Abstract
This study examines the impact of health inequality on labour productivity in Sub-Saharan Africa using Panel Autoregressive Distributed Lag (Panel ARDL) techniques across 46 Sub-Saharan African countries. The study was motivated by the growing concern over persistent health disparities and their implications for labour market performance and economic development in the region. Data were analyzed to evaluate the relationship between health inequality, health expenditure, population growth, and labour productivity. The findings revealed that health inequality has a significant negative relationship with labour productivity, indicating that disparities in health outcomes reduce workers’ efficiency and productive capacity. Similarly, health expenditure was found to negatively influence labour productivity, suggesting possible inefficiencies in healthcare spending and weak healthcare delivery systems within the region. In contrast, population growth exhibited a positive relationship with labour productivity, implying that an increasing population may enhance labour supply and economic activities when properly harnessed. The study concludes that health inequality and ineffective healthcare expenditure constitute major impediments to labour productivity in Sub-Saharan Africa, while population growth can serve as a productive asset if adequately managed. Based on these findings, the study recommends the design and implementation of multi-level health equity policies aimed at reducing disparities in healthcare access, quality, and outcomes across income groups, geographic regions, and gender. The study further recommends expanding primary healthcare facilities, mobile clinics, and outreach services in rural and underserved communities, alongside strengthening social health insurance schemes, subsidized healthcare programs, and conditional cash transfer initiatives to reduce financial barriers to healthcare access and improve labour productivity in the region.
Jel Code: J24, J21,O47, C23
References
Adebayo, A. O., & Ajayi, A. R. (2020). The Impact of Health Inequality on Labor Productivity in Sub-Saharan Africa: A Structural Equation Model Approach. African Economic Review, 34(2), 134-150.
Adeola, A. K., & Bankole, M. F. (2021). Impact of Health Inequality on Labor Force Participation and Economic Growth in Sub-Saharan Africa: A Panel Data Analysis. African Journal of Economic Policy, 18(3), 155-170.
Adewole, A. I., & Adetunji, T. O. (2020). Health Inequality and Labor Market Participation: Evidence from a Panel Data Model in Sub-Saharan Africa. Economic Policy Review, 30(1), 102-116.
Agboola, G. A., & Akinmoladun, F. O. (2020). Impact of Health Inequality on Employment and Productivity in Sub-Saharan Africa: Evidence from Cointegration and ECM Models. Journal of Development Economics, 25(4), 108-123.
Ajao, O. T., & Adeola, M. A. (2021). Health Inequality, Labor Market Participation, and Economic Output in Sub-Saharan Africa: A Dynamic Panel Approach. African Journal of Economic Policy, 20(3), 112-127.
Akinleye, O. J., & Babajide, O. A. (2020). Health Inequality and Labor Market Efficiency in Sub-Saharan Africa: A Panel Regression Approach. Journal of Sub-Saharan African Economics, 22(3), 100-115.
Anne Case, & Christina Paxson. (2010). Causes and consequences of early-life health. Demography, 47(S), S65-S85.
Anne Case, Lubotsky, D., & Christina Paxson. (2002). Economic status and health in childhood: The origins of the gradient. American Economic Review, 92(5).
Ayodele, A. A., & Olorunfemi, K. I. (2020). Health Inequality, Human Capital, and Labor Productivity in Sub-Saharan Africa. Journal of African Development, 23(2), 110-125.
Babatunde, O. I., & Olanrewaju, A. O. (2021). The Role of Health Inequality in Labor Market Outcomes in Sub-Saharan Africa: A Pooled OLS Approach. Journal of African Development, 23(1), 134-145.
Christopher Boorse. (1977). Health as a theoretical concept. Philosophy of Science, 44(4), 542–573.
David E. Bloom, & David Canning. (2000). The health and wealth of nations. Science, 287(5456), 1207-1209.
David E. Bloom, & David Canning. (2003). The Health and Economic Growth: The Role of Causality, 31(11), 2049-2063.
Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196(4286), 129-136.
Eze, E. N., & Ayeni, S. O. (2020). The Role of Health Inequality in Labor Market Participation: A Case Study of Sub-Saharan Africa. African Development Review, 32(1), 84-97.
Frank W. Notestein. (1953). Economic factors in population growth. Journal of the American Statistical Association, 48(264), 13-23.
Idris, S. I., & Adebiyi, M. O. (2020). Labor Market Outcomes and Health Inequality in Sub-Saharan Africa: A Cross-Country Study Using OLS and GMM Estimations. Journal of Sub-Saharan Development, 21(3), 171-187.
