According to world polity theory, international health and women’s non-governmental organizations should improve health in poor nations by providing health, reproductive, and educational services. However, there are suggestions that their effectiveness may be limited by a variety of factors. These factors include their projects being small-scale, ad hoc, or reformist. Further, non-governmental organizations may implement projects that satisfy donor interests rather than a local population’s needs. In order to evaluate these claims, we construct cross-national models of infant morality from 1990 to 2005 for a sample of 74 poor nations. Initially, we find no support for world polity theory claims that health and women’s non-governmental organizations decrease infant mortality. However, we re-specify the models to test a ‘political opportunity structure’ hypothesis that democracy enhances the ability of non-governmental organizations to improve health. We do so by including interaction terms between these two variables and find substantial support for this hypothesis. Specifically, the results suggest that health and women’s non-governmental organizations decrease infant mortality in democratic but not repressive nations.
Allison, P. ( 1999) Multiple Regression: A Primer. Thousand Oaks, CA: SAGE.
2.
Anand, S. and Barnighausen, T. ( 2004) ‘Human Resources and Health Outcomes: Cross-Country Econometric Study’, The Lancet364: 1603-09.
3.
Arbuckle, J.L. ( 1996) Amos Users’ Guide. Chicago, IL : Small Waters Corporation.
4.
Baqui, A.H., Rosecrans, A.M., Williams, E.K., Agrawal, P.K., Ahmed, S., Darmstadt, G.L., Kumar, V., Kiran, U., Panwar, D., Ahuja, R.C., Srivastava, V.K., Black, R.E. and Santosham, M. ( 2008) ‘NGO Facilitation of a Government Community-Based Maternal and Neo-Natal Health Program in Rural India: Improvements in Equity’ , Health Policy and Planning23: 234-43.
5.
Bates, D. and Rudel, T.K. ( 2000) ‘The Political Ecology of Tropical Rain Forest Conservation: A Cross-National Analysis’, Society and Natural Resources13: 587-60.
6.
Boehmer, U. and Williamson, J.B. ( 1996) ‘The Impact of Women’s Status on Infant Mortality Rate: A Cross-National Study’, Social Indicators Research37: 333-60.
7.
Boerma, T. ( 1987) ‘The Magnitude of the Maternal Mortality Problem in Sub-Saharan Africa’, Social Forces24: 551-8.
8.
Boli, J. and Thomas, G.M. ( 1999) Constructing World Culture: International Non-Governmental Organizations since 1875. Stanford, CA: Stanford University Press.
9.
Bollen, K. and Paxton, P. ( 2000) ‘Subjective Measures of Liberal Democracy’ , Comparative Political Studies33: 58-87.
10.
Bornschier, V. and Chase-Dunn, C. ( 1985) Transnational Corporations and Underdevelopment. London: Praeger Press.
11.
Bradshaw, Y. and Schafer, M.J. ( 2000) ‘Urbanization and Development: The Emergence of International Non-Governmental Organizations Amid Declining States’ , Sociological Perspectives43: 97-116.
12.
Bratton, M. ( 1989) ‘The Politics of Government-NGO Relations in Africa’ , World Development17: 569-87.
13.
Bryant, R.L. and Bailey, S. ( 1997) Third World Political Ecology. London : Routledge.
14.
Buchman, C. ( 1996) ‘The Debt Crisis, Structural Adjustment, and Women’s Education: Implications for Status and Development’, International Journal of Comparative Sociology37: 5-30.
15.
Buckingham-Hatfield, S. ( 2000) Gender and Environment. New York: Taylor and Francis.
16.
Burns, T.J., Kentor, J. and Jorgenson, A.K. ( 2003) ‘Trade Dependence, Pollution, and Infant Mortality in Less Developed Countries’, in W.A. Dunaway (ed.) Crises and Resistance in the 21st Century World-System. New York: Greenwood Press.
17.
Care (2007) The Changing Times: A Plan for Change. Atlanta: CARE .
18.
Chapin, M. ( 2004) ‘A Challenge to Conservationists’, World Watch Magazine1: 17-34.
19.
Clapp, J. ( 1998) ‘Foreign Direct Investment in Hazardous Industries in Developing Countries: Rethinking the Debate’, Environmental Politics7: 92-113.
20.
Clark, J. ( 1991) Democratizing Development: The Role of Voluntary Organizations . London: Earthscan Press.
21.
