The Linkage Among Economic Growth, Education and Health: Empirical Study in Java Island
The Linkage Among Economic Growth, Education and Health: Empirical Study in Java Island
20194
Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi dan Pembangunan, 24 (1), 2023, 24-39
Abstract
Java Island accounts for more than half of Indonesia’s gross domestic product (GDP), hence it is
where the majority of economic activities are concentrated, even though mostly of those major
contributions are from certain cities. However, the quality of education and health shown by average
years of schooling and life expectancy at birth in Java Island is unevenly distributed when compared
with economic growth. This research aims to analyze the causalities and effects of economic growth,
education, and health using simultaneous equations models on panel data that consists of 34 cities
in Java Island spanning from 2015 to 2019, which are decomposed into three income classifications.
Results indicate positive and significant effect from education toward economic growth on every
income level. Health instead only brings positive and significant effect toward economic growth in
high-income cities. Economic growth affects education positively in upper-middle and lower-middle
income cities, and affects health positively only in upper-middle income. Ultimately, the relationship
between education and health shows that they have positive and significant effects on each other and
are consistent across all income groups.
Keywords: Economic growth; Human capital; Simultaneous equation model
JEL classification: O15; O47; I15; I25; C30
How to Cite: Susilo S. A. K., Hayati B., Pujiati A. (2023). The Linkage Among Economic Growth,
Education and Health: Empirical Study in Java Island, 24(1), 24-39. doi:https://doi.org/10.23917/jep.
v24i1.20194
DOI: https://doi.org/10.23917/jep.v24i1.20194
Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi dan Pembangunan, 24 (1), 2023, 24-39
economic growth in Java Island are not without portion of the city is concentrated below the per
explanation, as it is being the center of industries, capita GRDP figure of IDR 123 billion (average
business, and trade in Indonesia (Silalahi, 2019). value), so mostly falls into the Quadrant 3, and
Java Island also has the advantage in terms of Quadrant 4, whereas Quadrant 2 has the fewest
demographics, as it is home to more than half of city, with only one on Figure 1 and two on Figure
the country’s population (BPS, 2021). As a result, 2. The horizontal and vertical lines (separators
it is not surprising that development in Indonesia between quadrants) are drawn from the average
is heavily concentrated on the island of Java. value of each indicator. The diagonal line is for
Although Java Island appears to be superior to the linearity reference between variables.
other islands, the high contribution is only due to The discussion begins with an indication
a few urban areas on the island of Java, especially of the unequal distribution between the quality
the metropolitan area and the provincial capital of education and economic growth (Figure 1).
(Maryaningsih et al., 2007). Generally, there will be a positive correlation
When looking at the distribution of education between the distribution of average school years
and health quality on Java Island, the issue with and economic growth (Hanushek & Woessmann,
human capital becomes apparent, particularly 2010). But in this instance, it scatters erratically
when discussing it at the municipal (city) level. instead. Average years of schooling clustered
At this level, the quality of education and health mostly on the range of 10.0 to 11.0 and 8.0 to
on Java Island appears to be out of step with 9.0. The city with the lowest per capita GRDP is
economic growth, as will be discussed shortly. Banjar, but the lowest average years of schooling
Figure 1 and Figure 2 are the Klassen Typology is held by the city of Tegal, despite having a
for economic growth (proxied by per capita higher per capita GRDP exceeding other 14 cities.
GRDP), education (by average years of schooling), Figure 2 shows the distribution of life expectancy
and health (by life expectancy at birth) in cities at birth against per capita GRDP which is also
on Java Island 2019. Cities with rapid economic spreading irregularly across the chart. Majority of
growth and strong health/education systems the city clustered on life expectancy at birth value
make up Quadrant 1. High economic growth but between 71.0 to 75.0. The biggest discrepancy can
poor educational/health in Quadrant 2, and the be found in Cilegon City, which has the lowest
opposite in Quadrant 3. Quadrant 4 denotes an life expectancy at birth despite having one of the
equal low reading for both indicators. A large highest per capita GDPs on Java Island.
