Transformation structurelle et sante des populations dans les pays de l’Afrique subsaharienne : Role du capital humain, des infrastructures et des institutions
DOI :
https://doi.org/10.18559/rielf.2025.1.2327Mots-clés :
transformation structurelle, santé, éducation, infrastructures, institutionsRésumé
Objectif : Dans ce papier, nous avons analysé l’effet de la transformation structurelle sur la santé des populations dans les pays de l’Afrique subsaharienne.
Conception/méthodologie/approche : Pour l’analyse des données, le modèle à effets fixes avec variables instrumentales a été retenu. En raison de la disponibilité des données, l’étude porte sur 30 pays de l’Afrique subsaharienne et couvre la période allant de 1995 à 2019. La transformation structurelle n’étant pas un processus automatique, les déterminants de la transformation structurelle ont été analysé. Pour ce faire le modèle à effets fixes a été utilisé pour l’analyse des données.
Résultats : Les résultats montrent que la transformation structurelle à un effet positif et significatif sur la santé des populations dans les pays de l’Afrique subsaharienne. En effet, les résultats montrent que la transformation structurelle réduit significativement la
mortalité infantile et la mortalité des enfants de moins de cinq ans. Elle affecte également positivement l’espérance de vie à la naissance. La transformation structurelle n’étant pas un processus mécanique, les résultats montrent que l’éducation, les infrastructures et les institutions sont les principaux déterminants de la transformation structurelle dans les pays de l’Afrique subsaharienne.
Originalité/valeur : Nous complétons le cadre théorique développé par Mosley et Chen (1984) en y intégrant la transformation structurelle comme facteur susceptible d’améliorer les résultats de santé.
JEL Classification
General (I10)
Africa • Oceania (N17)
General (O10)
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Références
Acemoglu, D., Johnson, S., & Robinson, J. (2005). Institutions as a fundamental cause of long-run growth. In Ph. Aghion, S. N. Durlauf (Eds.), Handbook of economic growth (pp. 385–472). Elsevier.
View in Google Scholar
Aryeetey, E., & Moyo, N. (2012). Industrialisation for structural transformation in Africa: Appropriate roles for the State. Journal of African Economies, 21(2), 55–85.
View in Google Scholar
Awaliyyah, E., Chen, S. E., Anindita, R., & Suhartini, S. (2020). Analysis of structural transformation of labor from agriculture to non-agriculture in Asia. Agricultural Socio-Economics Journal, 20(4), 335–341.
View in Google Scholar
Baldwin, R. (2012). Trade and industrialisation after globalisation’s second unbundling: How building and joining a supply chain are different and why it matters. In: R. Feenstra& A. Taylor (Eds.), Globalization in an age of crisis: Multilateral economic cooperation in the twenty-first century (pp. 165–212). University of Chicago Press.
View in Google Scholar
Barro, R. (1990). Government spending in a simple model of endogenous growth. Journal of Political Economy, 98(5, Part 2), S103–S125.
View in Google Scholar
Busse, M., Erdogan, C., & Muhlen, H. (2019). Structural transformation and its relevance for economic growth in sub‐Saharan Africa. Review of Development Economics, 23(1), 33–53.
View in Google Scholar
Bustos, P., Garber, G., & Ponticelli, J. (2020). Capital accumulation and structural transformation. The Quarterly Journal of Economics, 135(2), 1037–1094.
View in Google Scholar
Castro-Leal, F. (1999). The impact of public health spending on poverty and inequality in South Africa. World Bank.
View in Google Scholar
Chen, M. (2008). Women and employment in Africa: A framework for action. Second Conference of the Africa Commission.
