The African Development Bank and women's health: a cross-national analysis of structural adjustment and maternal mortality

Social Science Research
Carolyn CoburnJohn M Shandra

Abstract

We conduct a cross-national analysis to test the hypothesis that African Development Bank (AfDB) structural adjustment lending adversely impacts maternal mortality in Sub-Saharan Africa. We analyze data for thirty-five Sub-Saharan African nations with up to four time points (1990, 1995, 2000, and 2005) with generalized least squares random effects regression models and modified two-step Heckman models that correct for potential endogeneity regarding whether or not a Sub-Saharan African nations receives an AfDB structural adjustment loan. We find support for our hypothesis that indicates that Sub-Saharan African nations that receive an AfDB structural adjustment loan tend to have higher levels of maternal mortality than Sub-Saharan African nations that do not receive such a loan. This finding remains stable even when controlling for endogeneity. We conclude by talking about the theoretical and methodological implications along with possible directions for future research.

References

Oct 6, 1999·Social Science & Medicine·D Filmer, L Pritchett
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Nov 26, 2009·International Journal of Health Services : Planning, Administration, Evaluation·David Stuckler, Sanjay Basu
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Sep 29, 2010·Journal of Health Communication·UNKNOWN United Nations Economic and Social Council (ECOSOC)

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Citations

Feb 28, 2017·Social Science & Medicine·Alexander E Kentikelenis

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