Cliff, J. ( 1991) ‘The War on Women in Mozambique: Health Consequences of South African Destabilization, Economic Crisis, and Structural Adjustment’ , in M. Turshen (ed.) Women and Health in Africa, pp. 15-44. Trenton, NJ: Africa World Press.
22.
Edwards, M. and Hulme, D. ( 1996) ‘Too Close for Comfort? The Impact of Official Aid on Non-Governmental Organizations’, World Development24: 961-73.
23.
Filmer, D. and Pritchett, L. ( 1999) ‘The Impact of Public Spending on Health: Does Money Matter?’, Social Science & Medicine49: 1309-23.
24.
Finkel, S. ( 1995) Causal Analysis with Panel Data. Thousand Oaks, CA: SAGE.
25.
Firebaugh, G. and Beck, F. ( 1994) ‘Does Economic Growth Benefit the Masses? Growth, Dependence, and Welfare in the Third World’, American Sociological Review59: 631-54.
26.
Fischer, J. ( 1999) Non-Governments: NGOs and Political Development in the Third World. New York: Kumarian .
27.
Fisher, W.F. ( 1997) ‘Doing Good? The Politics and Anti-Politics of Non-Governmental Organizations Practices’, Annual Review of Anthropology26: 439-64.
28.
Fowler, A. ( 1991) ‘The Rise of Non-Governmental Organizations in Changing State-Society Relations: Perspectives from Eastern and Southern Africa’ , Development Policy Review9: 53-84.
29.
Frank, D.J. ( 1999) ‘The Social Bases of Environmental Treaty Ratification’ , Sociological Inquiry69: 523-50.
30.
Frank, D.J., Hironaka, A. and Schofer, E. ( 2000) ‘The Nation-State and the Natural Environment over the Twentieth Century’, American Sociological Review65: 96-116.
31.
Freedom House (1997) Freedom in the World: 1996-1997. New York: Freedom House.
32.
Frey, R.S. and Field, C. ( 2000) ‘The Determinants of Infant Mortality in the Less Developed World: A Cross-national Test of Five Theories’, Social Indicators Research52: 215-35.
33.
Hafner-Burton, E.M. and Tsutsui, K. ( 2005) ‘Human Rights in a Globalizing World: The Paradox of Empty Promises’, American Journal of Sociology110: 1373-411.
34.
Hurst, P. ( 1990) Rainforest Politics. London: Zed Books.
35.
Inoue, K. and Drori, G. ( 2006) ‘The Global Institutionalization of Health as a Social Concern: Organizational and Discursive Trends’, International Sociology21: 199-219.
36.
Jaccard, J. and Turrisi, R. ( 2001) Interaction Effects in Multiple Regression. Thousand Oaks, CA: SAGE.
37.
Jorgenson, A.K. ( 2003) ‘Consumption and Environmental Degradation: A Cross-National Analysis of the Ecological Footprint’, Social Problems41: 279-88.
38.
Jorgenson, A.K. ( 2004) ‘Global Inequality, Water Pollution, and Infant Mortality’, The Social Science Journal41: 279-88.
39.
Jorgenson, A.K. ( 2006) ‘Global Warming and the Neglected Greenhouse Gas: A Cross-National Study of Methane Emissions Intensity, 1995’, Social Forces84: 1777-96.
40.
Jorgenson, A.K. ( 2007) ‘Does Foreign Investment Harm the Air We Breath and the Water We Drink? A Cross-National Study of Carbon Dioxide Emissions and Organic Water Pollution in Less Developed Countries, 1975-2000’ , Organization & Environment20: 137-56.
41.
Jorgenson, A.K. and Burns, T.J. ( 2007) ‘Effects of Rural and Urban Populations and National Development on Deforestation in Less Developed Countries, 1990-2000’ , Sociological Inquiry77: 460-82.
42.
Karliner, J. ( 1997) The Corporate Planet. San Francisco, CA: Sierra Club Books.
43.
Keck, M. and Sikkink, K. ( 1998) Activists Beyond Borders. Ithaca, NY : Cornell University Press.
44.
Kelly, W.R. and Cutright, P. ( 1980) ‘Modernization and Demographic Transition: Cross-Sectional and Longitudinal Analysis of a Revised Model’, Sociological Focus13: 315-26.
45.
Kentor, J. ( 2001) ‘The Long Term Effects of Globalization on Income Inequality, Population Growth, and Economic Development’, Social Problems48: 435-55.
