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Strengthening Africa’s Sustainable Development Goal Agenda

Exploring Health, Climate, and Economic Synergies Through Causal Pathways

Datos Bibliográficos

ID12305819
AutoresIsaac Adjei Mensah (0000-0002-2466-7534, School of Public Health/Institute of Local Government Development Shantou University Shan‐Tou PR China), Wenxin Wang (0000-0002-7274-1970, School of Public Health/Institute of Local Government Development Shantou University Shan‐Tou PR China, autor de correspondencia), Mohammed Musah (0000-0002-9061-3219, Department of Accounting, Banking and Finance, Business School Ghana Communication Technology University Accra Ghana), Samuel Atingabili (0000-0003-0276-6192, School of Management Science and Engineering Jiangsu University Zhenjiang Jiangsu PR China), Kwadwo Boateng Prempeh (0000-0001-8193-6676, Faculty of Business and Management Studies Sunyani Technical University Sunyani Ghana), Thomas Appiah (0000-0002-2630-1763, Department of Accounting, Banking and Finance, Business School Ghana Communication Technology University Accra Ghana), Mu Qiao (0000-0002-7110-4830, School of Law Shantou University Shan‐Tou PR China)
Año2026
Fecha de publicación2026-04-06
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSustainable Development (JOURNAL)
Identificadores de la revistaISSN: 0968-0802 • E-ISSN: 1099-1719
EditorialWiley (PUBLISHER • GB)
DOI10.1002/sd.70824
OpenAlexW7151520118
IdiomaEN
Citas recibidas2
Referencias citadas56

Africa faces persistent sustainability challenges driven by interconnected health burdens, inadequate public investment, income disparities, and increasing climate variability. These dynamics undermine progress toward sustainable development goals (SDGs) and demand integrated policy approaches. This study thus investigates the causal pathways linking health outcomes, government health expenditure, income, and climate variability across 45 countries (2000–2022) to identify integrated strategies in achieving SDGs. Using Principal Component Analysis to build composite indices and the Juodis–Karavias–Sarafidis (JKS) approach with the Half‐Panel Jackknife inference to address cross‐sectional dependence and heterogeneity, we examine the nature of causalities in aggregated and regional panels. Results reveal heterogeneous patterns: bidirectional causality between health and income at the aggregated level, with regional variations from income‐driven health improvements (Northern/Western Africa) to health‐led growth (Central Africa) to mutual reinforcement (Eastern/Southern Africa). Climate demonstrates bidirectional causality with health and income, while government health expenditure shows primarily unidirectional effects. These differentiated causality patterns imply region‐specific policy requirements: Northern/Western Africa needs income‐redistribution mechanisms for health equity; Central Africa requires health‐system strengthening for economic development; Eastern and Southern Africa can leverage virtuous health‐economic cycles. Climate‐health feedback necessitates proactive mainstreaming adaptation rather than reacting to spending. Findings advance sustainable development in healthcare by promoting resource‐efficient, and climate‐resilient health systems that generate economic co‐benefits while enhancing health outcomes and environmental sustainability

Causal loop diagram · Government (linguistics · Health care · Leverage (statistics · Poverty · Public health · Sustainability · Sustainable development · Climate Change and Health Impacts · Global Health Care Issues · Global Maternal and Child Health · Health Policy

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Obras citantes distintas2
Citas por año2
Intervalo de citas2026 - 2026 (1)
Velocidad de citacióncurrent
Altamente citadoNo
Tipos de citaNeutras: 2
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