INTERNATIONAL JOURNAL OF RESEARCH AND INNOVATION IN SOCIAL SCIENCE (IJRISS)
ISSN No. 2454-6186 | DOI: 10.47772/IJRISS | Volume IX Issue XII December 2025
Organization, 2019). These resources support hospitals, primary healthcare centres, medical supplies,
workforce training, and regulatory oversight. In many developing economies, where access to private
healthcare remains limited, public health expenditure plays a critical role in ensuring basic health outcomes
and reducing vulnerability.
Health investment contributes to economic performance by lowering disease burden, extending working life
expectancy, and reducing productivity losses associated with illness and absenteeism (Bloom & Canning,
2000). Beyond its direct effects, improved population health reinforces human capital accumulation by
enabling individuals to participate more effectively in education, training, and productive employment. In this
way, health expenditure complements education spending in shaping the overall quality and efficiency of the
labour force.
Public Expenditure, Human Capital, and Economic Growth
Public expenditure on education and health represents one of the principal channels through which
governments influence human capital development and long-term economic growth. Education enhances
cognitive capacity, adaptability, and technical competence, enabling workers to respond more effectively to
technological change and labour market demands (Becker, 1993). Similarly, improved health outcomes raise
productive capacity by reducing morbidity and strengthening both physical and cognitive functioning
(Grossman, 1972).
In many developing economies, private investment in human capital is constrained by income inequality, credit
market imperfections, and information asymmetries. Under such conditions, public expenditure plays a
compensatory role by broadening access to essential services (Barro, 1991). Comparative evidence suggests
that educational attainment and health status are closely linked to growth performance, even after controlling
for other structural determinants. However, the contribution of social expenditure to growth is not automatic.
Inefficiencies in service delivery, inequitable access, and weak governance structures can substantially dilute
expected outcomes, limiting the impact of public spending on human capital accumulation and economic
performance (Kruk et al., 2018).
Institutional Quality and Economic Growth
Institutional quality refers to the effectiveness of the legal, political, and administrative frameworks that shape
economic and social interactions. It encompasses dimensions such as government effectiveness, regulatory
quality, rule of law, accountability, and control of corruption (Kaufmann et al., 2010). By shaping incentives
and reducing uncertainty, institutions influence investment decisions, productivity outcomes, and the allocation
of resources across sectors.
A growing body of theoretical and empirical literature recognizes institutions as fundamental determinants of
sustained economic performance. North (1990) characterizes institutions as the rules of the game that structure
economic behaviour and transaction costs. Empirical studies further demonstrate that economies with stronger
institutional frameworks tend to experience higher rates of capital accumulation, faster technological diffusion,
and more inclusive growth patterns (Acemoglu et al., 2005). From a governance perspective, Rodrik (2000)
emphasizes that policy effectiveness depends not only on policy content but also on institutional capacity for
coordination, enforcement, and credibility.
Institutional Quality, Public Social Expenditure, and Economic Growth
Institutional quality plays a critical moderating role in determining whether public social expenditure translates
into improved human capital and economic growth. Government spending on education and health is more
likely to be effective within institutional environments characterized by transparency, accountability, and
administrative capacity (Gupta et al., 2001). Strong institutions enhance the efficiency of public resource use
by reducing leakages, curbing corruption, and strengthening planning, monitoring, and service delivery
systems, thereby improving educational and health outcomes and labour productivity (World Bank, 2017).
In contrast, weak institutions can substantially diminish the returns to public spending. Poor governance, rent
seeking behaviour, and weak regulatory enforcement often undermine the effectiveness of education and health
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