Governance and Health Systems in the MENA Countries: A Panel Causality Framework

Authors

  • Chokri Terzi FSEG Sousse University of Sousse. LEGI University of Carthage
  • Emna Essadik University of Sousse, Faculty of Economic Sciences and Management of Sousse, (Quantitative Methods), Erriadh, Sousse, Tunisia

DOI:

https://doi.org/10.14666/2194-7759-11-2-004

Keywords:

Governance, health system, composite index, causality

Abstract

A substantial body of research has been carried out to analyze the health system’s determinants, considering a wide range of variables related to economic performance, monetary policy, telecommunication, and demographic statistics. Nevertheless, little is known about the impact of governance on the health system. This paper aims to overcome this shortcoming and to investigate the causality nexus of the health system and governance in short and the long run, using a panel data set for 14 MENA countries over the period 1996-2019. The proposed methodology is based on calculating a Governance Composite Index (GCI) by aggregating several indicators related to good governance. Next, we will try to measure the effects on the health system of selected factors. Finally, a causality analysis is made based on the Engle-Granger two-step approach. Empirical analysis shows that good governance contributes significantly to the health system in the long run but not in the short run. Based on a simulation analysis, we measure the additional rate in the annual growth in good governance that is sufficient to make its short-run effect significant.

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References

Bigdeli, M., Rouffy, B., Lane, B. D., Schmets, G., & Soucat, A. (2020). Health systems governance: the missing links. BMJ Global Health, 5(8), e002533.

Engle, R.F & Granger, C.W.J. (1987). Co-integration and error correction: representation, estimation, and testing, Econometrica, 55(2), pp. 251-276. https://doi.org/10.2307/1913236

Granger, C.W.J. (1969). Investigating causal relations by econometric models and cross-spectral methods, Econometrica, 37(3), pp. 424-438. https://doi.org/10.2307/1912791

Im, K.S, Pesaran, M.H. & Shin, Y. (2003), Testing for unit roots in heterogeneous panels, J. Econom. 115(1), pp. 53-74. https://doi.org/10.1016/S0304-4076(03)00092-7

Jeroen, K & Jakob, D.H. (2008). Effects of Governance on Health: a Cross-National Analysis of 101 Countries, Kyklos, 61(4), pp. 599-614. https://doi.org/10.1111/j.1467-6435.2008.00415.x

Kaufmann, D. (2010). Governance Matters: Worldwide governance indicators highlight governance successes, reversals, and failures (op-ed). Brookings

Kaufmann, D., Kraay, A., & Mastruzzi, M. (2004). Governance matters III: Governance indicators for 1996, 1998, 2000, and 2002. The World Bank Economic Review, 18(2), 253-287. ttps://doi.org/10.1093/wber/lhh041

Levin, A, Lin, C.F & James, C, Chia, S. (2002). Unit root tests in panel data: asymptotic and finite-sample properties, Journal of Econometrics, Elsevier, 108(1), pp. 1-24. https://doi.org/10.1016/S0304-4076(01)00098-7

Pedroni, P. (1999). Critical values for cointegration tests in heterogeneous panels with multiple regressors, Oxf. Bull. Econ. Stat, 61, pp. 653-670. https://doi.org/10.1111/1468-0084.0610s1653

Pedroni, P. (2004). Panel cointegration: asymptotic and finite sample properties of pooled time series tests with an application to the PPP hypothesis, Econom. Theor, 20, pp. 597-625

Riayati, A & Junaih, H. (2016), Public health expenditure, governance and health outcomes in Malaysia, Jurnal Ekonomi Malaysia, 50(1), pp. 29-40. http://dx.doi.org/10.17576/JEM-2016-5001-03

Zechariah, L & Ponlapat, B. (2020). Governance, health expenditure and infant mortality in sub‐Saharan Africa, Afr Dev Rev, 32(4), pp.673-685. https://doi.org/10.1111/1467-8268.12470

Published

2022-12-21

How to Cite

Terzi, C., & Essadik, E. (2022). Governance and Health Systems in the MENA Countries: A Panel Causality Framework. Journal Global Policy and Governance, 11(2), 71-87. https://doi.org/10.14666/2194-7759-11-2-004

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Section

Papers