African Countries Research Articles

Crises and Stock Market Integration: Evidence from BRICS Countries

This paper examines the stock market integration in BRICS (a group of Brazil, Russia, India, China and South Africa) countries and explores the effect of two major events; COVID-19 and Russia-Ukraine war on the stock market linkages of these countries. The study is based on weekly observations of BSE SENSEX (India), Bovespa Index (Brazil), MOEX Index (Russia), Shanghai Composite Index (China), and JSE All Share Index (South Africa) collected from Yahoo Finance and Wallstreet Journal from January 2016 to December 2023. We utilize multivariate DCC GARCH (dynamic conditional correlation) model to discern the time varying conditional correlations (TVCCs) between these equity markets. Thereafter, these TVCCs are regressed on the dummy variables to capture the existence of contagion effects among the stock markets of BRICS countries during these major events. The findings of this study indicate the existence of co-movement in the stock markets prices of BRICS countries during the sample period. We find existence of significant contagion effects among the BRICS countries during the COVID period. Results show a significant downfall in the TVCCs between BRICS stock market returns following the beginning of Russia - Ukraine war.

Investigation of Novel Isatinylhydantoin Derivatives as Potential Anti-kinetoplastid Agents.

Neglected tropical diseases are a group of infectious diseases with a high endemicity in developing countries of Africa, Asia, and the Americas. Treatment for these diseases depends solely on chemotherapy, which is associated with severe side effects, toxicity, and the development of parasitic resistance. This highlights a critical need to develop new and effective drugs to curb these diseases. As a result, a series of novel isatinylhydantoin derivatives were synthesized and evaluated for in vitro anti-kinetoplastid activity against seven human- or animal-infective Trypanosoma and two human-infective Leishmania species. The synthesized derivatives were tested for potential cytotoxicity against human, animal, and parasite host-related cell lines. The isatinylhydantoin hybrid 4b bearing 5-chloroisatin and p-bromobenzyl moieties, showed strong trypanocidal activity against blood-stage T. congolense parasites; however, the promising in vitro trypanocidal potency of 4b could not be translated to in vivo treatment efficacy in a preliminary animal study. Compounds 5, 2b, and 5b, were the most active against amastigotes of L. donovani, showing higher leishmanicidal activity than the reference drug, amphotericin B. These compounds were identified as early antileishmanicidal leads, and future investigations will focus on confirming their antileishmanial potential through in vivo efficacy evaluation as well as their exact mechanism of action.

Nexus between Monetary Indicators and Bitcoin in Selected Sub-Saharan Africa: A Panel ARDL

The rapid adoption and growing prominence of Bitcoin and other cryptocurrencies have sparked significant interest and debate among economists, policymakers, and financial analysts. In Sub-Saharan Africa, where traditional financial systems often face challenges such as limited access to banking services, high transaction costs, and volatile currencies, Bitcoin presents both opportunities and risks. Understanding the interplay between Bitcoin and key monetary indicators such as monetary aggregates, exchange rates, and interest rates can provide valuable insights for policymakers and stakeholders in these economies. This study therefore seeks to investigate the nexus between monetary indicators and Bitcoin in selected Sub-Saharan African countries using a Panel ARDL (Autoregressive Distributed Lag) approach. The analysis focuses on understanding the dynamic relationship between key monetary variables, such as monetary aggregates, exchange rates, interest rates, and Bitcoin prices, from 2010 quarter three to 2022 quarter four. The findings reveal several significant relationships between monetary indicators and Bitcoin across the selected Sub-Saharan African countries. In the short run of the Panel Ardl monetary aggregates exhibit a positive relationship with Bitcoin prices, indicating that changes in the money supply may influence the demand for cryptocurrencies. Conversely, both exchange rates and interest rates show a negative relationship with Bitcoin prices in the short run, suggesting that currency depreciation and higher borrowing costs may reduce demand for Bitcoin. In the long run, the relationship between monetary aggregates and Bitcoin remains positive, emphasizing the potential influence of money supply on cryptocurrency markets over time. However, the significance of exchange rates diminishes, indicating a less pronounced impact in the longer term. Interestingly, interest rates continue to exhibit a significant negative relationship with Bitcoin prices in the long run, highlighting the persistent effect of borrowing costs on cryptocurrency demand. These results have important implications for policymakers, investors, and researchers interested in the intersection of monetary policy and cryptocurrency markets in Sub-Saharan Africa. Policymakers may consider the impact of monetary policy decisions on cryptocurrency adoption and market dynamics, while investors can use these insights to inform their investment strategies.

