the empiric of economic growth.

Quarterly journal of economics, 107(2), 407-437.

Mayer, David. (2001). The long-term impact of health on economic growth in Latin America.

World Development, 29(6), 1025-1033.

Miguel, Edward. (2005). Health, Education and Economic Development. In Health and

Economic Growth: Findings and Policy Implications, edited by Guillem Lopez

Casasnovas, Berta Rivera and Luis Currais, 140-168. Cambridge: MIT Press

Mohapatra, Mishra. (2011). Composition of public expenditure on health and economic

growth: A cointegration analysis and causality testing. Journal of Public Finance, 9(2),

-42.

Mushkin, S.J., (1962), Health as an Investment. Journal of Political Economy 70, 129-157.

Najera, J. A., Hempel, J. (1996). World Health Organization. The burden of malaria.

Narayan, Paresh and Sagarika Mishra. (2010). Investigating the relationship between health

and Economic growth: Empirical evidence from a panel of 5 Asian Countries. Journal

of Asian Economics, 21(4), 404-411.

Nelson, R. and Phelps, E. (1966). Investment in humans, technological diffusion, and economic

Growth. American Economic Review: pages and Proceedings, 56(1/2), 69-75.

Pelinescu, E. (2015). The impact of human capital on economic growth. Procedia Economics

and Finance, 22, 184–190.

Peter, Howitt. (2003). Economic growth. The Economic Journal, 113(488), F384-F385. Peyakrjou, Gollu, Gashti, and Rafat Shahriva. (2011). Studying the relationship between

health and economic growth in OIC member states. Interdisciplinary Journal of Contemporary Research in Business,3(8), 1041-1054.

Pocas, Ana. (2014). Human capital dimensions-Education and Health and economic growth.

Advances in Business-Related Scientific Research Journal (ABSRJ), 5(2), 1-12. Quah, D., (1993). Galton’s Fallacy and Tests of the Convergence Hypothesis, Scandivavian

Journal of Economics 95, 427-443

Rahman, M. M., & Alam, K. (2022). Life expectancy in the ANZUS-BENELUX countries:

The role of renewable energy, environmental pollution, economic growth, and good governance. Renewable Energy, 190, 251–260.

Rivera, and Currais, L. (1999). Income variation and health expenditure: Evidence for OECD

Countries. Review of Development Economics, 3(3), 258-67.

Romer, P. (1986). Increasing returns and long-run growth. Journal of Political Economy,

(5), 1002-37.

Romer. P. (1990). Endogenous Technological changes. Journal of Political Economy, 98(5)

Part 2. S71-S102.

Sala-i-Martin. I just ran two million regressions. American Economic Review, Papers and

Proceedings, 87(2), 178-163.

Scheffler, J. (1999). The new growth evidences. Journal of Economic Literature, 37(1), 112

Scheffler, R. M. (2004). Health Expenditure and Economic Growth: An International

Perspective. Occasional Papers on Globalization, University of South Florida

Schneider, S.H. (2000). Greenhouse Effect World Bank Encyclopedia (Millennium, 8, 382

Chicago, World Bank.

Schult, P.M. (1961). Investment in human capital. American Economic Review,51 (1),1-17.

Schult, T. (1960). Capital formation by education. Journal of political economy, 68(6), 109-

Schult, T. (1971). Investment in human capital: The role of education and research. Free Press,

NY. Mac Millian, 39(2), 272-295.

Silva, Sumarto. (2015). Dynamics of growth, poverty and human capital: Evidence from

Indonesia Sub-National data. Journal of Economic Development, 40(2), 1-33.

Socoliuc, O. R., Guriță, N., Sîrghi, D. V., Jemna, M., & David, M. (2022). Corruption and

population health in the European Union countries: An institutionalist perspective.

International Journal of Environmental Research and Public Health, 19(9).

Solow, R. (1956). A contribution to the theory of economic growth. Quarterly Journal of

Economics, 70(1), 65-94.

TEAM, G. (2004). Financial Development and Economic Growth in Sub-Saharan African

Countries: Evidence from Time Series Analysis. African Development Review, 16(3),

-028.

Vian, T. (2020). Anti-corruption, transparency and accountability in health: Concepts,

frameworks, and approaches. Global Health Action, 13(Suppl. 1), Article 1694744.

Webber, Don. (2002). Policies to stimulate growth: should we invest in health or education.

Applied Economics, 34, 1633-1643

Weil, D. (2005). Accounting for the effect of health on economic growth. National Bureau of

Economic Research.

Weil, D. (2007). Accounting for the effect of health on economic growth. Quarterly Journal

of Economics, 122(3), 1265-1306

Wheeler, D., (1980). Basic Needs Fulfillment and Economic Growth: A Simultaneous Model.

Journal of Development Economics 7, 435-451

World Bank, (1987). World Development Report 1987 (Oxford University Press, New York,

World Health Organization. (2010). Health system financing. The path to Universal Coverage

World Health Organization. Health, Economic Growth, and Poverty Reduction: The Report of

Working Group Commission on Macroeconomics and Health.

World Health Organization & UN Partners. (2023). Health system financing. The path to

Universal Coverage

Downloads

Published

2026-06-12

How to Cite

Relationship between Health and Economic Growth in Sub-Saharan African Countries: Examining the Moderating Effect of Institutional Quality. (2026). International Journal of Development Mathematics (IJDM), 3(2), 292-308. https://doi.org/10.62054/ijdm/0302.19