Figure 1. Klassen Typology on GRDP per Capita and Average Years of Schooling
Source: Statistics Indonesia, processed
Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi dan Pembangunan, 24 (1), 2023, 24-39
Figure 2. Klassen Typology on GRDP per Capita and Life Expectancy at Birth
Source: Statistics Indonesia, processed
Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi dan Pembangunan, 24 (1), 2023, 24-39
of health. Anwar (2017) used both indicators to and third structural equations. Hongyi & Huang
proxy human capital in his paper. (2009) tested the effects of student-teacher
To create the econometric model, this ratios in primary and secondary schools on
paper will use a theoretical framework of the economic growth; this research seeks to be more
macroeconomic production function, which precise by examining their impact on education
emphasizes the three-way linkages between the quality rather than directly on economic growth.
three variables. In order to do this, we’ll be using This study also includes the poverty rate as
an augmented version of Solow’s growth model a predetermined variable that affects health,
(Mankiw et al., 1992), which takes into account because poverty prevents people from getting the
labor, physical capital, and human capital as the proper healthcares they need (Todaro & Smith,
independent variables. 2015). Finally, food expenditures will be included
as a predetermined variables for health’s
Y = K α H β AL1- α- β (1) structural equation. The complete structural
equations are as follow:
Economic growth in this study is proxied
by per capita GRDP which can be written as (y), lnyit = α0 + α1 lnKit + a2 lnLit + a3 lnEdit
and human capital can be dissolve into education + a4 lnHeit + μ1it (3)
and health (Dhrifi et al., 2021; Hongyi & Huang,
2009). Then the equation is converted into an lnEdit = ß0 + ß1lnyit + ß2lnHeit + ß3 lnPrSchit
econometric model. + ß4 lnSeSchit + μ2it (4)
yit = α0 + α1Kit + α2Lit + α3Edit + α4Heit + eit (2) lnHeit = γ0 + γ1 lnyit + γ2 lnEdit + γ3 FdExpit
+ γ4lnPovit + μ3it (5)
This model can be replicated into three
structural equations with economic growth Economic growth proxied by per capita
(eq 3), education (eq. 4), and health (eq. 5) as GRDP (y), (K) is physical capital proxied by
the explanatory variables. The initial research gross fixed capital formation, (L) is labor, (Ed)
hypotheses are as follows: education and health shows quality of education with average years
have a positive impact on economic growth; of schooling as the proxy, (He) is health quality
education and health also have an impact on proxied by life expectancy at birth. (PrSch) and
education quality; and finally, education and (SeSch) are student-teacher ratio for primary
economic growth have an impact on health and secondary school respectively, higher ratio
quality. means higher students per teacher, while lower
As previously said, this study focuses on the ratio means more teachers for students. (FdExp)
three-way relationship between economic growth, is food expenditure per capita, and (Pov) is the
education, and health. In order to analyze it poverty rate. All data are transformed into natural
properly, an estimation using SEM will be logarithm (ln), and all of the structural equations
utilized, rendering economic growth, education, are overidentified. This is a panel data regression
and health as endogenous. Three structural using secondary data sourced from Central
equations will be used, all of which will use the Bureau of Statistics on the span of 5 years (2015-
endogenous variables. As the first structural 2019) for 34 cities in Java Island. These cities can
equation can already be derived from eq. (2), be further decomposed and compared into three
the second and third structural equations must classifications based on income levels derived
be constructed separately, and thus the relevant from “World Bank Classification by Income Level
variables must be identified. Predetermined 2019” which are “high”, “upper-middle”, and
variables are utilized to supplement the second “lower-middle” incomes.
Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi dan Pembangunan, 24 (1), 2023, 24-39
F-test is also being used to determine The key findings of this study, as shown in
the significance of the simultaneous effect of Tables 3, 4, and 5 above, suggest that economic
the independent variables on the dependent growth, education, and health significantly
variable. The three-stage least squares (3SLS) correlate each other, albeit the impacts may
estimation method was chosen because the usage differ, supporting the three-way linkages.
of ordinary least squares (OLS) in the SEM Ed has a positive and significant impact on y
that have overidentified structural equations, across all income levels. On high income cities,
appears unable to offer consistent estimations Ed has a positive effect on y with a coefficient
of model parameters (Gujarati & Porter, 2009). of 3.236; coefficient of 1.7991 on upper-middle
Furthermore, 3SLS outperforms two-stage least income; and coefficient of 2.4487 on lower-middle
squares (TSLS) when considering the potential income. High-income cities appear to be having
of correlation between error terms in structural the highest coefficient, meaning that cities with
equations (Dhrifi et al., 2021). In terms of classical higher GRDP per capita also tend to have better
assumption, all structural equations are normally quality education, and thus policies and actions
distributed on every level of income, and don’t to improve education quality will remarkably
have any multicollinearity problem. Also in this aid economic growth in these places. This may
case, the 3SLS method approach assumes that the be consistent with the study by Dhrifi et al.