A comparative model for financial advisory standardization in Nigeria and sub-Saharan Africa

The development of a theoretical model for harmonizing local and international product standards for Nigerian exports Financial inclusion remains a significant challenge in Nigeria and across Sub-Saharan Africa, with millions of individuals, particularly in rural areas, lacking access to formal financial systems. Financial advisory services play a critical role in addressing this challenge by helping individuals understand and effectively use financial products such as savings, credit, and investments. However, the lack of standardization in the delivery of these advisory services has hindered their effectiveness, resulting in inconsistent practices and limited reach, especially among the unbanked population. This review proposes a comparative model for the standardization of financial advisory services in Nigeria and other Sub-Saharan African countries. It seeks to examine the current landscape of financial advisory services, comparing Nigeria’s approach with successful models in countries such as Kenya, Ghana, and South Africa. The model emphasizes key components of standardization, including financial literacy programs, digital advisory platforms, and microfinance initiatives, which are critical to reaching underserved communities. By analyzing case studies, such as Kenya’s M-Pesa platform, which has significantly advanced financial inclusion through mobile money and advisory services, the review identifies best practices that can be adapted to Nigeria’s context. The comparative analysis highlights the importance of leveraging technology, particularly mobile platforms, to provide accessible and scalable financial advisory services. It also underscores the need for public-private partnerships, regulatory support, and tailored programs that address the unique socioeconomic and cultural characteristics of Nigeria and other Sub-Saharan countries. While digital infrastructure remains a challenge in rural areas, the success of mobile banking and advisory platforms in countries like Ghana demonstrates that technology can play a transformative role in financial inclusion. Challenges such as cultural resistance, economic disparities, and infrastructure gaps are discussed, emphasizing the need for a flexible yet standardized approach to advisory services. Additionally, the review outlines the critical role of regulatory frameworks in ensuring that financial advisory services are consistent, transparent, and accessible to all segments of the population. The review advocates for a standardized advisory model tailored to Nigeria’s specific needs, drawing lessons from successful models across Sub-Saharan Africa. Such standardization, supported by regulatory reforms and technology integration, has the potential to bridge the financial inclusion gap, empowering individuals and fostering economic growth. The review also calls for regional collaboration in Sub-Saharan Africa to promote knowledge-sharing and create unified strategies for advancing financial inclusion across the continent.

Farm size and the quality and quantity of jobs—Insights from Nigeria

Debates on the role of farm size for farm productivity and economic development are longstanding in agricultural and development economics. However, the link between farm size and achieving decent work and full employment—Sustainable Development Goal 8—remains unexplored, despite many African countries facing huge unemployment challenges alongside important changes in farm sizes. This paper addresses this gap by focusing on Nigeria’s labor-intensive tomato sector and using unique primary data from a matched farm-to-worker survey. We analyze the relationship between farm size and both the quantity and quality of jobs, which has never been studied before, employing multivariate regression analysis. Additionally, we account for factors that commonly differentiate larger and smaller farms, including technology use, market arrangement, crop diversification, and the reliance on seasonal versus casual labor. Our findings reveal a trade-off: smaller farms offer more jobs per hectare, while larger farms offer better jobs (i.e., higher wages and some non-monetary benefits). We conclude that neither larger nor smaller farms fully align with all dimensions of decent work and full employment, highlighting the need for greater policy and research focus on the employment quality versus quantity dilemma.