Kanu, D. A., & Bamidele, A. O. (2021). The Effects of Health Inequality on Labor Productivity in Sub-Saharan Africa: A Dynamic Panel Analysis. African Development Journal, 22(2), 132-146.
Kate Pickett, & Richard Wilkinson. (2015). The Spirit Level: Why Equality is Better for Everyone. Penguin.
Martin Ravallion. (2014). Income inequality in the developing world. Science, 344(6186), 851-855.
Michael Grossman. (1972). On the Concept of Health Capital and the Demand for Health. Journal of Political Economy, 80(2), 223-255.
Michael Marmot. (2005). Social determinants of health inequalities. The Lancet, 365(9464), 1099–1104.
National Health Services England. (2024). ISBN 978-1-5286-5799-0, HC 1343.
Odunyemi, A., Rahman, T., & Alam, K. (2023). Economic burden of non-communicable diseases on households in Nigeria: Evidence from the Nigeria living standard survey 2018-19. BMC Public Health, 23, 1563.
OECD. (2015). In It Together: Why Less Inequality Benefits All. OECD Publishing.
OECD. (2017). Health at a Glance 2017: OECD Indicators. OECD Publishing.
Ogunbiyi, A. R., & Okunade, A. I. (2020). Health Inequality and Labor Market Productivity: Evidence from Sub-Saharan Africa. African Development Review, 32(1), 55-70.
Ogunleye, O. O., & Durojaiye, A. T. (2020). Exploring the Effect of Health Inequality on Labor Market Productivity in Sub-Saharan Africa: A GMM Approach. International Journal of Health Economics, 16(4), 204-218.
Ogunmodede, S. O., & Alabi, A. O. (2021). The Effect of Health Inequality on Employment and Productivity in Sub-Saharan Africa. Economic Research Forum, 25(2), 89-102.
Ojo, O. F., & Agboola, M. O. (2021). Health Inequality and Labor Market Productivity in Sub-Saharan Africa: An Econometric Panel Data Study. Development Studies Review, 18(3), 89-101.
Olorunfemi, K. I., & Adeoye, A. M. (2020). The Effect of Health Inequality on Labor Market Productivity in Sub-Saharan Africa: A Cross-Country Analysis. African Journal of Development Economics, 21(2), 60-74.
Olowu, S. O., & Ojo, A. T. (2021). Health Inequality and Labor Market Participation in Sub-Saharan Africa: Evidence from Panel Data Analysis. Journal of African Economics, 30(4).
Olufemi, A. O., & Niyi, A. A. (2021). Health Inequality and Labor Force Participation in Sub-Saharan Africa: Evidence from a Dynamic Panel Data Model. African Economic Journal, 34(2), 75-90.
Oluwatimilehin, O. A., & Oyebanji, O. O. (2021). The Impact of Health Inequality on Labor Market Participation in Sub-Saharan Africa. African Economic Journal, 35(3), 77-94.
Ostry, J. D., Berg, A., & Tsangarides, C. G. (2014). Redistribution, inequality, and growth. International Monetary Fund.
Paul Glewwe, & Edward Miguel. (2008). The impact of child health and nutrition on education in less developed countries. Handbook of Development Economics, 4, 3561-3606.
Ramalivhana, N. J., Mathikhi, M., Mulaudzi, F. M., & Nethengwe, D. (2024). Non-communicable disease risk profile, functional health, and health-related quality of life in low-resourced urban and rural districts of South Africa. BMC Public Health, 24(1).
Richard Wilkinson, & Kate Pickett. (2010). The spirit level: Why more equal societies almost always do better. Allen Lane.
Taffa, N., Chepngeno, G., Amuyunzu-Nyamongo, M., & Omondi, B. (2020). Child morbidity and healthcare utilization in Sub-Saharan Africa. Journal of African Health Studies, 9(3), 345-362.
UNDP. (2019). Human Development Report 2019: Beyond income, beyond averages, beyond today. United Nations Development Programme.
Wagstaff, A., Paci, P., & van Doorslaer, E. (2001). On the measurement of inequalities in health. Social Science & Medicine, 52(6), 843-857.
WHO. (2010). Equity, social determinants and public health programmes. World Health Organization.
WHO. (2015). Health in 2015: From MDGs to SDGs. World Health Organization.
World Bank. (2016). Poverty and Shared Prosperity 2016: Taking on Inequality. World Bank.
World Health Organization (WHO). (1948). Preamble to the Constitution of the World Health Organization. Geneva: WHO.
World Health Organization (WHO). (2021). Health inequalities and their causes. Geneva: World Health Organization.

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright (c) 2026 AUTHOR
