Public Health as a Catalyst for Economic Growth: Insights from South Asia

Authors

  • Mubasher Ali Department of Economics, The University of Lahore, Pakistan.
  • Aribah Aslam Department of Economics, The University of Lahore, Pakistan.
  • Maria Idrees Department of Economics, The University of Lahore, Pakistan.
  • Ghulam Ghouse Department of Economics, Beaconhouse National University, Lahore, Pakistan.

DOI:

https://doi.org/10.69591/jcihs.2.2.5

Keywords:

Public Health Spending, Economic Growth, South Asia, Life Expectancy, Labor Force, Health Sector

Abstract

Objective: This paper explores the relationship between public health spending and economic growth in South Asia, within the broader context of international financial dynamics. The core objective is to examine how the independent variable, public health expenditures, influences economic growth and prosperity across South Asian countries.

Method: Employing panel data from seven South Asian countries spanning the period from 1993 to 2022, the study analyzes variables such as life expectancy, infant mortality, and labor force, with GDP per capita used as the dependent variable to measure economic growth. To estimate this impact, the study utilizes unit root tests, error correction models, heteroscedasticity LM tests, and the ARDL (Auto-Regressive Distributed Lag) model for both short-run and long-run analysis.

Results: The results reveal a strong positive association between GDP per capita and public health spending, underscoring the pivotal role of health investment in fostering economic growth amidst evolving international financial markets. Furthermore, the study highlights the intricate link between public health and global financial stability, shedding light on the indirect effects of increased health spending on foreign direct investment (FDI), currency fluctuations, and international capital flows.

Recommendation: These findings offer policymakers critical insights for crafting effective public health strategies that not only improve population well-being but also enhance financial resilience and competitiveness in the global economic arena.

References

[1] Newhouse JP. Medical-care expenditure: A cross-national survey. J Hum Resour. 1977;12(1):115–125.

[2] Zaidi S, Saligram P, Ahmed S, Sonderp E, Sheikh K. Expanding access to healthcare in South Asia. BMJ. 2017;357:j1645. https://doi.org/10.1136/bmj.j1645

[3] Akram N, Padda IUH, Khan M. The long-term impact of health on economic growth in Pakistan. Pak Dev Rev. 2008;47(4-II):487–500.

[4] Bloom DE, Canning D, Sevilla J. The effect of health on economic growth: A production function approach. World Dev. 2004;32(1):1–13.

[5] Fogel RW. Economic growth, population theory, and physiology: The bearing of long-term processes on the making of economic policy. Am Econ Rev. 1994;84(3):369–95.

[6] Neupane S, Shrestha S, Koirala S, Shrestha R. Patient utilization of primary healthcare services for diabetes management in South Asia. Glob Health Action. 2014;7:24535. https://doi.org/10.3402/gha.v7.24535

[7] World Health Organization. World health report: Health systems financing: the path to universal coverage. Geneva: WHO; 2010.

[8] Adeel U. Impact of government expenditure on the health sector of Pakistan. Bull Bus Econ. 2016;5(4):177–192.

[9] Kumar S, Narayan PK. Health expenditure and economic growth in low-income countries: Panel evidence. Econ Model. 2024;136:106190. https://doi.org/10.1016/j.econmod.2023.106190

[10] Watanabe M, Tsukamoto T, Yamamoto T. Health capital and macroeconomic outcomes: Revisiting the evidence. Health Econ Rev. 2024;14(1):6. https://doi.org/10.1186/s13561-024-00400-w

[11] Rancic N, Jakovljevic MB, Long C. Economic burden of disease and the role of healthcare expenditure: A systematic review. Front Public Health. 2020;8:243. https://doi.org/10.3389/fpubh.2020.00243

[12] Jakovljevic M, Timofeyev Y, Ekkert NV, Fedorova JV, Chankseliani N, Khachaturyan V, et al. Health system efficiency and the impact of public health investments: A cross-country analysis. Front Public Health. 2020;8:650. https://doi.org/10.3389/fpubh.2020.00650

[13] Mankiw NG, Romer D, Weil DN. A contribution to the empirics of economic growth. Q J Econ. 1992;107(2):407–437.

[14] Arora S. Health, human productivity, and long-term economic growth. J Econ Hist. 2001;61(3):699–749.

[15] Gallup JL, Sachs JD. The economic burden of malaria. Am J Trop Med Hyg. 2001;64(1 Suppl):85–96. https://doi.org/10.4269/ajtmh.2001.64.85

[16] Schultz TP. Health and schooling investments in Africa. J Econ Perspect. 2005;19(3):67–88. https://doi.org/10.1257/089533005774357935

[17] Gyimah-Brempong K, Wilson MS. Health human capital and economic growth in Sub-Saharan African and OECD countries. Q Rev Econ Finance. 2004;44(2):296–320. https://doi.org/10.1016/j.qref.2003.12.003

[18] Lorentzen PL, McMillan J, Wacziarg R. Death and development. Cambridge (MA): National Bureau of Economic Research; 2005. Working Paper No. 11620.