Enteric fever in a young man with bowel wall thickening and hepatosplenomegaly

Typhoid fever (enteric fever), caused by Salmonella enterica subsp. enterica serovar Typhi (S. Typhi), is a public health problem especially in South Asia and sub-Saharan African countries, while incidence remains low in most other parts of the world, where the disease is primary related to recent travel to endemic countries or contact with chronic carriers. The diagnosis of typhoid fever is challenging in endemic countries, often also low- and middle- income countries (LMIC), due to the poor sensitivity/specificity of available serologic tests and lack of adequate infrastructure for blood cultures. We report the case of an 18-year-old male patient with a 21-day history of right-sided abdominal pain, malaise, headache, intermittent fever and watery diarrhea. Contrast-enhanced abdominal computed tomography (CT) exhibits thickening of the terminal ileum, cecum and ascending colon with mesenteric lymphadenopathy. Laboratory findings indicate elevated transaminases, positive blood culture to S. Typhi and a positive Widal test to S. Paratyphi A, B and S. Typhi H (flagellar) antigens. A diagnosis of complicated typhoid fever was made. Following a 13-day regimen of ceftriaxone, all symptoms resolved. Few reports have been made about CT manifestations in patients with typhoid fever. While CT can aid in diagnosis, it is particularly important for identifying complications of typhoid fever such as perforation, bleeding and abscess formation.

Nutrition learning gaps in the undergraduate curricula of Nursing and Medicine degree and diploma programs in Tanzania Mainland

BackgroundNutrition has been widely ignored in the curricula of many health professional training programs in Sub-Saharan African countries. The present review was conducted to explore the adequacy of medical and nursing curricula in training graduates to treat, educate effectively, and counsel patients/clients with nutritional disorders in Tanzania.MethodsAn assessment of accredited medical and paramedical curricula in mainland Tanzania. The assessment followed Stufflebeam's CIPP model (context, input, process, and product) to enhance methodological rigour and transparency.ResultsOf the twelve curricula studied, only one had a dedicated course for nutrition. In the undergraduate medicine degree curriculum, only 119 out of 6580 hours over five years were allocated for nutrition training, which is merely 1.7% of the total curriculum hours. Similarly, in the undergraduate nursing degree curriculum only 370 hours out of 5280 over four years were allocated for nutrition training, which is equivalent to 0.07% of the total hours. In the paramedical diploma programs of clinical medicine and nursing, nutrition content was scattered among various courses within the curriculum. Most curricula were teacher-centred with limited use of validated methods to assess trainee on skills such as Observed Structured Practical/ Clinical Examination.ConclusionsBased on this assessment of accredited curricula, nutrition receives scant attention in medical and paramedical education in mainland Tanzania. Thus, it is imperative to support integrating stronger nutrition content into medical and paramedical schools focusing on skills and attitudes to enhance the efficient implementation of the nation’s nutrition policies and strategies.

Derivation of Russian-specific reference intervals for complete blood count, iron markers and related vitamins.

This study aimed to establish reference intervals (RIs) for Russian adults for hematological parameters including related iron markers and vitamins. Sources of variation of reference values (RVs) and needs for secondary exclusion were explored for proper derivations of RIs. Following the harmonized protocol of the IFCC Committee on Reference Intervals and Decision Limits (C-RIDL), 506 healthy Russians (age 18-80; 46% male) were recruited. Complete blood counts (CBC) and leukocyte differentials, iron markers, vitamin B12, and folate were measured by Beckman Coulter's analyzers. Sources of variation were analyzed by multiple regression analysis, and ANOVAs, and the need for partitioning RVs was decided accordingly. Two schemes of excluding latent anemia were compared: (1) latent abnormal values exclusion method (LAVE) based on associations among CBC parameters, or (2) explicit exclusion of individuals with either ferritin or iron below the respective lower limit of the manufacturer. RIs were determined by the parametric method using two-parameter Box-Cox formula. Gender-specific RIs were required for most analytes, while age-specific RIs were set only for ferritin in females. A BMI-related increase in RVs was prominently observed for reticulocyte parameters, hence we chose to exclude individuals with BMI>28 kg/m2 when establishing the RIs. The LAVE method was more effective in excluding individuals with latent anemia, than exclusion based on low ferritin and/or iron values. International comparison revealed that Russian RIs featured a lower side shift of platelet counts. Similar to African countries, Russian RIs for total leukocyte and neutrophil counts were lower compared to most of other countries. RIs for the Russian population for 34 hematological and related parameters were established using up-to-date methods proposed by C-RIDL. Reducing the influences of latent anemia and obesity on RIs was crucial for erythrocyte parameters. Low levels of Russian RIs observed for platelet and neutrophil counts need further investigation.

