Page 177 - GHES-3-3
P. 177

Global Health Economics and
            Sustainability
                                                                                   Path model of child marriage in Africa


            make well-informed decisions about their lives, have a   (Molitoris et al., 2023). The practice continues to violate
            comprehensive understanding of reproductive health,   human rights, particularly for girls from financially
            contribute to the well-being and prosperity of their   constrained families. Early marriage is considered a means
            families, and improve their social and economic status   of ensuring the family’s financial stability and improving
            (Pourtaheri et al., 2023).                         their social standing (Belachew et al., 2022). A rise in child
              Improving the household’s economic security      marriage is associated with higher rates of adolescent
            contributes to the delay of child marriage. Economic   fertility and lower levels of literacy among young women.
            interventions are designed to reduce poverty and make   Furthermore, a rise in child marriage is connected with
            economic growth inclusive through cash transfers,   higher maternal mortality, but a reduction in the country’s
            forms of social assistance and vocational training,   economy.
            skill development programs, and economic incentives   Officials are  encouraged  to  implement  strategies  and
            (UNFPA & UNICEF, 2023). In addition, another key   interventions that address the critical factors associated
            intervention is non-cash assets, such as food supply   with child marriage. Some African nations with high child
            that is provided yearly to families for each year where   marriage prevalence have started to implement policies
            marriage is delayed (Greene et al., 2023). Previous studies   and laws that will assist in achieving the fifth goal of the
            identified that cash transfers or other forms of incentives   Sustainable  Development  Goal.  In  2024,  Sierra  Leone,  a
            can alleviate several economic and social factors of child   country notorious for having one of the highest rates of
            marriage, through distinctive pathways such as increased   child marriage and home to 800,000 child brides (UNFPA
            access to education, and improved household finances   & UNICEF, 2021), signed a new legislation of prohibiting
            (UNFPA & UNICEF, 2023). Tuition fees, monthly or   child marriage. Under the new law, people who marry
            quarterly allowances, buying books, and school supplies   children can be imprisoned for 15 years or fined 50,000
            or  uniforms could  be  included in  cash  transfers, and   leones or both. Furthermore, those who assist in arranging
            research has shown that they boost school attendance   the marriage of a child may be liable to receive the same
            rates (Greene et al., 2023).                       punishment (Kamara, 2024).
              Enacting laws and policies that prevent early marriage   To fully understand the impact of child marriage, future
            is recommended to help reduce the prevalence of child   research must investigate alternative contributing factors,
            marriage. In Ethiopia, the enactment of a law changing the   including behavioral, cultural, and religious influences. In
            minimum age for marriage from 15 to 18 years resulted   addition, it is recommended to conduct similar research
            in an 8% decline of child marriage overall, with a 17%   in regions with high prevalence rates of child marriage.
            decline in marriage for girls younger than 16 years in areas   Comparing socioeconomic and reproductive factors across
            with a high prevalence of child marriage (McGavock,   other countries may provide insight into the most prevalent
            2021; Rokicki, 2021). Another study determined that in   factors, which will inform strategies and interventions that
            countries with consistent laws against child marriage, the   will eliminate child marriage.
            prevalence of such marriages decreased by 40% (Greene
            et al., 2023). The enactment of these laws is insufficient,   Acknowledgments
            and age-at-marriage laws may not effectively end early   None.
            marriage without strong monitoring and enforcement
            systems in place (UNFPA & UNICEF, 2023; Greene et al.,   Funding
            2023). According to the World Policy Analysis Center,
            countries that enforced laws  against  child  marriage   None.
            experienced an average of 6% reduction in child marriage   Conflict of interest
            rates (UNFPA & UNICEF, 2021). Child marriage laws and
            policies should be included as part of the legal and policy   The authors declare they have no competing interests.
            framework, along with advocacy efforts, to address the root
            causes of this practice (UNFPA & UNICEF, 2023; UNFPA   Author contributions
            & UNICEF, 2021).                                   Conceptualization: All authors

            6. Conclusion                                      Formal analysis: All authors
                                                               Investigation: Laurasona Leigh
            Child marriage is negatively associated with several   Methodology: All authors
            outcomes linked to increasing risk of adverse health   Writing – original draft: Laurasona Leigh
            outcomes and the psychological well-being of the child   Writing – review & editing: All authors


            Volume 3 Issue 3 (2025)                        169                       https://doi.org/10.36922/ghes.7117
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