View in Google Scholar
CNUCED. (2014). The least developed countries report 2014: Growth with structural transformation: A post-2015 development agenda. UNCTAD. https://sdgs.un.org/sites/default/files/publications/1984The%20Least%20Developed%20Countries%20Report%202014.pdf
View in Google Scholar
CNUCED. (2016). Materiel pedagogique de l’institut virtuel relatif a la transformation structurelle et la politique industrielle. Nations Unies. https://unctad.org/system/files/officialdocument/gds2016d1_fr.pdf
View in Google Scholar
Dabla-Norris, E., Thomas, A., Garcia-Verdu, R., & Chen, Y. (2013). Benchmarking structural transformation across the world. International Monetary Fund.
View in Google Scholar
Dallolio, L., Di Gregori, V., Lenzi, J., Franchino, G., Calugi, S., Domenighetti, G., & Fantini, M. P. (2012). Socio-economic factors associated with infant mortality in Italy: An ecological study. Journal for Equity in Health, 11, 1–5.
View in Google Scholar
Daouda, H. (2012). Determinants of infant and under-five mortality and poverty in Niger. Revue d’Economie Theorique Appliquee, 2(1), 22–47.
View in Google Scholar
Diao, X., Hazell, P., & Thurlow, J. (2010). The role of agriculture in african development. World Development, 38(10), 1375–1383.
View in Google Scholar
Felipe, J., Mehta, A., & Rhee, C. (2014). Manufacturing matters… but it’s the jobs that count. Asian Development Bank Economics Working Paper, 420. https://core.ac.uk/download/pdf/46120701.pdf
View in Google Scholar
Fonchamnyo, D. C., Angyie, E., Afumbom, N., Dinga, G., & Asongu, S. (2022). Structural change, environmental pollution and health expenditure: Evidence from a global panel.
View in Google Scholar
AGDI Working Paper, 22/071. https://hdl.handle.net/10419/269082
View in Google Scholar
Fox, L., Thomas, A., & Haines, C. (2017). Structural transformation in employment and productivity: What can Africa hope for? International Monetary Fund.
View in Google Scholar
Frankel, J. A. (2012). The natural resource curse: A survey of diagnoses and some prescriptions. HKS Faculty Research Working Paper Series, 12–014.
View in Google Scholar
Gbemenou, B., Doukkali, M., & Aloui, O. (2020). Determinants de la transformation structurelle en Afrique. Revue Marocaine des Sciences Agronomiques et Veterinaires, 8(3), 371–380.
View in Google Scholar
Gbesemete, K., & Jonsson, D. (1993). A comparison of empirical models on determinants of infant mortality: A cross-national study on Africa. Health Policy, 24(2), 155–174.
View in Google Scholar
Gimet, C., Guilhon, B., & Roux, N. (2010). Fragmentation and immiserising specialization: The case of the textile and clothing sector. Working Paper GATE, 2010-03. https://shs.hal.science/halshs-00464393/file/1003.pdf
View in Google Scholar
Harrison, A., & Rodriguez-Clare, A. (2010). Trade, foreign investment, and industrial policy for developing countries. Handbook of Development Economics, 5, 4039-4214.
View in Google Scholar
Hazell, P., Haggblade, S., & Reardon, T. (2024). Transformation of the rural nonfarm economy during rapid urbanization and structural transformation in developing regions. Annual Review of Resource Economics, 16, 277–299. https://www.annualreviews.org/content/journals/10.1146/annurev-resource-101623-105713
View in Google Scholar
Herrendorf, B., Herrington, C., & Valentinyi, A. (2015). Sectoral technology and structural transformation. American Economic Journal: Macroeconomics, 7(4), 104–133.
View in Google Scholar
Higgins, K. (2012). Gender dimensions of trade facilitation and logistics. A Guidance Note.
View in Google Scholar
Hill, M., & King, E. (1995). Women’s education and economic well-being. Feminist Economics, 1(2), 21–46.
View in Google Scholar
Hirschman, A. (1981). Essays in trespassing: Economics to politics and beyond. Cambridge University Press.
View in Google Scholar
Johnson, C. (1982). MITI and the Japanese miracle: The growth of industrial policy, 1925–1975. Stanford University Press.