structural disturbance in each equation has a zero (2021), which found that education have a more
mean, making it homoscedastic and not serially favorable and significant impact on an economy
correlated (Zellner & Theil, 1962). This suggests with higher income. What is intriguing is that y
that heteroscedasticity and autocorrelation has no significant impact on Ed in high income
testing are unnecessary in this study. cities, as opposed to upper medium and lower-
middle income cities, the former which have the
3. Results and Discussion highest significant coefficient of 0.2967. This could
Three-stage least squares (3SLS) is used to eventually lead to the assumption that education
estimate the above eq. (3), eq. (4), and eq. (5) over in higher-income economies is not caused by the
in order to analyze the three-way relationship high income itself, whereas education in lower-
between economic growth, health, and education. income cities would benefit greatly from economic
The estimation is conducted into cities that are growth.
decomposed into three income classes, in total He only influences y positively in high-
there are nine separate estimation regressions. income cities with the coefficient of 7.634 and
The Hausman test of endogeneity is used adversely on the rest, with the greatest negative
to determine whether a structural equation has coefficient in low-middle-income cities with the
simultaneity problems and whether the dependent coefficient of -14.441. Although this result is
variable is in fact endogenous (Gujarati & Porter, against the earlier hypothesis, the situation is
2009). According to Table 2, all structural comparable to that of Iskandar’s (2017) study,
equations do have simultaneity problems, and which found that employing a human capital
the variables y, Ed, and He can be confirmed as indicator would actually have a negative impact
endogenous variables. Thus, the SEM regression on economic growth instead. According to him,
using the 3SLS method can be carried out. this is due to inefficient allocation and the
Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi dan Pembangunan, 24 (1), 2023, 24-39
significant disparity between districts and quality compared to those with higher GRDP
cities. Research by Acemoglu & Johnson (2007) per capita, thus making the correlation being
also found that health represented using life negative, confirming the issues explained in the
expectancy tends to have a negative effect on introduction. This could also imply that good
GDP per capita. This can be explained by the quality of health does not necessarily have an
fact that, as shows on Figure 2, cities with lower impact on the high productivity of an economy
GRDP per capita tend to have higher health and vice versa.
Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi dan Pembangunan, 24 (1), 2023, 24-39
However, both He and Ed do correlate every income level, with upper-middle income
positively to each other on all income levels, this cities having the largest coefficient of 0.7351,
is in line with the findings of Dhrifi et al. (2021). implying that investment should have the biggest
He affects Ed positively and significantly with the impact on cities with upper-middle income, as
coefficient of 0.680 on high income cities; 1.166 on cities in this classification also have growing
upper-middle income; and 6.649 on lower-middle industries. L has negative and significant impact
income, the former of which have the greatest toward y on all income levels. This implies that
impact. On the other hand, Ed has significant cities with lower per capita GRDP would require
and positive impact on He with high income more labor to create the same amount of output
cities having coefficient of 0.9132 on; upper- than cities with greater per capita GRDP, which is
middle income having 0.2515; and lower-middle inefficient. Based on Solow model, the use of more
income having 0.0557. Based on the respective efficient labor means the rate of technological
coefficients, policies and initiatives to improve development is also advanced (Mankiw &
education quality would benefit healthcare the Scarth, 2010), therefore this unfavorable result
most in places with higher growth, on the other of L appears to confirm that cities are more
hand, cities with lower growth would see the technologically advanced the higher their income.
greatest improvement in education quality as a PrSch has positive and significant correlation to
result of increased healthcare. It is this positive Ed only on upper-and-lower-middle income with
and varied correlation that shows the need to similar coefficient of 0.293 and 0.224 respectively.
balance human development priorities between As the nature of this ratio, positive correlation
education and health between cities with high and means that increase in average years of schooling
low incomes. This effort can be fulfilled by raising would likely be affected by increase in student
the budget of education and healthcare, enhancing quantity, in this case is the primary school.
