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The novelty of this study lies in its detailed examination of the relationship between manufacturing complexity, manufacturing strategies, and manufacturing performance, particularly in developing countries. The results are expected to fill the existing research gaps.The health-related Sustainable Development Goals (SDGs) and the Coronavirus Pandemic (COVID-19) have recently increased awareness of the need for countries to increase fiscal space for health. Prior to these, many Low and Middle-Income Countries (LMICs) had embraced the con