Institutional Quality and Health Outcomes in Sub-Saharan Africa

Idrissa Ouedraogo, Issa Dianda, Iyewumi Titilope Adeyele


The objective of this research is to identify the institutional dimensions that are the most relevant to the improvement of health outcomes in sub-Saharan Africa. To this end, institutional quality measures are integrated into a health production model. This model is estimated by the Two-stage least squares method on a panel of 45 countries observed over the period 1996-2018. The data used are from the World Bank. The results show that the most relevant institutional dimensions that improve health outcomes in the region are by order: rule of law, control of corruption, government effectiveness, voice and accountability and political stability and absence of violence. For these reasons, African decision-makers who often have limited resources can focus on a few key components of these institutional qualities or their combinations to improve health outcomes in their countries.

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