The impact of mobile money adoption on firm innovation

Using firm-level survey data for 16 Sub-Saharan African countries, we find evidence that mobile money adoption increases firms’ innovation. Further analysis shows that mobile money fosters innovation by improving firms’ liquidity through greater access to trade credit and bank loans. Our findings suggest that policy measures to stimulate innovation in developing countries could focus on incentivizing firms to adopt mobile money.

Food culture, lifestyle & traditional food festivals: a narrative on the public health relevance of the traditional yam recipes in the Afikpo New Yam Festival

Food culture has over the years remained the centre for socio-cultural linkages among people in a community, with generational transmission giving birth to cultural affinity and cultural heritage. Besides its primary aim of nourishment, enhancement of growth and body functions, it also defines religious and traditional belief systems. Several communities, tribes and nation states such as China, Italy, Japan, India, Europe and Americas, have been associated with unique food cultures. In North and West African countries like Tunisia and Nigeria respectively, food cultures abound. In South-East Nigeria, the Igbo tribe conduct yam rituals as food cultural festivals. Afikpo, a community in the Igbo-speaking part of Nigeria, celebrates an annual yam ritual called Ikeji Festival, part of which, as the new yam is harvested, is preparation of traditional yam recipes. This article reviews the nutritional content of the various traditional yam recipes consumed in such ceremonies and the associated drinks. A literature search revealed that yam, an energy-giving food with a carbohydrate content of 15 – 40.6%, could be prepared with vegetables, legumes, fish, meat, melon seeds, red palm oil, African black beans, pumpkin fruit pulp, eggplants, African oil bean, piper guineese, plantain, solanum americanum, vitex donians, pterocarpus santalinoids, which are sources of minerals, vitamins, antioxidants, dietary fibres and polyunsaturated fatty acids, all of which have been documented as beneficial in the management of chronic diseases. Alcoholic and various soft drinks are consumed with the yam recipes during the ceremony and there are possibilities that if awareness is not created, overindulgence could constitute to abuse.

Influence of socio-contextual factors on the link between traditional and new media use, and young people’s sexual risk behaviour in Sub-Saharan Africa: a secondary data analysis

BackgroundTraditional and new media use links to young people’s sexual risk behaviour. The social contexts of young people’s daily lives that influence media use and sexual risk behaviour are often investigated as independent causal mechanisms. We examined the link between media use and young people’s sexual risk behaviour, considering the intersecting socio-contextual factors in Sub-Saharan Africa.MethodsAge-adjusted bivariate logistic regression models tested the association between traditional media (TV, radio, and newspapers), and new media (mobile phone and online) use and sexual risk behaviour using the Demographic and Health Surveys from six Sub-Saharan African countries among unmarried sexually active youths, aged 15–24 years. Multivariate logistic regression models ascertained the media sources that had an additional influence on young people’s sexual risk behaviour, after accounting for socio-contextual factors, and knowledge about HIV and other sexually transmitted infections.ResultsSocio-contextual factors attenuated the association between media use and young people’s sexual risk behaviour in many countries. However, those who did not have access to new and traditional media were more likely to use unreliable contraceptive methods or not use contraception. Adolescents in Nigeria who did not own phones were 89% more likely to use unreliable contraceptive methods or not use any methods [(AOR = 1.89 (1.40–2.56), p < .001)], those in Angola who did not read newspapers had higher odds of not using contraception or used unreliable methods [(aOR = 1.65 (1.26–2.15), p < .001)]. Young people in Angola (aOR = 0.68 (0.56–0.83), p < .001), Cameroon [(aOR = 0.66 (0.51–0.84), p < .001)], Nigeria [(aOR = 0.72 (0.56–0.93), p = .01)], and South Africa [(aOR = 0.69 (0.49–0.98), p = .03)] who did not own phones were less likely to have 2 or more sexual partners compared to those who owned phones. Lack of internet access in Mali was associated with lower odds of having 2 or more sexual partners (aOR = 0.45 (0.29–0.70), p < .001). Traditional media use was significantly associated with transactional sex in many countries.ConclusionsMedia use is linked to sexual risk behaviour among young people in Sub-Saharan Africa. Socioeconomic inequalities, levels of globalization, as well as rural–urban disparities in access to media, underscore the need to deliver tailored and targeted sexual risk reduction interventions to young people using both traditional and new media.