the quality of buildings and infrastructure, and Meanwhile SeSch correlates Ed positively only
ensuring equal access to education and health. on high income cities with coefficient of 0.141 and
Another effort is to eradicate poverty and improve negatively on upper-middle income cities with
people’s living standards so that they are able to -0.304 coefficient, this means increase in average
get opportunities for education and better health. years of schooling would likely be affected by
Secondary findings in this study are focused increase in student quantity on high income
towards the predetermined variables, they show cities, and by increase of teacher in upper-middle
that K positively and significantly affects y on income cities. FdExp correlates He negatively
Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi dan Pembangunan, 24 (1), 2023, 24-39
on high income and upper-middle income cities, in Java, the aforementioned findings that showed
meaning increased food consumption is inversely the unusual negative correlation between labor
connected to health. Pov negatively affects He and economic growth should also be resolved.
on every income level with highest coefficient is
on high income cities with coefficient of -0.072. 4.1 Limitation
This indicates that poverty will have a greater The limitation of this study is that the use
impact on health when the economy has a higher of indicator in this study, specifically on labor
standard of living. variables represented by the number of Work
Force, and health variables represented by the
4. Conclusions Life Expectancy at Birth, in this case (34 Cities
This study investigates causal linkages and in Java Island 2015 - 2019). They naturally tend
impacts among economic growth, education, and to show a negative correlation in cross-section,
health in Java Island by using simultaneous even though the value shows a steady increase
equations models. Of all the above, it can be in time series, this is most probably caused by
concluded that economic growth, education, and the high disparity on these cities. As a result,
health have substantial correlations, albeit the the estimation results of those two variables had
effects may differ. In line with what is disclosed a negative effect on Economic Growth, resulting
in the introduction, the primary findings indicate in contradictory estimation results with earlier
that there are indeed issues on human capital studies and the possible formation of new research
distribution, specifically health, in Java Island gaps.
indicated by the life expectancy at birth indicator
that negatively correlates with per capita GRDP. 4.2 Future Scope
Between education and health, on the other hand, Due to the limitations encountered in
are favorably associated. This study also finds completing this investigation, further study is
unusual results regarding the economic growth still required to pursue more conclusive results.
that is negatively impacted by labor, but the There are various recommendations that future
plausible explanation is that this was caused by studies should consider if they want to continue
inefficient worker on cities with lower per capita their research in this area. One suggestion is
GRDP. to use more various indicator of education and
Empirical findings in this study have health, might be an improvised index of many
important implications that could be made into factors combined that could reflect the actual
consideration. Based on what have been discussed, quality of both aspects closest to reality. Besides
special emphasis should be placed on improving this, the sample of cities needs to be increased to
health outcomes and life expectancy in these yield more accurate results considering the topic
cities. This can be accomplished by broadening itself is very cross-section intensive.
access to healthcare, establishing health
insurance programs, and creating a physically and 5. References
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Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi dan Pembangunan, 24 (1), 2023, 24-39
6. Appendices
Appendix 1
Sample decomposition based on “World Bank Classification by Income Level 2019” with the
Rupiah exchange rate against the US Dollar based on the 2019 average exchange rate of US $ 1 = Rp
14,136:
a. Lower-middle income : $ 1,026 – 3,995 [Rp 14,503,536 – 56,473,320]
b. Upper-middle income : $ 3,996 – 12,375 [Rp 56,487,456 – 174,933,000]
c. High income : > $ 12,375 [> Rp 174,933,000]
Appendix 2
Normality and multicollinearity test results
High Income Cities
Eq. (3) Eq. (4) Eq. (5)
8 6 5
7
5
4
6
4
5
3
4 3
3 2
2
2
1
1
1
0 0 0
-0.3 -0.2 -0.1 0.0 0.1 0.2 0.3 -0.08 -0.06 -0.04 -0.02 0.00 0.02 0.04 0.06 0.08 -0.04 -0.03 -0.02 -0.01 0.00 0.01 0.02 0.03 0.04
Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi dan Pembangunan, 24 (1), 2023, 24-39
10
8 16
8
6 12
6
4 8
4
2 4
2
0 0 0
-0.2 -0.1 0.0 0.1 0.2 0.3 -0.20 -0.15 -0.10 -0.05 0.00 0.05 0.10 0.15 -0.04 -0.02 0.00 0.02 0.04 0.06
7 8
12
7
6
10
6
5
8 5
4
6 4
3
3
4
2 2
2 1 1
0 0 0
-0.4 -0.3 -0.2 -0.1 0.0 0.1 0.2 0.3 -0.10 -0.05 0.00 0.05 0.10 0.15 -0.06 -0.04 -0.02 0.00 0.02 0.04
Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi dan Pembangunan, 24 (1), 2023, 24-39
Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi dan Pembangunan, 24 (1), 2023, 24-39
Appendix 3
Estimation Results on High Income Cities
System: UNTITLED
Estimation Method: Three-Stage Least Squares
Date: 08/11/22 Time: 19:10
Sample: 2015 2019
Included observations: 35
Total system (balanced) observations 105
Linear estimation after one-step weighting matrix
Equation: Y=C(1)+C(2)*K+C(3)*L+C(4)*ED+C(5)*HE
Instruments: K L PRSCH SESCH FDEXP POV C
Observations: 35
R-squared 0.897569 Mean dependent var 12.47913
Adjusted R-squared 0.883911 S.D. dependent var 0.483459
S.E. of regression 0.164723 Sum squared resid 0.814011
Durbin-Watson stat 0.400169
Equation: ED=C(6)+C(7)*Y+C(8)*HE+C(9)*PRSCH+C(10)*SESCH
Instruments: K L PRSCH SESCH FDEXP POV C
Observations: 35
R-squared 0.401498 Mean dependent var 2.347668
Adjusted R-squared 0.321698 S.D. dependent var 0.056418
S.E. of regression 0.046465 Sum squared resid 0.064771
Durbin-Watson stat 0.257954
Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi dan Pembangunan, 24 (1), 2023, 24-39
Equation: HE=C(11)+C(12)*Y+C(13)*ED+C(14)*FDEXP+C(15)*POV
Instruments: K L PRSCH SESCH FDEXP POV C
Observations: 35
R-squared 0.630548 Mean dependent var 4.284294
Adjusted R-squared 0.581288 S.D. dependent var 0.037293
S.E. of regression 0.024131 Sum squared resid 0.017470
Durbin-Watson stat 0.444455
Equation: Y=C(1)+C(2)*K+C(3)*L+C(4)*ED+C(5)*HE
Instruments: K L PRSCH SESCH FDEXP POV C
Observations: 65
R-squared 0.781912 Mean dependent var 11.21805
Adjusted R-squared 0.767372 S.D. dependent var 0.270131
S.E. of regression 0.130288 Sum squared resid 1.018498
Durbin-Watson stat 0.712692
Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi dan Pembangunan, 24 (1), 2023, 24-39
Equation: ED=C(6)+C(7)*Y+C(8)*HE+C(9)*PRSCH+C(10)*SESCH
Instruments: K L PRSCH SESCH FDEXP POV C
Observations: 65
R-squared 0.298037 Mean dependent var 2.323536
Adjusted R-squared 0.251239 S.D. dependent var 0.093852
S.E. of regression 0.081211 Sum squared resid 0.395716
Durbin-Watson stat 0.678443
Equation: HE=C(11)+C(12)*Y+C(13)*ED+C(14)*FDEXP+C(15)*POV
Instruments: K L PRSCH SESCH FDEXP POV C
Observations: 65
R-squared -0.499499 Mean dependent var 4.307540
Adjusted R-squared -0.599466 S.D. dependent var 0.027234
S.E. of regression 0.034443 Sum squared resid 0.071180
Durbin-Watson stat 0.466791
Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi dan Pembangunan, 24 (1), 2023, 24-39
Equation: Y=C(1)+C(2)*K+C(3)*L+C(4)*ED+C(5)*HE
Instruments: K L PRSCH SESCH FDEXP POV C
Observations: 70
R-squared -0.622601 Mean dependent var 10.44630
Adjusted R-squared -0.722453 S.D. dependent var 0.247527
S.E. of regression 0.324861 Sum squared resid 6.859740
Durbin-Watson stat 0.624337
Equation: ED=C(6)+C(7)*Y+C(8)*HE+C(9)*PRSCH+C(10)*SESCH
Instruments: K L PRSCH SESCH FDEXP POV C
Observations: 70
R-squared -0.548316 Mean dependent var 2.267425
Adjusted R-squared -0.643597 S.D. dependent var 0.109366
S.E. of regression 0.140210 Sum squared resid 1.277832
Durbin-Watson stat 0.558247
Equation: HE=C(11)+C(12)*Y+C(13)*ED+C(14)*FDEXP+C(15)*POV
Instruments: K L PRSCH SESCH FDEXP POV C
Observations: 70
R-squared 0.119436 Mean dependent var 4.279132
Adjusted R-squared 0.065247 S.D. dependent var 0.026910
S.E. of regression 0.026017 Sum squared resid 0.043998
Durbin-Watson stat 0.546533
Appendix 4
Formulas on System Equation using 3SLS, [EViews]