Dimensions of Governance and Child Health in Sub-Saharan Africa: A Subnational Analysis

Politeia ◽  
2019 ◽  
Vol 38 (2) ◽  
Author(s):  
Tim Heaton ◽  
Acheampong Yaw Amoateng

There is broad consensus in the literature on development that effective governance is one of the keys to development. It is against this background of the relationship between good governance and socioeconomic development that the African Union (AU), following its establishment in 2000, indicated good governance in its constitutive act as part of its policy framework for member states in line with the tenets of the New Partnership for Africa’s Development (NEPAD) and the African Peer Review Mechanism (APRM). The present study examined the relationship between good governance and less child deprivation using pooled data from Afrobarometer surveys and Demographic and Health Surveys conducted in sub-Saharan countries since 2000. The study examined the relationship between such dimensions of governance as democracy, voting, effectiveness and transparency as measured by trust and corruption as well as measures of child outcomes such as availability of toilet facilities, vaccinations, nutrition and mortality. The study found that the relationship between regional governance and children’s well-being was weak and inconsistent. It indicated that although a deepening of democracy might lead to improvements in the long-term outcomes of nutrition and child survival, these improvements would be relatively small. Further, results suggested that, in terms of good governance, trust was not particularly helpful and that corruption was not as harmful as many would suggest.

2018 ◽  
Vol 45 (1) ◽  
pp. 59-76 ◽  
Author(s):  
Eric Osei-Assibey ◽  
Kingsley Osei Domfeh ◽  
Michael Danquah

Purpose The purpose of this paper is to investigate the effect of corruption and institutional governance indicators on capital flight in Sub-Saharan Africa. Design/methodology/approach Using a Portfolio Choice Framework, the study employs two different estimation techniques as Generalized Method of Moment and Fixed Effect Regression on panel data sets of 32 countries in Sub-Saharan Africa over the period 2000-2012. Findings The variable of interest, corruption, retains its expected positive sign and statistically significant across all the estimations. The relationship remains very strong even when other equally important institutional variables such as regime durability, rule of law and independence of the executive are taken into account. This suggests that a higher perception of corruption among public authorities as in bribery, kickbacks in public procurement, embezzlement of public funds, among others facilitates an increase in capital outflow from SSA. The findings further indicate that regime durability and rule of law are important institutional variables that also significantly influence capital flights in SSA. Practical implications The findings imply that institutional reforms should be encouraged if SSA is to win the war against corruption and by extension against capital flight. There should be a creation of democratic environment and good governance practices that foster stronger governance institutions, decline in corruption and better domestic investment climate to help reverse the high spate of capital flight in the region. Originality/value The main value of this paper is using the portfolio choice framework to analyze the relationship between capital flight and corruption in the Sub-Saharan African context.


2017 ◽  
Vol 4 ◽  
Author(s):  
M. C. Greene ◽  
J. C. Kane ◽  
W. A. Tol

Background:Alcohol use is a well-documented risk factor for intimate partner violence (IPV); however, the majority of research comes from high-income countries.Methods:Using nationally representative data from 86 024 women that participated in the Demographic and Health Surveys, we evaluated the relationship between male partner alcohol use and experiencing IPV in 14 countries in sub-Saharan Africa (SSA). Using multilevel mixed-effects models, we calculated the within-country, between-country, and contextual effects of alcohol use on IPV.Results:Prevalence of partner alcohol use and IPV ranged substantially across countries (3–62 and 11–60%, respectively). Partner alcohol use was associated with a significant increase in the odds of reporting IPV for all 14 countries included in this analysis. Furthermore, the relationship between alcohol use and IPV, although largely explained by partner alcohol use, was also attributable to overall prevalence of alcohol use in a given country. The partner alcohol use–IPV relationship was moderated by socioeconomic status (SES): among women with a partner who used alcohol those with lower SES had higher odds of experiencing IPV than women with higher SES.Conclusions:Results of this study suggest that partner alcohol use is a robust correlate of IPV in SSA; however, drinking norms may independently relate to IPV and confound the relationship between partner alcohol use and IPV. These findings motivate future research employing experimental and longitudinal designs to examine alcohol use as a modifiable risk factor of IPV and as a novel target for treatment and prevention research to reduce IPV in SSA.


2021 ◽  
pp. 073889422110508
Author(s):  
Leila Demarest ◽  
Roos Haer

How does interethnic marriage influence the occurrence of ethnic violence in sub-Saharan Africa? Previous studies on the relationship between intergroup contact and conflict onset have produced mixed findings. Some scholars have argued that this might be due to the way interethnic contact is measured. Building on insights of social psychology, this study examines the influence of interethnic marriage as the ultimate form of positive intergroup contact. In doing so, we combine information of the Demographic and Health Surveys with event data on ethnic conflict. Our analysis shows that areas with higher levels of exogamy significantly experience less ethnic conflict.


2021 ◽  
Author(s):  
Calistus Wilunda ◽  
Milkah Wanjohi ◽  
Risa Takahashi ◽  
Elizabeth Kimani-Murage ◽  
Antonina Mutoro

Abstract The relationship between different dimensions of women's empowerment and childhood anaemia in sub-Saharan Africa (SSA) is unclear. We assessed the associations between women’s empowerment and anaemia and haemoglobin (Hb) concentration among children using data from 72,032 women and their singleton children aged 6-59 months from the most recent Demographic and Health Surveys conducted between 2006 and 2019 in 31 SSA countries. Of the included children, 65.8% were anaemic and the mean Hb concentration was 102.3 g/dl (SD 16.1). The odds of anaemia in children reduced with increasing empowerment in the dimensions of attitude towards violence [quintile (Q1) vs. Q5, OR 0.80; 95% CI 0.71–0.89, Ptrend <0.001], decision making (Q1 vs. Q5, OR 0.68; 95% CI 0.59–0.79, Ptrend <0.001), education (Q1 vs. Q5, OR 0.80; 95% CI 0.72–0.89, Ptrend <0.001), and social independence (Q1 vs. Q5, OR 0.89; 95% CI 0.79–1.00, Ptrend <0.015). Similarly, children’s mean Hb concentration increased with increasing women’s empowerment in all the above dimensions. In conclusion, women empowerment was associated with reduced odds of anaemia and higher Hb concentration in children. Promotion of women's empowerment may reduce the burden of childhood anaemia in SSA.