The Impact of Implementing The African Free Trade Agreement on Agricultural Foreign Trade between Egypt and The Most Important African Countries

The Impact of Implementing The African Free Trade Agreement on Agricultural Foreign Trade between Egypt and The Most Important African Countries

Re-examining the Link Between Economic Growth and Income Inequality in Sub-Saharan African Countries: Do Natural Resource Endowments Matter?

Re-examining the Link Between Economic Growth and Income Inequality in Sub-Saharan African Countries: Do Natural Resource Endowments Matter?

THE NATURAL ECOSYSTEMS BETWEEN TOURIST EXPLOITATION AND DEGRADATION, CASE OF EL KALA NATIONAL PARK (ALGERIA)

Algeria is the largest country in Africa by area and is among the countries in the world that possess a rich natural and cultural heritage due to its size, diversity of regions, environments, cultures, and the civilizations that passed through it, including Phoenicians, Romans, Vandals, Byzantines, Ottomans, and others. Our study area, the El Kala National Park, is one of the most important regions in Algeria with significant natural and cultural resources. It boasts an important coastal strip with numerous beautiful beaches and tourism expansion zones that could attract investors. Additionally, it contains various ecosystems, including lakes, dunes, forests, diverse flora and fauna and historical sites from different eras, most notably the El Kala Church. However, this heritage faces degradation due to irresponsible practices, such as the destruction of vegetation in summer 2022, despite existing protective laws. These challenges prompted our study, which partly examines Algeria's policies on tourism, environmental conservation, and heritage preservation. The research methodology employs a combined approach, starting with a historical analysis of the park's status since its UNESCO world heritage classification. We then address the natural ecosystems in the area, illustrated with images, and present a comprehensive study of tourism potentials. Finally, we conduct an in-depth analysis using the SWOT method to obtain a holistic view of the region's natural ecosystems and cultural heritage. Based on our findings, we offer conclusions and recommendations to promote tourism and drive regional development while preserving the ecosystems and natural and cultural heritage of El Kala National Park from degradation and damage.

Renewable energy, energy efficiency, and economic complexity in the middle East and North Africa: A panel data analysis

This paper aims to investigate how economic complexity and structural transformation affect energy security. This study differs from previous research by focusing on energy efficiency and renewable energy transition as indicators of energy security. The employed methods include econometric techniques such as Panel-Corrected Standard Errors, Driscoll and Kraay's Spatial Correlation Consistent (SCC) method, and Generalized Least Squares, covering data from the Middle East and North Africa (MENA) countries between 1990 and 2017. The results show that economic complexity has a negative effect on energy efficiency but a positive impact on renewable energy. However, economic growth positively affects energy efficiency but negatively influences renewable energy. These results imply that economic complexity is energy-intensive but green, whereas economic growth is energy-saving but brown. The comparative analysis reveals that the negative effects of economic complexity and growth are larger than their positive effects, highlighting the necessity of restructuring economic activities and sectors. Accordingly, decision-makers should encourage the utilization of more energy-efficient technologies in economic activities and production, while promoting renewable energy consumption to enhance energy security in the MENA region.