[19] Jamison DT, Lau LJ, Wang J. Health and economic growth: Findings and policy implications. In: Jamison DT, Breman JG, Measham AR, et al., editors. Disease control priorities in developing countries. 2nd ed. Oxford: Oxford University Press; 2006. p. 287–302. https://doi.org/10.1093/0195179988.003.0014

[20] Sachs JD, Warner AM. Natural resource abundance and economic growth. Cambridge (MA): National Bureau of Economic Research; 1997. Working Paper No. 5398. https://doi.org/10.3386/w5398

[21] Baltagi BH, Moscone F. Health care expenditure and income in the OECD reconsidered: Evidence from panel data. Econ Model. 2010;27(4):804–11.

[22] Purohit BC. Inter-state disparities in health care and financial burden on the poor in India. J Health Soc Policy. 2012;28(3):206–21.

[23] Bhargava A, Jamison DT, Lau LJ, Murray CJL. Modeling the effects of health on economic growth. J Health Econ. 2001;20(3):423–40.

[24] Solow RM. A contribution to the theory of economic growth. Q J Econ. 1956;70(1):65–94.

[25] Heshmati A. On the causality between GDP and health care expenditure in augmented Solow growth model [Working Paper No. 423]. Stockholm School of Economics; 2001.

[26] Buchanan JM. An economic theory of clubs. Econ J. 1965;75(300):1–14.

[27] Romer PM. Increasing returns and long-run growth. J Polit Econ. 1986;94(5):1002–37.

[28] Barro RJ. Economic growth in a cross section of countries. Q J Econ. 1991;106(2):407–443.

[29] Ssozi J, Asongu SA. The effects of governance on economic growth in Africa: A meta-analysis. Financ Innov. 2014;1(1):1–14. https://doi.org/10.1186/s40854-015-0001-1

[30] Baldacci ME, Cui Q, Clements MBJ, Gupta MS. Social spending, human capital, and growth in developing countries: Implications for achieving the MDGs. Washington (DC): International Monetary Fund; 2004. Report No.: 4-217.

[31] Mandiefe SP, Chupezi JT. Contribution of public health investments to the economic growth of Cameroon. Bus Econ J. 2015;6(4):1.

[32] Ogundipe MA, Lawal NA. Health expenditure and Nigerian economic growth. Eur J Econ Finance Adm Sci. 2011;30:125–129.

[33] Bakare AA, Olubokun A. Public health expenditure and economic growth in Nigeria: A time-series analysis. J Econ Finance Adm Sci. 2011;16(31):103–18.

[34] Blecher M, Kollipara A, De Jager P, Zulu L. Public health spending and economic performance in Africa: New evidence. BMC Public Health. 2021;21(1):1605. https://doi.org/10.1186/s12889-021-11669-w

[35] Aguayo-Rico A, Guerra-Turrubiates IA, Montes R, Estudios T, Monterrey S. Empirical evidence of the impact of health on economic growth. halshs-00678713. 2005. Available from: https://halshs.archives-ouvertes.fr/halshs-00678713

[36] Dreger C, Reimers HE. Health care expenditures in OECD countries: A panel unit root and cointegration analysis. [Unpublished manuscript]; 2005.

[37] Eggoh J, Houeninvo H, Sossou GA. Education, health and economic growth in African countries. J Econ Dev. 2015;40(1):93.

[38] Pal S, Bandyopadhyay S. The relationship between healthcare infrastructure and economic performance: A regional analysis. Soc Sci Med. 2023;320:115724. https://doi.org/10.1016/j.socscimed.2023.115724

[39] Razaq S, Haider A, Khan MK. Public health financing and inclusive economic growth: A global perspective. Health Policy OPEN. 2023;4:100081. https://doi.org/10.1016/j.hpopen.2023.100081

[40] Liu Y, Li S, Wang Y. Healthcare expenditure and sustainable economic growth: Evidence from emerging economies. Int J Environ Res Public Health. 2022;19(7):4040. https://doi.org/10.3390/ijerph19074040

[41] Reeves A, McKee M, Stuckler D, Amato L. Public health and economic resilience during pandemics: An evaluation. Lancet Public Health. 2021;6(7):e431–e440. https://doi.org/10.1016/S2468-2667(21)00110-4

[42] Elgin C, Basbug G, Yalaman A. COVID-19 and fiscal policies: How healthcare investment affects recovery. Eur Econ Rev. 2022;147:104120. https://doi.org/10.1016/j.euroecorev.2022.104120

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Published

2024-12-30

Issue

Vol. 2 No. 2 (2024)

Section

Articles

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Copyright (c) 2025 Mubasher Ali , Aribah Aslam, Maria Idrees, Ghulam Ghouse

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