2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Heath Prince

Poverty is increasingly recognised as a multidimensional phenomenon in the development literature, encompassing not only income, but also a range of factors related to broadening an individual’s freedoms to live a life of their own choosing. Poverty so understood suggests that alternative approaches to poverty measurement reflecting this multidimensionality may point towards alternative policies for poverty alleviation. The imperative to reinforce pro-poor policy development in sub-Saharan Africa with evaluation findings that reflect improvements in well-being, rather than solely improvements in national economies, has become self-evident as, despite decades of market-led development policies, much of the subcontinent remains mired in deprivation. As recognised by the 2014 African Evaluation Association’s biannual conference, fresh thinking and new evaluation metrics are required in order to create policies that more effectively increase well-being. This article explores the factors that may account for changes in one metric of multidimensional poverty in developing countries, the United Nation Development Program’s Human Poverty Index (HPI), and will be primarily concerned with measuring the effects on the HPI of policies and activities that relate to, or are explicitly meant to encourage, economic growth, increased literacy and improved health. The study focuses on the outcomes of a panel data set, created for the purpose of this study, of HPI scores for a set of 47 sub-Saharan countries, between 1990 and 2010, and a range of indicators that the development literature and theory suggest should have an effect on income poverty, asking, what is the relationship between these indicators and multidimensional poverty? A parallel set of models has been developed to measure the response of household consumption expenditure to changes in economic growth and human capabilities indicators. All models are estimated using fixed effects estimators and cluster robust standard errors in Stata 12. Consistent with the development literature, household expenditure appears to be significantly and positively related to changes in gross domestic product (GDP) per capita. However, when the HPI is regressed on GDP per capita, no statistically significant relationshipis observed, even when controlling for a range of other indicators, calling into question the relationship between economic growth and well-being in much of sub-Saharan Africa. This finding suggests that development policies that focus primarily on economic growth as a means to addressing multidimensional deprivation may be misplaced.


2018 ◽  
Vol 22 (5) ◽  
pp. 874-881 ◽  
Author(s):  
Muzi Na ◽  
Meghan Miller ◽  
Terri Ballard ◽  
Diane C Mitchell ◽  
Yuen Wai Hung ◽  
...  

AbstractObjectiveThe present study aimed to determine the relationship among food insecurity, social support and mental well-being in sub-Saharan Africa, a region presenting the highest prevalence of severe food insecurity and a critical scarcity of mental health care.DesignFood insecurity was measured using the Food Insecurity Experience Scale (FIES). Social support was assessed using dichotomous indicators of perceived, foreign perceived, received, given, integrative and emotional support. The Negative and Positive Experience Indices (NEI and PEI) were used as indicators of mental well-being. Multilevel mixed-effect linear models were applied to examine the associations between mental well-being and food security status, social support and their interaction, respectively, accounting for random effects at country level and covariates.ParticipantsNationally representative adults surveyed through Gallup World Poll between 2014 and 2016 in thirty-nine sub-Saharan African countries (n 102 235).ResultsThe prevalence of severe food insecurity was 39 %. The prevalence of social support ranged from 30 to 72 % by type. In the pooled analysis using the adjusted model, food insecurity was dose-responsively associated with increased NEI and decreased PEI. Perceived, integrative and emotional support were associated with lower NEI and higher PEI. The differences in NEI and PEI between people with and without social support were the greatest among the most severely food insecure.ConclusionsBoth food insecurity and lack of social support constitute sources of vulnerability to poor mental well-being. Social support appears to modify the relationship between food security and mental well-being among those most affected by food insecurity in sub-Saharan Africa.


2004 ◽  
Vol 7 (3) ◽  
pp. 542-552 ◽  
Author(s):  
GT Ijaiya ◽  
MA Ijaiya

The continuous increase in the rate of poverty in Sub-Saharan Africa can be linked to the inadequate management and use of international financial assistance such as foreign aid. Using a cross-country data, this paper examines the relationship between foreign aid and poverty reduction in Sub-Saharan Africa (SSA). The result obtained indicates that foreign aid has no significant influence on poverty reduction in SSA, because of the countries’ weak economic management evidenced by high levels of corruption, bad governance, and political and economic instability. To improve the performance of foreign aid directed at poverty reduction, the paper suggests the implementation of measures directed at good governance, macroeconomic and political stability.Incentives in Nigeria’s food manufacturing industries and their impact on output and prices


2019 ◽  
Vol 26 (10) ◽  
pp. 1101-1119 ◽  
Author(s):  
Francis Barchi ◽  
Samantha C. Winter

This multicountry study used Demographic and Health Surveys (DHS) data from 138,097 women to explore the relationship between non-partner violence (NPV) and sanitation, water, and urbanization in sub-Saharan Africa (SSA). One out of 15 women reports having experienced physical and/or sexual violence by a non-partner during the previous 12 months; within the region, prevalence ranges from 2.3-11.3%. Explanatory models of NPV improve in 11 of the 20 countries when the built environment variables are included. The results suggest that sanitation and water access are associated with risk of NPV in a number of countries in the region, particularly in urban settings.


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