Impact of Globalization, Women's Empowerment, and Maternal Health in Sub-Saharan Africa (SSA)

kossi Ayenagbo


Purpose of the study : Women's empowerment nowadays refers to encouraging women's feeling of self-worth, their ability to make their own decisions, and the right to impact their own and others' well-being. This research aims to look at the impact of globalization and women's empowerment on maternal health in Sub-Saharan Africa.

Methodology : The econometric method is based on a dynamic panel model that was applied to a sample of 37 Sub-Saharan African countries from 2000 to 2017. For a deep analysis, the sample is separated into four subgroups. The results for the African context were obtained using the GMM estimator, whereas the results for the regions were obtained using the LSDV-corrected estimator.

Main Findings : The study's findings show that foreign direct investment and women's empowerment have a significant impact on lowering maternal mortality rates in Sub-Saharan Africa's West, East, Center, and South. According to this study, globalisation is no longer limited to the exchange of goods and services between countries but also includes technological exchange, migration, and impacts on all sectors of activity.

Research limitation : The study's main limitation is that it appears impossible to determine the exact impact of liberalising these services on health. The lack of data on a long series is also a challenge in this study. Future research will need to consider the long-term implications.

Novelty/Originality of the study : This study is distinct from others in that it is not restricted to the general context of SSA. It captures the specific effect of various regions by employing econometric tools tailored to each region. This study adds to the empirical literature on the impact of globalisation and women's empowerment on maternal health in SSA countries.