View in Google Scholar
Kaldor, N. (1966). Causes of the slow rate of economic growth in the United Kingdom. Cambridge University Press.
View in Google Scholar
Kaufmann, D., Kraay, A., & Mastruzzi, M. (2011). The worldwide governance indicators: Methodology and analytical issues. Hague Journal on the Rule of Law, 3(2), 220–246.
View in Google Scholar
Keho, Y. (2012). Le role des facteurs institutionnels dans le developpement financier et economique des pays de l’UEMOA. Revue Economique et Monetaire, 12, 9–43.
View in Google Scholar
Kiross, G., Chojenta, C., Barker, & Loxton, D. (2020). The effects of health expenditure
View in Google Scholar
on infant mortality in sub-Saharan Africa: Evidence from panel data analysis. Health Economics Review, 10, 1–9.
View in Google Scholar
Kong, L., Sofuoğlu, E., Ishola, B. D., Abbas, S., Guo, Q., & Khudoykulov, K. (2024). Sustainable development through structural transformation: A pathway to economic, social, and environmental progress. Economic Change and Restructuring, 57(2), 1–34.
View in Google Scholar
Kuznets, S. (1966). Modern economic growth: Rate, structure and spread. Yale University Press.
View in Google Scholar
Kuznets, S. (1979). Growth and structural shifts. In W. Galenson (Ed.), Economic growth and structural change in Taiwan. The postwar experience of the Republic of China (pp.15–131). Cornell University Press.
View in Google Scholar
Lewis, W. (1954). Economic development with unlimited supplies of labour. The Manchester School, 28, 139–191.
View in Google Scholar
Lin, J. (2011). New structural economics: A framework for rethinking development. The World Bank Research Observer, 26(2), 193–221.
View in Google Scholar
Lin, J. Y., & Monga, C. (2010). Growth identification and facilitation: The role of the state in the dynamics of structural change. World Bank Policy Research Working Paper, 5313.
View in Google Scholar
Lin, J., & Treichel, V. (2014). Making industrial policy work for development. In J. M. Salazar-Xirinachs, I. Nubler & R. Kozul-Wright (Eds.), Transforming economies: Making industrial policy work for growth, jobs and development (pp. 65–78). International Labour Organization.
View in Google Scholar
Lucas, R. (1988). On the mechanics of economic development. Journal of Monetary Economics, 22(1), 3–42.
View in Google Scholar
Mankiw, N., Romer, D., & Wei, D. (1992). A contribution to the empirics of economic growth. Quarterly Journal of Economics, 107(2), 407–437.
View in Google Scholar
Martins, G. (2018). Structural change: Pace, patterns and determinants. Review of Development Economics, 23(1), 1–32. https://doi.org/10.1111/rode.12555
View in Google Scholar
McMillan, M., & Rodrik, D. (2011). Globalization, structural change and productivity growth. In M. Bacchetta & M. Jansen (Eds.), Making globalization socially sustainable (pp. 49–84). International Labour Organization.
View in Google Scholar
McMillan, M., Rodrik, D., & Sepulveda, C. (2017). Structural change, fundamentals, and growth: A framework and case studies. NBER Working Paper, 23378. https://www.nber.org/papers/w23378
View in Google Scholar
McMillan, M., Rodrik, D., & Verduzco-Gallo, I. (2014). Globalization, structural change, and productivity growth,with an update on Africa. World Development, 63, 11–32.
View in Google Scholar
Mijiyawa, A. (2017). Drivers of structural transformation: The case of the manufacturing sector in Africa. World Development, 99, 141–159.
View in Google Scholar
Milberg, W., Jang, X., & Gereffi, G. (2014). Industrial policy in the era of vertically specialized industrialization. In J. M. Salazar-Xirinachs, I. Nubler & R. Kozul-Wright (Eds.), Transforming economies: Making industrial policy work for growth, jobs and development (pp. 151–178). International Labour Organization.