46.
Kitschelt, H. (1986) ‘Political Opportunity Structures and Political Protest: Anti Nuclear Movements in Four Democracies’, British Journal of Political Science 16: 57-85. Lena, H. and London, B. (1993) ‘The Political and Economic Determinants of Health Outcomes: A Cross-National Analysis’, International Journal of Health Services 23: 585-602.
47.
Lewis, T.L. ( 2000) ‘Transnational Conservation Movement Organizations: Shaping the Protected Area Systems of Less Developed Nations’, Mobilization5: 105-23.
48.
Livernash, R. ( 1992) ‘Policies and Institutions: Non-Governmental Organizations and a Growing Force in the Developing World’, in World Resources Institute (ed.) World Resources. Oxford: Oxford University Press.
49.
London, B. and Ross, R.J.S. ( 1995) ‘The Political Sociology of Foreign Direct Investment: Global Capitalism and Capital Mobility, 1965-1980’, International Journal of Comparative Sociology36: 198-219.
50.
London, B. and Williams, B. ( 1990) ‘National Politics, International Dependency, and Basic Needs Provision: A Cross-National Analysis’, Social Forces69: 564-84.
51.
Menard, S. ( 2002) Longitudinal Research. Thousand Oaks, CA: SAGE.
52.
Mercer, A.M., Haseen, F., Huq, M.L., Khan, M.H. and Larson, C.P. ( 2006a) ‘Risk Factors for Neo-Natal Mortality in Rural Areas of Bangladesh Served by a Large Non-Governmental Organization Program’ , Health Policy and Planning21: 432-43.
53.
Mercer, A.M., Khan, M.H., Daulatuzzaman, M. and Reid, J. ( 2004) ‘Effectiveness of a Non-Governmental Organization Primary Health Care Program in Rural Bangladesh: Evidence form the Management Information System’, Health Policy and Planning19: 187-98.
54.
Mercer, A.M., Uddin, N., Huq, N.L., Haseen, F., Khan, M.H. and Larson, C.P. ( 2006b) ‘Validating Neo-Natal Mortality and Use of Non-Governmental Organization Reproductive Health Outreach Service in Rural Bangladesh’ , Studies in Family Planning37: 111-22.
55.
Midlarsky, M. ( 1998) ‘Democracy and the Environment: An Empirical Assessment’ , Journal of Peace Research35: 341-61.
56.
Moon, B. and Dixon, W. ( 1985) ‘Politics, State, and Basic Human Needs: A Cross-National Study’, American Journal of Political Science29: 6661-94.
57.
Moore, S., Teixeira, A.C. and Shiell, A. ( 2006) ‘The Health of Nations in a Global Context: Trade, Global Stratification, and Infant Mortality Rates’, Social Science & Medicine63: 165-78.
58.
Najam, A. ( 1998) ‘Searching for NGO Effectiveness’, Development Policy Review16: 305-10.
59.
Ndegwa, S. ( 1996) The Two Faces of Civil Society: NGOs and Politics in Africa . New York: Kumarian Press.
60.
Newell, P. ( 2000) ‘Environmental NGOs and Globalization: The Governance of TNCs’, in R. Cohen and S.M. Rai (eds) Global Social Movements . London: Athlone Press.
61.
Otchere, S. and Ransom, E. ( 2006) Bringing Care Closer to Mothers and Newborns: Using the Gap Analysis Tool to Develop a Household to Hospital Continuum of Care. Westport, CT: Save the Children.
62.
Paxton, P. ( 2002) ‘Social Capital and Democracy: An Interdependent Relationship’, American Sociological Review67: 254-77.
63.
Payne, R.A. ( 1995) ‘Freedom and the Environment’, Journal of Democracy6: 41-55.
64.
Polity IV Project (2005) Polity IV Project: Political Regime Characteristics and Transitions. College Park: University of Maryland.
65.
Powell, M. and Seddon, D. ( 1997) ‘NGOs and the Development Industry’, Review of African Political Economy24: 3-10.
66.
Princen, T. ( 1994) ‘Non-Governmental Organizations: Creating a Niche in Environmental Diplomacy’, in T. Princen and M. Finger (eds) Environmental NGOs in World Politics: Linking the Local and the Global. New York: Routledge.
67.
Robinson, J. and Wharrad, H. ( 2001) ‘The Relationship between Attendance at Birth and Maternal Mortality Rates: An Exploration of United Nations Data Sets Including Ratios of Physicians and Nurses to Population’, Journal of Advanced Nursing34: 445-55.