Symbols of a new nation: Ghanaian artists’ expression of cultural identity after independence

ABSTRACT The paper discusses the way Ghanaian visual artists Atta Kwami, Kane Kwei, and Saka Acquaye, used the art to express and narrate the cultural identity during the one decade of independence of Ghana (1957). Ghana was the first sub-Saharan African country which got independence from British colonialism. Besides, the nation wanted to promote the pan-Africanist dream of a new African people. But, the country faced a colonial and traditional dilemma. The research uses the archival method and visual discourse analysis as the main methodological instrument to examine the way artists used traditional symbols from African art, like Adinkra, to modern art by mixing plural personalities. The artworks they created were empowered themselves and allowed a collective story to be told of Ghanaian culture’s recovery, self-sufficiency, and the togetherness of the country. The study shows how these artists applied art as a significant catalyst in the process of nation-building and the creation of a new culture by getting rid of the misconceptions about the negative effects of colonialism on the cultural situation. Their art forms became semiotic kits for the beginning of cultural self-organization through the coherent state of Ghana.

Patient’s willingness to pay for improved community health insurance in Tanzania

Globally, achieving universal health coverage remains significant challenge. Health insurance coverage in low- and middle-income countries is still low with only a few African countries managed to reach 50% coverage. This study aimed to investigate the factors influencing patients’ willingness to pay (WTP) for medication and various versions of the improved Community Health Insurance Fund (iCHF) in Tanzania. A facility-based cross-sectional study was conducted in all hospitals, health centres, and eight randomly sampled dispensaries, sampling participant from the queue, one out of every three patient based on their order of entry into consultation room, and interviewed 1,748 patients in Kilombero and Same districts in Tanzania. We used multi-stage Contingent Valuation Methods exploring data collected during client exit interviews. We employed a random utility model and estimated WTP through an ordered logit model. The independent variables were; patient’s gender, age, marital status, education, employment status, Non-Communicable Disease (NCD) status, health insurance status, and the type of healthcare facility level. Our findings revealed that most patients exhibited a WTP of an amount equivalent to the current iCHF premiums and would also be willing to pay for an augmented iCHF premium inclusive of additional medication coverage. Upon adjusting for demographic characteristics, we observed that patients enrolled in an insurance program or benefiting from user fee waivers demonstrated a lower WTP for medication, while those with non-communicable diseases (NCDs) and seeking care in private facilities exhibited a higher WTP. Furthermore, patients with a secondary education level or above generally displayed higher WTP for premiums. Conversely, patients enrolled in private insurance and availing user fee waivers, along with those accessing care in public facilities, demonstrated a lowered WTP for iCHF premiums. These results highlight the need for targeted interventions to address systemic deficiencies and improve access to medicines. Our conclusions is that policies considering NCD status, education levels and income status are important when designing health insurance schemes for the informal sector in Tanzania, with the goal of increasing uptake of CHF.

Sexual violence against ever-married reproductive-age women in East Africa: further analysis of recent demographic and health surveys

BackgroundSexual violence is a violation of women’s rights, resulting in significant physical and psychological challenges and adverse reproductive health outcomes. Addressing these issues demands urgent public health interventions and support systems to mitigate the profound impact on individuals and societies. Thus, this study aimed to assess sexual violence against ever-married reproductive-age women in East Africa.MethodsData retrieved from the recent Demographic and Health Survey (DHS) of East African countries was used, and a weighted sample of 40,740 ever-married reproductive-age women was included. To identify factors associated with sexual violence, multilevel mixed-effects models utilizing robust Poisson regression were applied. Akaike’s and Bayesian information criteria, as well as deviance, were utilized to compare the models. In the multivariable regression model, adjusted prevalence ratios (APR) with 95% confidence intervals (CI) were used to estimate the strength of association, with statistical significance set at a p-value < 0.05.ResultThe pooled proportion of sexual violence among ever-married reproductive-age women in East Africa was 13.05% (95% CI: 12.74–13.36). The multivariable multilevel robust Poisson regression revealed that age at first cohabitation/marriage, having a primary educational level, being employed, residing in a female-headed household, having a husband/partner who drinks alcohol, and living in rural areas were positively associated with sexual violence. On the contrary, having secondary and higher educational levels and living in communities with a high proportion of uneducated women were negatively associated with sexual violence.ConclusionEmpowering girls and women through education reduces their vulnerability. Effective programs should prioritize workplace safety, financial independence, and robust legal protections against harassment and abuse. Raising awareness about the impact of alcohol abuse on relationships and the heightened risk of sexual violence is crucial. Moreover, enhancing access to support services and community networks, especially in rural areas, is essential for preventing and responding to sexual violence.