View in Google Scholar
Mosley, W., & Chen, L. (1984). An analytical framework for the study of child survival in developing countries. Population and Development Review, 10, 25–45.
View in Google Scholar
Nelson, R., & Phelps, E. (1966). Investment in humans, technological diffusion, and economic growth. The American Economic Review, 56(1/2), 69–75.
View in Google Scholar
Nelson, R., & Winter, S. (1982). An evolutionary theory of economic change. Harvard University Press.
View in Google Scholar
North, D. (1990). Institutions, institutional change and economic performance. Cambridge University Press.
View in Google Scholar
North, D. (1993). The new institutional economics and development. Economic History, 9309002.
View in Google Scholar
OIT. (2020). Rapport sur l’emploi en Afrique: Relever le defi de l’emploi des jeunes. Bureau International du Travail-Geneve.
View in Google Scholar
Pavcnik, N. (2002). Trade liberalization, exit, and productivity improvements: Evidence from Chilean plants. The Review of Economic Studies, 69(1), 245–276.
View in Google Scholar
Ranis, G., & Fei, J. (1961). A theory of economic development. The American Economic Review, 51, 533–565.
View in Google Scholar
Rodrik, D. (2016). Premature deindustrialization. Journal of Economic Growth, 21, 1–33.
View in Google Scholar
Rodrik, D., McMillan, M., & Sepulveda, C. (2016). Structural change, fundamentals, and growth. Structural change, fundamentals, and growth. IFPRI.
View in Google Scholar
Romer, P. (1990). Endogenous technological change. Journal of Political Economy, 98(5, Part 2), S71–S102.
View in Google Scholar
Salazar-Xirinachs, J., Nubler, I., & Kozul-Wright, R. (2014). Transforming economies: Making industrial policy work for growth, jobs and development. International Labour Organization.
View in Google Scholar
Sartorius, B., & Sartorius, K. (2014). Global infant mortality trends and attributable determinants—an ecological study using data from 192 countries for the period 1990–2011. Population Health Metrics, 12, 1–15.
View in Google Scholar
Schell, C., Reilly, M., Rosling, H., Peterson, S., & Ekstrom, A. (2007). Socioeconomic determinants of infant mortality: A worldwide study of 152 low-, middle-, and high-income countries. Scandinavian Journal of Public Health, 35(3), 288–297.
View in Google Scholar
Schneider, B. (2015). Designing industrial policy in Latin America: Business-State relations and the new developmentalism. Palgrave Macmillan.
View in Google Scholar
Solow, R. (1956). A contribution to the theory of economic growth. Quarterly Journal of Economics, 70(1), 65–94.
View in Google Scholar
Ssozi, J., Asongu, S., & Amavilah, V. (2019). The effectiveness of development aid for agriculture in sub-Saharan Africa. Journal of Economic Studies, 46(2), 284–305.
View in Google Scholar
Stiglitz, J. (1994). The role of the state in financial markets. Proceedings of the World Bank Conference on Development Economics. World Bank. Washington, DC.
View in Google Scholar
Swiecki, T. (2017). Determinants of structural change. Review of Economic Dynamics, 24, 95–131.
View in Google Scholar
Timmer, C. (2017). Structural transformation and food security: Their mutual interdependence. Working Paper Series, 259.
View in Google Scholar
Wagstaff. (2002). Poverty and health sector inequalities. Bulletin of the World Health Organization, 80, 97–105.
View in Google Scholar
WDI. (2022). Mortality rate under-5 (per 1,000 live births). https://data.worldbank.org/indicator/SH.DYN.MORT
View in Google Scholar
Zulkhibri, M., Naiya, I., & Ghazal, R. (2015). Structural change and economic growth in selected emerging economies. International Journal of Development Issues.
View in Google Scholar
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(c) Copyright Yaovi Fagda Tchota Agbe, Esso-Hanam Atake 2025
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