Impact of Mobile Money on Resilience to Health Shocks in Sub-Saharan Africa: Evidence from Togo

Ayi Gavriel Ayayi (), Hamitande Dout (), Pagnamam Yekpa () and Mawuli Kodjovi Couchoro ()
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Ayi Gavriel Ayayi: Université du Québec À Trois Rivières
Hamitande Dout: University of Lomé
Pagnamam Yekpa: Economist at the ECOWAS, Bank for Investment and Development (EBID)
Mawuli Kodjovi Couchoro: University of Lomé

Journal of the Knowledge Economy, 2025, vol. 16, issue 2, No 178, 10934-10964

Abstract: Abstract Mobile money has transformed access to financial services in many countries in sub-Saharan Africa and has helped to reduce gaps in the financial inclusion of the unbanked poor. This paper analyzes the impact of the use of mobile money on household resilience to health shocks. Using the propensity score matching method and the probit model with instrumental variables, the results show that the use of mobile money reduces the vulnerability of households to health shocks. We also find that women use mobile money more frequently to alleviate the adverse effects of a health shock. Moreover, we find that mobile money has a greater impact on health shock in rural areas than in non-rural areas. The results also show that the use of mobile money’s impact magnitude on health shock resilience increases with age and education level up to a threshold. Based on the paper’s findings, we have highlighted some economic policies to improve household resilience to shocks. First, the expansion of mobile network coverage, particularly in rural areas, is essential to ensure widespread access to mobile money services. Second, reducing mobile money transaction and service costs is necessary to make these services accessible to low-income households. Third, training and awareness-raising programs on responsible financial management and the effective use of mobile money must be implemented to ensure that all population segments benefit fully from these services, particularly women and older people. Fourth, tax incentives could be offered to mobile operators expanding into rural areas and offering reduced rates for emergency transactions.

Keywords: Mobile money; Health shock; Propensity scores; Togo; G23; I31; O55 (search for similar items in EconPapers)
Date: 2025
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DOI: 10.1007/s13132-024-02305-0

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