The distance-quality trade-off in women's choice of family planning provider in North Eastern Tanzania.

BMJ Global Health
Bilikisu ElewonibiDavid Canning

Abstract

Studies on the determinants of contraceptive use often consider distance to the nearest health facility offering contraception as a key explanatory variable. Women, however, may not seek contraception from the nearest facility, rather opting for a more distant facility with better quality services or to ensure greater privacy and anonymity. The dataset used include the name of facility where each women obtained contraception, measures of facility quality, and the distance between each woman's home and 39 potential facilities she might visit. We use a conditional-multinomial logit model to estimate the determinants of her facility choice to visit and how women tradeoff travelling longer distances to use higher quality facilities. Only 33% of woman who received contraception from a health facility used their nearest facility. While the nearest facility was 1.2 km away, the average distance to facility used was 2.9 km, indicating women are willing to travel significantly longer distances for higher quality. Women prefer facilities that specialise in providing contraception, provide a large range of methods, do not suffer from stock outs and do not charge fees. Furthermore, on average, women are willing to travel an additional 2 km...Continue Reading

References

Mar 23, 2000·Social Science & Medicine·G F Nemet, A J Bailey
Apr 17, 2002·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·C LarivièreP Loisel
Jul 13, 2012·Lancet·John ClelandAmy Tsui
Aug 27, 2015·International Perspectives on Sexual and Reproductive Health·Katherine TumlinsonIlene S Speizer
Mar 18, 2017·The Lancet Global Health·Margaret E KrukZoë Mullan

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Citations

Aug 14, 2020·JAMA Network Open·Griffith BellDan Schwarz
Nov 13, 2020·Bulletin of the World Health Organization·Catherine ArsenaultMargaret E Kruk
May 4, 2021·Contraception and Reproductive Medicine·Michael J MahandeIqbal Shah
Jul 25, 2021·BMJ Global Health·Peter M MachariaRobert W Snow

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Methods Mentioned

BETA
contraception

Software Mentioned

Stata

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