In previous studies, little attention has been paid to the simultaneous effect of health expenditures and good governance on health indicators. In this regard, in this study, the effect of health expenditures and good governance on the health index of Mena countries during the period 2002 to 2019 has been investigated.

The present study is descriptive-analytic of applied type. The statistical population includes the countries of Mana. The method of data collection is library and the data required for the research have been collected by referring to the World Bank database and world government indicators.The data were analyzed by using unit Root, Cao and Generalized Torque tests using Eviews 9 software. In this study, weighted average of six indicators of self-esteem and accountability, political stability and lack of violence, government efficiency, order quality And regulations, rule of law and corruption control as a good governance indicator, as well as infant mortality rates and mortality rates for children under the age of 5 were used as indicators of health.

The results showed that health costs had a positive and significant effect (coefficient -1.32) on the mortality rate of children under 5 years and a positive and significant effect (coefficient -1.2) on the death rate. And infant mortality as a health index has the health index of selected countries. Also, good governance index has a negative (non-significant) effect on health status in selected countries. The results also showed that the weak institutional structure in Mena countries weakens the impact of health expenditures on the under-5 mortality rate (coefficient - 0.13) and (-0.12) on infant mortality rate as a health indicator.

Health in the government leads to improved public health and the lack of government health despite increasing public health spending not only improves public health but also leads to the loss of public resources.