The authors conduct a cross-national analysis that seeks to accomplish two important goals. First, they test dependency theory’s hypotheses that World Bank structural adjustment adversely affects child mortality in Sub-Saharan Africa. Second, they empirically evaluate the effect of access to clean water and basic sanitation on child mortality. In doing so, they use two-way fixed effects regression models to analyze child mortality using data on 31 nations and four time points (1990, 1995, 2000, and 2005). They find substantial support for their first goal relating to dependency theory that when a Sub-Saharan African nation is under a World Bank structural adjustment loan, then it tends to have higher levels of child mortality. They also find support for their second goal concerning the importance of including environmental variables in cross-national research on health. Specifically, they find that higher levels of access to an improved water source and an improved sanitation facility are associated with lower levels of child mortality within Sub-Saharan African nations. The authors conclude by discussing the findings, theoretical implications, methodological implications, policy suggestions, and possible directions for future research.

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There have been several cross-national studies published in the world polity theoretical tradition that find a strong correlation between nations with high levels of environmental nongovernmental organizations (NGOs) and low levels of various forms of environmental degradation. However, these studies neglect the role that women's NGOs potentially play in this process. We seek to address this gap by conducting a cross-national study of the association between women's NGOs and deforestation. We examine this relationship because deforestation often translates into increased household labor, loss of income, and impaired health for women and, as a result, women's non-governmental organizations have become increasingly involved in dealing with these problems often by protecting forests. We use data from a sample of 61 nations for the period of 1990-2005. We find substantial support for world polity theory that both high levels of women's and environmental NGOs per capita are associated with lower rates of deforestation. We also find that high levels of debt service and structural adjustment are correlated with higher rates of forest loss. We conclude with a discussion of findings, policy implications, and possible future research directions.