Fiscal Decentralization and Health Asymmetries in Pakistan

Zaryab Khan Barech, Saira Habib and Nuzhat Falki

Sustainable Business and Society in Emerging Economies, 2025, vol. 7, issue 4, 755-768

Abstract: Purpose:&This study aims at examining fiscal decentralization and asymmetries in health in Pakistan. It examines the effects of various dimensions of fiscal autonomy on important health indicators across the country.Methodology: The research employs Non-linear Autoregressive Distributed Lag (NARDL) model to analyze asymmetric effect of fiscal decentralization on health status using time series data with annual time periods.Findings: The findings of the study reveal that effects of fiscal decentralization on health status in Pakistan are positive and negative. However, the positive effect impacts the health sector more strongly than the negative impacts it has.Implications: By bringing to light the importance of robust fiscal reforms, important policy insights are made available by research, which includes increasing the financial capacity and enhancing accountability, transparency mechanisms and ensuring equal allocation of resources of local governments. It can contribute to cause efficient and sustainable health outcomes in Pakistan.

Keywords: Fiscal Decentralization; Life Expectancy; Health Outcomes; Institutional Quality Index; Urbanization (search for similar items in EconPapers)
Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:src:sbseec:v:7:y:2025:i:4:p:755-768

DOI: 10.26710/sbsee.v7i4.3539

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