Does bribery increase maternal mortality? Evidence from 135 Sub-Saharan African regions
Veronica Toffolutti1,2, Eugenio Paglino3, Alexandros Kentikelenis2,4
1Health Economics and Policy Research Unit, Wolfson Institute of Population Health, School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.
Bribery significantly increases maternal mortality in Sub-Saharan Africa, with a 10 percentage point rise linked to 41 additional deaths per 1,000. Combating corruption alongside healthcare investment is crucial for reducing deaths.
Area of Science:
- Public Health
- Health Economics
- African Studies
Background:
- Maternal mortality remains a critical global health issue, with Sub-Saharan Africa disproportionately affected.
- In 2017, approximately 295,000 maternal deaths occurred globally, two-thirds in Sub-Saharan Africa.
Purpose of the Study:
- To investigate the association between bribery and maternal mortality in Sub-Saharan Africa.
- To explore the moderating role of healthcare system quality on this relationship.
Main Methods:
- Utilized individual and regional data from 135 regions across 17 Sub-Saharan African countries.
- Analyzed data spanning the period from 2002 to 2018.
Main Results:
- A significant positive association was found between the prevalence of bribery and pregnancy-related deaths.
- A 10 percentage point increase in bribery prevalence correlated with up to 41 additional maternal deaths per 1,000.
Conclusions:
- Combating corruption is essential for reducing maternal mortality in Sub-Saharan Africa.
- Policy interventions should integrate anti-corruption measures with increased healthcare investments.
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