68.
Ross, R.J.S. and Trachte, K. ( 1990) Global Capitalism: The New Leviathan. Albany: State University of New York Press.
69.
Rostow, W.W. ( 1990) The Stages of Economic Growth: A Non-Communist Manifesto . London: Cambridge University Press .
70.
Royston, E. and Armstrong, S. ( 1989) Preventing Maternal Deaths. Geneva : World Health Organization.
71.
Sanyal, B. ( 1994) Cooperative Autonomy: The Dialectic of State-NGOs Relationships in Developing Countries. Geneva: International Institute for Labor Studies.
72.
Schafer, M.J. ( 1999) ‘International Non-Governmental Organizations and Third World Education in 1990: A Cross-National Study’, Sociology of Education72: 69-88.
73.
Schofer, E. and Hironaka, A. ( 2005) ‘The Effects of World Society on Environmental Outcomes’ , Social Forces84: 25-47.
74.
Shandra, J.M. ( 2007) ‘The World Polity and Deforestation: A Cross-National Analysis’, International Journal of Comparative Sociology48: 5-28.
75.
Shandra, J.M., London, B. and Williamson, J.B. ( 2005) ‘Multinational Corporations, Democracy, and Child Mortality: A Cross-National Analysis’, Social Indicators Research73: 267-93.
76.
Shandra, J.M., Shor, E. and London, B. ( 2008) ‘Debt, Structural Adjustment, and Organic Water Pollution: A Cross-National Analysis’, Organization & Environment21: 38-55.
77.
Shen, C. and Williamson, J.B. ( 1997) ‘Child Mortality, Women’s Status, Economic Dependency, and State Strength: A Cross-National Study of Less Developed Countries’, Social Forces76: 667-701.
78.
Shen, C. and Williamson, J.B. ( 2001) ‘Accounting for Cross-National Differences in Infant Mortality Decline (1965-1991) Among Less Developed Countries: Effects of Women’s Status, Economic Dependency, and State Strength’, Social Indicators Research53: 257-88.
79.
Smith, J. ( 1995) ‘Transnational Political Processes and the Human Rights Movement’, in L. Kriesberg, M. Dobkowski and I. Walliman (eds) Research in Social Movements, Conflict, and Change , pp. 185-220. Greenwood, CT: JAI.
80.
Stewart, S. ( 1997) ‘Happy Ever After in the Market Place: Non-Governmental Organizations and Uncivil Society’, Review of African Political Economy71: 11-34.
81.
Sullivan, D.J. ( 1995) Non-Governmental Organizations and Freedom of Association: Palestine and Egypt. Jerusalem: Pasia.
82.
Tarrow, S. ( 1994) Power in Movement: Social Movements, Collective Action and Politics. Cambridge: Cambridge University Press.
83.
Tripp, A.M. ( 2000) ‘Political Reform in Tanzania: The Struggle for Associational Autonomy’, Comparative Politics32: 191-214.
84.
United Nations Children’s Fund (2006) The State of the World’s Children 2007: The Double Dividend of Gender Equality. New York: United Nations Children’s Fund. Wiktorowicz, Q. (2002) ‘The Political Limits to Non-Governmental Organizations in Jordan’, World Development 30: 77-93.
85.
Williams, C. ( 2007) Gender and Trade: Implications for Women. Rio de Janeiro: International Gender and Trade Network .
86.
Wimberley, D. ( 1990) ‘Investment Dependence and Alternative Explanations of Third World Mortality: A Cross-National Study’, American Sociological Review55: 830-54.
87.
Woptika, C.M. and Ramirez, F. ( 2008) ‘World Society and Human Rights: An Event History Analysis of the Convention on the Elimination of All Forms of Discrimination against Women’, in B.A. Simmons, F. Dobbin and G. Garrett (eds) The Global Diffusion of Markets and Democracy, pp. 303-43. Cambridge: Cambridge University Press.
88.
World Bank (2003) World Development Indicators. Washington, DC: World Bank.
89.
World Health Organization (2002) WHO and Civil Society: Linking for Better Health. Geneva : World Health Organization.
90.
York, R., Rosa, E.A. and Dietz, T. ( 2003) ‘Footprints on the Earth: The Environmental Consequences of Modernity’, American Sociological Review68: 279-300.