Determinants of the Utilization of Skilled Birth Attendance among Women in Ogun East Senatorial District, Nigeria: A Rural-Urban Comparison

Background: Every woman needs access to skilled care during pregnancy, childbirth, and the following weeks. Recent estimates show that the proportion of deliveries attended by a skilled attendant in many African countries remains low. Objective: To identify the determinants of utilising skilled birth attendance (SBA) among women in Ogun East Senatorial District of Nigeria. Methods: A comparative, cross-sectional study was conducted among 375 women in each rural and urban community selected using multistage sampling. A pretested interviewer-administered, structured questionnaire was used for data collection. Results: A higher proportion of urban respondents (67.7%) utilised SBA compared to rural respondents (53.6%), p&lt;0.001. The determinants of utilisation of SBA services included proximity and means of transportation to the facility (p&lt;0.001). On multivariate analysis, health problems in the preceding pregnancy (AOR = 8.183, 95% CI = 2.621-25.545) and spousal support (AOR = 6.909, 95% CI = 2.013-23.705) remained significant determinants of utilisation of SBA in the rural area but not in the urban area. Conclusion: Rural dwellers face significant barriers in accessing the services of skilled birth attendance. Improving transportation infrastructure, engaging spouses in maternal health education and managing health problems during pregnancy could enhance SBA utilisation and reduce rural-urban disparities.

Effect of Public Wages on External Debt in Kenya

Most developing Africa countries have a high need for capital projects that requires a lot of government spending and attention. However, it is unfortunate that in Kenya, borrowed cash intended for capital projects is diverted to recurrent requirements putting a damper on national investment in viable projects. This poses a significant threat to the economy&amp;apos;s growth. The following goal served as a guideline for the study; to determine the influence of public wages on external borrowing debt in Kenya using both cointegration and error correction model. Causal research design was adopted to explain the influence of public wages on external borrowing in Kenya. The study period was from 1970 and 2019 from which a 50-year time series data was employed for analysis. The research relied on secondary data which was collected with the aid of a structured data collection checklist from Central Bank of Kenya, and Kenya National Bureau of Statistics, and World Bank websites. Data analysis was done with an aid of stata, E-views and Ox-Metrics statistical software. Stationarity of variables was tested using PP unit root test where public wages was reported to be stationary at level form. The study employed the use of Ordinary Least Square (OLS) technique in the analysis. There was a significant negative association between public wages and external debt whereby a rise in public wage by 100% indicated decrease in external debt by 101.92%. The overall model was found to be significant since the F-statistic value generated in the analysis was 124.664 with a p-value of 0.000 &amp;lt; 0.05. Model was a good predictor of external borrowing, with an adjusted R&amp;lt;sup&amp;gt;2&amp;lt;/sup&amp;gt; of 0.946 for public wages explaining foreign debt. This research recommends the study recommends that SRC should free up resources using the austerity measures which include wage reductions for government employees. Secondly, the government through the ministry of treasury should raise tax base to increase revenues. Finally, the results of this study may be valuable to government stakeholders who are charged with the responsibility of ensuring economic development through public sector financing, also it is expected to provide important information to policymakers in order to maintain external debt at manageable levels.