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Alam, M.S., Raza, S.A., Shahbaz, M. & Abbas, Q. (2016). Accounting for contribution of trade openness and foreign direct investment in life expectancy: The long-run and short-run analysis in Pakistan. Social Indicators Research, 129(3), 1155–1170.
Antipova, A. (2021). Analysis of the COVID-19 impacts on employment and unemployment across the multi-dimensional social disadvantaged areas. Social Sciences & Humanities Open. 4(1), 100224.
Anyanwu, J. & Erhijakpor, A. (2009). Health Expenditures and Health Outcomes in Africa*. African Development Review. 21(2), 400–433.
Arellano, M. & Bond, S. (1991). Some Tests of Specification for Panel Data: Monte Carlo Evidence and an Application to Employment Equations. The Review of Economic Studies. 58(2), 277.
Arthur, E. & Oaikhenan, H.E. (2017). The Effects of Health Expenditure on Health Outcomes in Sub-Saharan Africa (SSA): The Effects of Health Expenditure. African Development Review. 29(3), 524–536.
Asongu, S.A., Efobi, U.R., Tanankem, B.V. & Osabuohien, E.S. (2002). Globalisation and Female Economic Participation in Sub-Saharan Africa. Gend. Issues. 37(1), 61–89.
Azemar, C. & Desbordes, R. (2009). Public Governance, Health and Foreign Direct Investment in Sub-Saharan Africa. Journal of African Economies. 18(4), 667–709.
Beneria, L. (2010). Globalization and Gender: Women’s Labor in the Global Economy, in: Berberoglu, B. (Ed.), Globalization in the 21st Century: Labor, Capital, and the State on a World Scale. Palgrave Macmillan US, New York, pp. 155–176.
Bettcher, D. & Lee, K. (2002). Globalisation and public health. Journal of Epidemiology & Community Health. 56(1), 8–17.
Bettcher, D.W., Yach, D. & Guindon, G.E. (2000). Global trade and health: key linkages and future challenges. Bull World Health Organ. 78, 521–534.
Boachie, M.K. & Ramu, K. (2017). Public Health Expenditure and Health Outcomes: A Review. International Journal of Management and Development Studies. 6(1), 15–21.
Bourne, P., Sharpe-Pryce, C., Francis, C., Solan, I., Hudson-Davis, A., Campbell-Smith, J. & Coleman, O.W. (2014). Mortality and Inflation: A 21-Year Analysis of Data on Jamaica. J Gen Pract, 2(151), 1-8.
Bruno, G.S.F. (2005). Approximating the bias of the LSDV estimator for dynamic unbalanced panel data models. Economics Letters. 87(3), 361–366.
Bun, M.J.G. & Kiviet, J.F. (2003). On the diminishing returns of higher-order terms in asymptotic expansions of bias. Economics Letters. 79(2), 145–152.
Byaro, M., Nkonoki, J. & Mayaya, H. (2021). The contribution of trade openness to health outcomes in sub-Saharan African countries: A dynamic panel analysis. Research in Globalization. 3, 100067.
Boyer,F. & Guénard, C. (2014). Sous-employés, chômeurs ou entrepreneurs : les jeunes face à l’emploi, Dans Autrepart 2014/3 (N° 71), 1(3), 3-31
Bolduc, D., & Ayoub, A. (2000). La mondialisation et ses effets: revue de la littérature. GREEN, Département d'économique, Université Laval.
Das, R.C. & Ray, K. (2020). Does Globalisation Influence Employment? Empirical Investigation on Individual as well as Panel of South Asian Countries. Review of Market Integration. 12(1-2), 7–34.
Debauche, É., Dubois, É. & Leblanc, P. (2011). The crisis: what lasting consequences for growth, employment and public finances? Revue d’economie financiere. 103(3), 41–58.
Farag, M., Nandakumar, A.K., Wallack, S., Hodgkin, D., Gaumer, G. & Erbil, C. (2013). Health expenditures, health outcomes and the role of good governance. International Journal of Health Care Finance and Economics. 13(1), 33–52.
Filmer, D. & Pritchett, L. (1999). The impact of public spending on health: does money matter? Social Science & Medicine. 49, 1309–1323.
Gjerdingen, D., McGovern, P., Bekker, M., Lundberg, U. & Willemsen, T. (2001). Women’s Work Roles and Their Impact on Health, Well-Being, and Career: Comparisons Between the United States, Sweden, and The Netherlands. Women & Health. 31(4), 1–20.
Golkhandan, A. (2017). The Impact of Foreign Direct Investment on Health in Developing Countries. Health Research Journal. 2(4), 235–243.
Harcourt, W. (2001). Women’s Health, Poverty and Globalization. Development. 44(1), 85–90.
Held, D., McGrew, A., Goldblatt, D. & Perraton, J. (2000). Global Transformations: Politics, Economics and Culture, in: Pierson, C., Tormey, S. (Eds.), Politics at the Edge: The PSA Yearbook 1999, Political Studies Association Yearbook Series. Palgrave Macmillan UK, London, pp. 14–28.
Kamal, N., Curtis, S., Hasan, M.S. & Jamil, K. (2016). Trends in equity in use of maternal health services in urban and rural Bangladesh. International Journal for Equity in Health. 15(1), 2-11.
Kaur, P. (2018). Impact of globalization on women. Global Journal of Commerce and Management Perspective. 7(2), 41-44. .
Kumar, V. (2003). A Critical Methodology of Globalization: Politics of the 21st Century? Indiana Journal of Global Legal Studies.10(2), 87–111.
Lee, H.-H., Lee, S.A., Lim, J.-Y. & Park, C.-Y. (2016). Effects of food price inflation on infant and child mortality in developing countries. Eur J Health Econ. 17(5), 535–551.
