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article · International Journal of Research in Economics and Finance

Health Expenditure and Sectoral Total Factor Productivity in Morocco: A Dynamic Panel Analysis

2026Open accessMohammed V University

In plain language

An empirical investigation across 44 economic sectors in Morocco between 2014 and 2020 evaluated how different types of health expenditure influence sectoral total factor productivity. Using dynamic panel models to account for endogeneity and selection bias, the analysis reveals that sectoral productivity is strongly persistent and path-dependent. Notably, household health expenditure demonstrates a positive and statistically significant relationship with productivity gains across sectors. In contrast, public health expenditure is negatively associated with productivity, highlighting potential inefficiencies in resource allocation. Other health-related spending categories, including investments and intermediate expenditures, show no robust productivity effects. Consequently, the evidence indicates that household-driven health investments play a primary role in enhancing sectoral productivity, suggesting that decentralized, household-level interventions are more effective than broad public spending programmes.

Key takeaways

  • Household health expenditure has a positive and statistically significant impact on sectoral total factor productivity across Moroccan economic sectors.
  • Public health expenditure shows a negative association with sectoral productivity, pointing to issues with efficiency and resource allocation.
  • Sectoral productivity displays strong persistence, reflecting path-dependent productivity dynamics over time.
  • Health-related investments and intermediate expenditures do not demonstrate robust effects on productivity across sectors.

Why it matters

Understanding how healthcare funding influences economic performance helps governments and planners allocate limited resources effectively. By showing that direct household health spending drives productivity more reliably than centralised public expenditure, this work underscores the need for reformed public expenditure management and targeted support mechanisms that reach families directly to foster wider economic growth.

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Abstract

This paper analyzes the relationship between health expenditure and sectoral total factor productivity (TFP) in Morocco over the period 2014–2020. The analysis uses panel data covering 44 economic sectors. TFP is estimated from a Cobb–Douglas production function using the Olley and Pakes (1996) methodology to correct for simultaneity and selection bias. A dynamic panel model is then estimated using the System Generalized Method of Moments (GMM) to address endogeneity and unobserved heterogeneity. The results indicate strong persistence in sectoral TFP, consistent with path-dependent productivity dynamics. Household health expenditure has a positive and statistically significant effect on productivity. Public health expenditure is negatively associated with TFP, raising concerns over efficiency and resource allocation. Health-related investment and intermediate expenditures do not exhibit robust productivity effects across sectors. The findings reveal heterogeneous productivity returns across health spending components. The results point to the predominance of household-driven health investments in supporting sectoral productivity gains. Policy implications point to prioritizing household-level health support and reforming public expenditure management to reduce inefficiencies. Targeted, decentralized interventions yield higher productivity gains than broad public programs. The study provides sector-level evidence from a developing economy, informing health and industrial policy design.

Research topics

  • Global Health Care Issues
  • Healthcare Systems and Reforms
  • Economic Growth and Productivity

Sustainable Development Goals

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DOI: 10.71420/ijref.v3i8-1.349

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