The Role of Digital Financial Inclusion and Governance in Shaping Health Spending: Evidence From the Arab League Region

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Given the growing recognition of digital financial inclusion (DFI) and governance (GVN) systems in ensuring the proper dissemination of public funds, both variables can play a transformative role in enhancing the proper delivery of public health facilities. This study investigates the role of DFI and GVN in determining the health spending (HSP) across 22 Arab League countries over the period 1999 to 2023. The cross‐sectionally augmented autoregressive distributed lag (CS‐ARDL) model was employed for empirical estimation, and robustness of findings was performed through FMOLS and 2SLS approaches. The empirical findings demonstrate that a 1% increase in DFI is associated with an estimated 0.11% rise in health expenditure, while a 1% improvement in GVN leads to a 1.19% increase in HSP in the long run. These results underscore the significant role that both factors play: better DFI enables faster and broader access to financial resources, supporting greater allocations toward healthcare, whereas improved GVN ensures effective policy execution and optimal resource utilization. The consistency of the finding across alternative estimation techniques and the inclusion of several control variables suggest that strengthening digital financial infrastructure and GVN mechanisms can significantly boost HSP in Arab countries. The study offers novel insights into the integration of DFI and GVN for a unified empirical framework to explain variations in health expenditure.

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  • 10.38203/jiem.024.2.0083
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  • Journal of International Economics and Management
  • Ntebogang Esely + 1 more

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  • Cite Count Icon 58
  • 10.1108/ajems-09-2022-0372
Digital financial inclusion and economic growth in Sub-Saharan Africa: the role of institutions and governance
  • Feb 8, 2023
  • African Journal of Economic and Management Studies
  • Tough Chinoda + 1 more

PurposeThis study examines the role of institutions and governance on the digital financial inclusion and economic growth nexus in Sub-Saharan Africa (SSA) from 2014 to 2020.Design/methodology/approachThis study adopts the generalised method of moments technique which controls for endogeneity. The authors employed four main variables namely, index of digital financial inclusion, gross domestic product per capita growth, institutions and governance.FindingsThe results suggest a significant positive effect of institutional quality and governance on the digital financial inclusion-economic growth nexus in SSA. Furthermore, the authors find that effect of trade and population growth on economic growth was significantly positive while inflation reduces economic growth in the region.Research limitations/implicationsThis study also ignored the effect of digital financial inclusion on environmental quality. Future researches should focus on addressing these drawbacks and replicating the study in Africa as a whole and other developing countries across the world that are experiencing digital financial inclusion and economic growth challenges. The results from the study imply that a positive relationship between digital financial inclusion and economic growth. It is important to note that the study was carried out on the premise that institutions play a pivotal role in enhancing economic growth in SSA.Practical implicationsThe results confirm the significance of policies that enhances institutional quality and governance which are other avenues the authorities can pursue to enhance economic growth in SSA.Social implicationsThe paper documents the importance of institutions in boosting economic growth which impacts on social life rather than digital financial inclusion only.Originality/valueThe paper makes a contribution through analysing the role of institutions and governance on the digital financial inclusion-economic growth nexus rather than the traditional financial inclusion–economic growth nexus which is common to the majority of the available empirical studies.

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  • Asian Economic Policy Review
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  • Sep 27, 2021
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  • Journal of Chinese Economic and Foreign Trade Studies
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  • Jul 31, 2025
  • International Journal of Banking and Finance
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