Public Health as a Buffer for FDI: The Role of Healthcare Services in Economic Stability

This study examines how epidemic outbreaks influence foreign direct investment (FDI) inflows in developing countries, with a particular focus on whether healthcare systems can act as buffers during such shocks. Using a panel dataset of 98 countries from 2000 to 2022, the analysis combines two-way fixed effects (FE) models and the Local Projection Method (LPM). The analysis is structured in three parts: First, fixed-effects regressions assess the average effect of 20 major epidemics on FDI, revealing that diseases such as Ebola, MERS, Lassa Fever, and Leptospirosis significantly reduce investment inflows. Second, local projection methods trace the short-and medium-term responses of FDI to health shocks by transmission type. The results show varying recovery patterns: while FDI tends to rebound after direct contact or mosquito-borne outbreaks, airborne diseases cause more persistent declines. Third, the study explores whether stronger healthcare systems can mitigate these negative effects. Results suggest that countries with a higher density of nurses experience less severe FDI losses during outbreaks, particularly for diseases transmitted through direct contact or bodily fluids. These findings underline the importance of healthcare investment not only for public health but also for economic resilience. By distinguishing effects across disease types and highlighting the moderating role of health infrastructure, this study offers practical insights for policymakers seeking to safeguard investment flows during times of crisis.