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Fintech Contribution to Health Sector Performance in Waemu

Author

Listed:
  • Alliou Salihini DIARRASSOUBA
  • Sylvain N’GUESSAN
  • Xavier Fabrice Mea ANZARA
  • Tito Nestor TIEHI

Abstract

The recent emergence of financial technologies (Fintech) in the countries of the West African Economic and Monetary Union (WAEMU) has sparked growing interest, particularly with regard to their impact on the health sector. This study analyses the contribution of Fintech to the performance of health systems in the eight countries of the Union over the period 2011-2021. Methodologically, it uses two approaches : the double bootstrap DEA method developed by Simar and Wilson (2007) and the quantile moments method developed by Machado and Silva (2019). The results indicate that healthcare systems in the region are marked by technical inefficiency, with an average corrected score of 55.3%. Furthermore, the positive effect of Fintech appears to be particularly pronounced in countries with the lowest levels of healthcare performance (quantiles 10, 25 and 50).

Suggested Citation

  • Alliou Salihini DIARRASSOUBA & Sylvain N’GUESSAN & Xavier Fabrice Mea ANZARA & Tito Nestor TIEHI, 2025. "Fintech Contribution to Health Sector Performance in Waemu," Bulletin of Applied Economics, Risk Market Journals, vol. 12(2), pages 149-163.
    • Handle: RePEc:rmk:rmkbae:v:12:y:2025:i:2:p:149-163
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    References listed on IDEAS

    as
    1. Asongu, Simplice A. & Ngoungou, Yolande E. & Nnanna, Joseph, 2023. "Mobile money innovations and health performance in sub-Saharan Africa," Technology in Society, Elsevier, vol. 74(C).
    2. Ahmed, Haseeb & Cowan, Benjamin, 2021. "Mobile money and healthcare use: Evidence from East Africa," World Development, Elsevier, vol. 141(C).
    3. Machado, José A.F. & Santos Silva, J.M.C., 2019. "Quantiles via moments," Journal of Econometrics, Elsevier, vol. 213(1), pages 145-173.
    4. Dutta, Ujjal Protim & Gupta, Hemant & Sengupta, Partha Pratim, 2019. "ICT and health outcome nexus in 30 selected Asian countries: Fresh evidence from panel data analysis," Technology in Society, Elsevier, vol. 59(C).
    5. Oleg Badunenko & Harald Tauchmann, 2019. "Simar and Wilson two-stage efficiency analysis for Stata," Stata Journal, StataCorp LLC, vol. 19(4), pages 950-988, December.
    6. Xavier D’Haultfoeuille & Pauline Givord, 2014. "La régression quantile en pratique," Économie et Statistique, Programme National Persée, vol. 471(1), pages 85-111.
    7. Rahab Mbau & Anita Musiega & Lizah Nyawira & Benjamin Tsofa & Andrew Mulwa & Sassy Molyneux & Isabel Maina & Julie Jemutai & Charles Normand & Kara Hanson & Edwine Barasa, 2023. "Analysing the Efficiency of Health Systems: A Systematic Review of the Literature," Applied Health Economics and Health Policy, Springer, vol. 21(2), pages 205-224, March.
    8. Janine Aron, 2018. "Mobile Money and the Economy: A Review of the Evidence," The World Bank Research Observer, World Bank, vol. 33(2), pages 135-188.
    9. Elio Borgonovi & Paola Adinolfi & Rocco Palumbo & Gabriella Piscopo, 2018. "Framing the Shades of Sustainability in Health Care: Pitfalls and Perspectives from Western EU Countries," Sustainability, MDPI, vol. 10(12), pages 1-20, November.
    10. William Jack & Tavneet Suri, 2014. "Risk Sharing and Transactions Costs: Evidence from Kenya's Mobile Money Revolution," American Economic Review, American Economic Association, vol. 104(1), pages 183-223, January.
    11. Jenny C. Aker & Isaac M. Mbiti, 2010. "Mobile Phones and Economic Development in Africa," Journal of Economic Perspectives, American Economic Association, vol. 24(3), pages 207-232, Summer.
    12. Chei Bukari & Isaac Koomson, 2020. "Adoption of Mobile Money for Healthcare Utilization and Spending in Rural Ghana," Springer Books, in: Sefa Awaworyi Churchill (ed.), Moving from the Millennium to the Sustainable Development Goals, chapter 3, pages 37-60, Springer.
    13. Charles M. Tiebout, 1956. "The Urban Economic Base Reconsidered," Land Economics, University of Wisconsin Press, vol. 32(1), pages 95-99.
    14. Wijesiri, Mahinda & Viganò, Laura & Meoli, Michele, 2015. "Efficiency of microfinance institutions in Sri Lanka: a two-stage double bootstrap DEA approach," Economic Modelling, Elsevier, vol. 47(C), pages 74-83.
    15. Tito N. Tiehi, 2020. "Technical Inefficiency of District Hospitals in Côte d'Ivoire: Measurement, Causes and Consequences," International Journal of Economics and Finance, Canadian Center of Science and Education, vol. 12(9), pages 1-35, September.
    16. Edgar Cambaza, 2023. "The Role of FinTech in Sustainable Healthcare Development in Sub-Saharan Africa: A Narrative Review," FinTech, MDPI, vol. 2(3), pages 1-17, July.
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    Keywords

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    JEL classification:

    • O33 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Technological Change: Choices and Consequences; Diffusion Processes
    • D24 - Microeconomics - - Production and Organizations - - - Production; Cost; Capital; Capital, Total Factor, and Multifactor Productivity; Capacity
    • I10 - Health, Education, and Welfare - - Health - - - General
    • C15 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Statistical Simulation Methods: General
    • C21 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Cross-Sectional Models; Spatial Models; Treatment Effect Models

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