The effect of health expenditures and good governance on health indicators of MENA countries using generalized torque method

In previous studies, little attention has been paid to the simultaneous effect of health expenditures and good governance on health indicators. In this regard, in this study, health expenditures and good governance on the health index of MENA countries during the period ۲۰۰۲ to ۲۰۱۹ have been investigated. The present study is descriptive-analytical-applied, and the statistical population includes the countries of Mena. The data collection method in the library and the data required for the research have been collected by referring to the World Bank database and indicators of good governance. Data were analyzed using unit root tests, Cao, and the generalized torque method using Eviews۹ software. In this study, the simple weighted average of six indicators of comment and accountability, political stability and non-violence, government efficiency, quality of law and order, the rule of law, and corruption control as indicators of good governance as well as infant mortality rate and death rate and The mortality of children under five years of age was used as a health indicator. The results showed that health costs (expenditures) had a positive and significant effect (coefficient -۱.۳۲) on reducing the mortality rate of children under five years and a positive and significant effect (coefficient -۱.۲) on reducing the infant mortality rate as an indicator. Health has been the health index of Mena countries. Also, the good governance index has a negative (non-significant) effect on the health situation in selected countries. The results also showed that the weakness of the institutional structure in MENA countries weakens the effect of health expenditures (with a coefficient of -۰.۰۱۳) on reducing the mortality rate of children under five years (and with a coefficient of -۰.۰۱۲) on reducing the infant mortality rate as a health indicator. Health in government leads to improved public health and a government ill health; despite increasing public health spending, it does not improve public health and leads to a waste of public resources.

Keywords:

Good governance , health expenditures , health index , MENA countries