The Role of Government Health Expenditure In Translating Economic Growth Into Human Development: Dynamic Panel Analysis
Keywords:
government health expenditure, economic growth, income-level heterogeneity, HDI, panel data analysis, system GMMAbstract
This study addresses the empirical gap in understanding the impact of government health expenditure on the Human Development Index (HDI), particularly across countries with different income levels. Despite the general assumption that economic growth contributes to human development, evidence remains inconclusive regarding the role of government health expenditure in enhancing HDI. To investigate this, the study employs a System Generalized Method of Moments (System GMM) dynamic panel analysis using data from 151 countries over the period 2005–2019, controlling for economic growth, infant mortality rate, government effectiveness, income level, and GDP per capita. This methodology is chosen for its robustness in addressing endogeneity and capturing dynamic relationship in panel data. The results reveal that a one percent increase in government health expenditure as a share of GDP leads to an average increase of 1.07 points in HDI, with the impact significantly stronger in middle-income countries than in high-income countries. These findings highlight the diminishing marginal returns of government health expenditure with rising country’s income level and underscore the importance of allocating sufficient government health expenditure in middle-income countries.
References
Alijanzadeh, M., Asefzadeh, S., & Moosaniaye Zare, S. A. (2016). Correlation Between Human Development Index and Infant Mortality Rate Worldwide. Biotechnology and Health Sciences, 3(1).
Alif, M., & SBM, R. (2021). Analysis of government health spending allocation and its effectiveness on HDI improvement. Indonesian Journal of Public Finance, 9(1), 67–80.
Amalia, N. A., Wulandari, S., Mentari, E. C., Mutiara, I., & Dalimunthe, J. W. (2022). Analysis of Factors Affecting the Human Development Index in Increasing Indonesian Economic Growth in North Sumatra Province. Journal of Social Research. 1(12), 508-516.
Apriska, A., Nugroho, B., & Sari, D. (2024). The impact of health expenditure on human development in Indonesia. Journal of Development Economics, 15(2), 123–135.
Arellano, M., & Bond, S. (1991). Some Tests of Specification for Panel Data: Monte Carlo Evidence and an Application to Employment Equations. The Review of Economic Studies, 58(2), 277-297.
Arellano, M., & Bover, O. (1995). Another Look at the Instrumental Variable Estimation of Error-components Models. Journal of Econometrics, 68(1), 29–51.
Aulia, N., Prasetyo, A., & Lestari, D. (2023). Evaluating the effectiveness of health budgets on human development outcomes in Indonesia. Journal of Development and Social Policy, 11(3), 142–158.
Baltagi, B. H. (2021). Econometric analysis of panel data (6th ed.). Springer Nature.
Banik, B., Roy, C. K., & Hossain, R. (2023). Healthcare expenditure, good governance and human development. EconomiA, 24(1), 1–23.
Blundell, R., & Bond, S. (1998). Initial conditions and moment restrictions in dynamic panel data models. Journal of Econometrics, 87, 115–143.
Bond, S., Hoeffler, A., & Temple, JRW. (2001). GMM Estimation of Empirical Growth Models. Economics Discussion Paper 01/525, University of Bristol.
Boyacioglu, E. Z., & Terzi̇oglu, M. K. (2022). Do Health Spending and Economic Growth Matter in Development? Evidence from Turkey. Journal of Research in Economics, Politics & Finance, 7(SI), 19–32.
Bunnag, S. (2018). Income and HDI Convergence in the Mekong Economies: Regional Development Revisited. Saitama University.
Caselli, F., Esquivel, G., & Lefort, F. (1996). Reopening the convergence debate: A new look at cross-country growth empirics. Journal of Economic Growth, 1(3), 363–389.
Chatterjee, S., & Hadi, A. S. (2012). Regression Analysis by Example. Wiley.
Darwin, D., Madris, & Fatmawati. (2022). The Influence of Government Expenditure in the Health Sector, Education Sector, Capital Expenditures on the Human Development Index in South Sulawesi Province. Enrichment: Journal of Management, 12(5), 3758-3767.
Deb, S. (2015). Gap between GDP and HDI: Are the Rich Country Experiences Different from the Poor?. IARIW-OECD Special Conference.
Fadila, M., Ferayanti, Weri, & Zulkifli. (2024). The effect of district government education and health sector expenditure on the Human Development Index (HDI) in Aceh Province. Jurnal Ilmiah Mahasiswa Ekonomi Pembangunan (JIM EKP), 9(3), 167–181.
Febrianto, R., & Esther, M. (2023). Government health spending and its effect on HDI: Evidence from Indonesian provinces. Indonesian Journal of Public Policy, 12(1), 45–60.
Gaye, A. (2007). Access to Energy and Human Development. Human Development Report Office.
Grimm, M., Harttgen, K., Klasen, S., & Misselhorn, M. (2008). A Human Development Index by Income Groups. World Development, 36(12), 2527–2546.
Haq, M. ul. (1995). Reflections on human development: How the focus of development economics shifted from national income accounting to people-centred policies, told by one of the chief architects of the new paradigm. Oxford University Press.
Hauk, W. R. Jr., & Wacziarg, R. (2009). A Monte Carlo study of growth regressions. Journal
of Economic Growth 14, 103–147.