Mallavarapu, S. (2007). Globalization and the Cultural Grammar of ‘Great Power’ Aspiration. International Studies. 44(2), 87–102.
Markovits, Y., Boer, D. & van Dick, R. (2014). Economic crisis and the employee: The effects of economic crisis on employee job satisfaction, commitment, and self-regulation. European Management Journal. 32(3), 413–422.
Matthews, Z., Channon, A., Neal, S., Osrin, D., Madise, N. & Stones, W. (2010). Examining the “Urban Advantage” in Maternal Health Care in Developing Countries. PLoS medicine, 7(9), e1000327..
Moucheraud, C., Worku, A., Molla, M., Finlay, J.E., Leaning, J. &Yamin, A.E. (2015). Consequences of maternal mortality on infant and child survival: a 25-year longitudinal analysis in Butajira Ethiopia (1987-2011). Reproductive Health. 12(1), 1-8.
Nagel, K., Herzer, D. & Nunnenkamp, P. (2015a/201b). How Does FDI Affect Health? International Economic Journal. 29(4), 655–679.
Nwankwo, C. (2018). The Effects of Public Health Spending on Maternal Mortality in Nigeria. Journal of Economics and Sustainable. 9(20), 2222–2855.
Oberlander, L., Disdier, A. & Etilé, F. (2017). Globalisation and national trends in nutrition and health: A grouped fixed?effects approach to intercountry heterogeneity. Health economics. 26(9), 1146–1161.
Okafor, J. & Oseghale, I. (2019). Foreign Direct Investment and the Performance of Health Outcomes in Nigeria, Amity Journal of Healthcare Management. Amity Journal of Healthcare Management. 4(1), 15–31.
Okeke, J. U., & Okeke, E. N. (2016). Least squares dummy variable in determination of dynamic panel model parameters. European Journal of Engineering and Technology Research, 1(6), 77-81.
OECD (2020). Organisation for Economic Cooperation and Development, Health Sector Aid Statistics. Base extracted in 2020
Osano, H.M. & Koine, P.W. (2016). Role of foreign direct investment on technology transfer and economic growth in Kenya: a case of the energy sector. Journal of Innovation and Entrepreneurship 5 (1), 1-25.
Ozili, P.K. (2020). COVID-19 Pandemic and Economic Crisis: The Nigerian Experience and Structural Causes (SSRN Scholarly Paper No. ID 3567419). Social Science Research Network, Rochester, NY.
Parida, J. (2011). Globalisation And Its Impact On Women An Assessment. The Indian Journal of Political Science. 72(2), 429–435.
Phelps, C.E. (1995). Perspectives in health economics. Health Economics. 4(5), 335–353.
Rana, R.H., Alam, K. & Gow, J. (2018). Health expenditure, child and maternal mortality nexus: a comparative global analysis. BMC International Health and Human Rights. 18(1), 1-15.
Richards, D.L. & Gelleny, R. (2007). Women’s Status and Economic Globalization. International Studies Quarterly. 51(4), 855–876.
Sangappa, J. & Kavle, L. (2010). Gender Discrimination: Women’s Work and Autonomy. The Indian Journal of Political Science. 71(2), 425–437.
Siddique, F.K., Hasan, K.B.M.R., Chowdhury, S., Rahman, M., Raisa, T.S. & Zayed, N.M., (2021). The Effect of Foreign Direct Investment on Public Health: Empirical Evidence from Bangladesh. The Journal of Asian Finance, Economics and Business. 8(4), 83–91.
Spilerman, S. (2009). How Globalization Has Impacted Labour: A Review Essay. European Sociological Review. 25(1), 73–86.
Waldron, I. (1980). Employment and Women’s Health: An Analysis of Causal Relationships. International journal of health services. 10(3), 435–454.
Wamala Andersson, S., Kawachi, I. (2009). Globalization and Women’s Health. Globalization and Health. Globalization and health, 171-13.
Wang, G. (2014). The Impact of Social and Economic Indicators on Maternal and Child Health. Social Indicators Research 116(3), 935–957.
WHO (2008). Empowerment and gender equality: essential goals to save women's lives [WWW Document]. WHO? URL (accessed 11.25.20).
WHO (2014). World Health Organization, Health in the African Region Report 2014.
WHO (2018). World Health Organization, Health status in the WHO African Region: Analysis of health status, services, and systems in the context of sustainable development goals.
WDI (2021). World development indicator database 2021.


kossi Ayenagbo (Primary Contact)
Author Biography

kossi Ayenagbo, Department of Economics, Faculty of Economics and Management Science, University of Kara, Togo, BP: 404, Kara/Togo.

The author is a Lecturer in Economics at the Faculty of Economics and Management Science, University of Kara in Togo. With a PhD of Economics from the Northeast Normal University (NENU) in China 2012. The author has over 6 years working as a lecturer in Economics, Assistant Professor at the Department of Economics at the University of Kara in Togo. The author has been the Vice -Dean and the Dean of this faculty. Born 1974, Tohoun, Togo

Ayenagbo, kossi. (2022). Impact of Globalization, Women’s Empowerment, and Maternal Health in Sub-Saharan Africa (SSA). International Journal of Social Sciences and Economic Review, 4(2), 1–09.

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