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Global Health Economics and
            Sustainability
                                                                      Energy consumption and life expectancy in West Africa





























            Figure 1. A framework for addressing the electricity access deficit in Africa
            Source: Blimpo & Cosgrove-Davies (2019).
















                                                               Figure 3. Energy stacking
                                                               Source: Nthabiseng et al. (2018).
                                                               2.1.1. Environmental sustainability within the
                                                               neoclassical economic framework
            Figure 2. Energy ladder                            Boulding (2013) and Dragulanescu & Dragulanescu
            Source: Choumert et al. (2017).                    (2013)  theorized  that  an  economic  system  is  divided
                                                               into two major interdependent components. First, the
            to satisfy their energy needs (Figure 3). While some high-  economic system, or the real economy, is where scarce
            income households, healthcare providers, and enterprises   resources are optimally allocated and value creation is
            can use efficient energy sources (electricity and solar   undertaken. Corruption can derail the optimal allocation
            energy), most households cannot do so due to the costs   of scarce resources. Second, the environment supports
            involved, forcing them to continue using unclean energy   life on earth and connects the ecosystem with the real
            sources (fossil or transition fuels) and, thus, leading   economy. Environmental sustainability theory  further
            to environmental degradation and higher health risks.   acknowledges that the real economy is a sub-system that
            Therefore, discussions on the life expectancy – energy   functions effectively only when it is supported by the
            consumption nexus in developing countries must take into   environment. This imposes the need to balance the real
            account energy-stacking strategies (Figure 3) to improve   economy and the environment to ensure the sustainability
            health conditions and general well-being. However,   of both systems.
            these strategies are firmly rooted in income levels, which   Michael Grossman’s theory of healthcare demand
            previous empirical studies have overlooked.        (Grossman, 1972) is also relevant to this study. This theory


            Volume 3 Issue 1 (2025)                         4                        https://doi.org/10.36922/ghes.3518
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