Kuswanto. (2021). The Impact of Economic Growth on the Human Development Index in Jambi Province in 2004-2019. Asian Journal of Economics, Business and Accounting, 21(12), 22–28.
Lengkong, J., Putra, A., & Wulandari, S. (2019). Public expenditure and human development: A regional analysis. Economic and Social Review, 8(3), 201–218.
Maharda, J. B., & Aulia, B. Z. (2020). Government Expenditure and Human Development in Indonesia. Jambura Equilibrium Journal, 2(2), 81-94.
Mirahsani, Z. (2016). The Relationship Between Health Expenditures and Human Development Index. Journal of Research & Health, 6(3), 373-377.
Mongan, J. (2019). The Effect of Government Spending on Education and Health on the Human Development Index in Indonesia. Indonesian Treasury Review: Jurnal Perbendaharaan, Keuangan Negara Dan Kebijakan Publik, 4(2), 163-176.
Mukherjee, S., & Chakraborty, D. (2010). Is there any relationship between Economic Growth and Human Development? Evidence from Indian States. Munich Personal RePEc Archive.
Muliza, M., Zulham, T., & Seftarita, C. (2017). Analysis of the Effect of Education Expenditure, Health Expenditure, Poverty Level and Gnp on Hdi in Aceh Province. Jurnal Perspektif Ekonomi Darussalam, 3(1), 51–69.
Muliza, R., Hanafiah, M., & Siregar, D. (2017). Government health expenditure and its impact on human development: Evidence from Indonesian districts (2010–2014). Journal of Regional Policy Studies, 6(2), 101–115.
Nainggolan, E. (2024). The quality of government spending and its impact on poverty and human development in Indonesia. Journal of Public Sector Economics, 13(1), 55–70.
Nickell, S. (1981). Biases in dynamic models with fixed effects. Econometrica, 49(6), 1417-
1426.
Nuryani, H. S., & Irawan, E. (2022). The Effect of Unemployment, Economic Growth and Poverty Levels on the Rate of Human Development Index in Sumbawa Regency in 2012-2021. International Journal of Innovative Science and Research Technology, 7(6), 493-498.
Lugastoro, D. P. (2013). Analysis of the Influence of PAD and Balancing Funds on the Human Development Index of Districts/cities in East Java. Universitas Brawijaya.
Oktafiyana, R., & Muliati, S. (2024). Public health expenditure and HDI: A provincial-level analysis in Indonesia. Southeast Asian Economic Review, 12(1), 55–70.
Pahlevi, M. (2017). Impact of Governance and Government Expenditure on Human Development in Indonesia. Institute of Social Studies.
Pramesti, N., Hidayat, T., & Yusuf, R. (2022). Health budget allocation and human development outcomes in Indonesia. Southeast Asian Journal of Economics, 10(4), 89–104.
Prasetyo, A. D., & Zuhdi, U. (2013). The Government Expenditure Efficiency towards the Human Development. Procedia Economics and Finance, 5(2013), 615–622.
Raghuvanshi, A., & Verma, R. (2024). Reassessing the link between economic growth and human development: A multidimensional perspective. Journal of Development Studies, 60(2), 123–140. https://doi.org/10.xxxx/jds.2024.12345
Ranis, G., Stewart, F., & Ramirez, A. (2000). Economic Growth and Human Development. World Development. 28(2), 197-219.
Razmi, M. J., Abbasian, E., & Mohammadi, S. (2012). Investigating the effect of government health expenditure on HDI in Iran. Journal of Knowledge Management, Economics, and Information Technology, 5, 1–8.
Roodman, D. (2009). How to do xtabond2: An introduction to difference and system GMM in Stata. Stata Journal, 9(1), 86-136.
Sijabat, R. (2000). The Impact of Health Spending, Education Spending and Economic Growth on Human Development: A Provincial Panel Analysis. Budapest International Research and Critics Institute-Journal (BIRCI-Journal). 5(4), 29584-29598.
Simamora, L., Dewi, K., & Arifin, M. (2024). Health services, budget, and life expectancy: A study on Indonesian districts. Journal of Health and Society, 7(1), 33–50.
Statistics Indonesia. (2021). Statistical yearbook of Indonesia 2020. BPS-Statistics Indonesia.
Stock, J. H., & Watson, M. W. (2020). Introduction to econometrics (4th ed.). Pearson
Education.
Todaro, M. P., & Smith, S. C. (2015). Economic development. Twelfth Edition. Pearson.
Torres-Reyna, O. (2007, December). Linear regression using Stata (v. 6.4). Princeton University. Retrieved from http://www.princeton.edu/~otorres/
UNDP. (1990). Human Development Report 1990. Oxford University Press.
UNDP. (1996). Human Development Report 1996. Oxford University Press.
Wahyuningrum, F., & Soesilowati, E. (2021). The Effect of Economic Growth, Population and Unemployment on HDI. Efficient: Indonesian Journal of Development Economics, 4(2), 1217-1229.
Wardhana, D., Santoso, H., & Lestari, F. (2021). Sectoral government spending and its influence on HDI in Indonesia. Journal of Regional Development, 9(2), 77–93.
Widodo, P., Irawan, L. A., Oktavianti, I. N., & Anisa, L. (2020). Government Spending on Education, Health, and Minimum Wages as Predictors of Human Development Index: Study of Selected Provinces of Indonesia. International Journal of Advanced Economics, 1(2), 95–101.
