The effect of distance on maternal institutional delivery choice: Evidence from Malawi.

Health Economics
Finn McGuirePeter C Smith

Abstract

In many low- and middle-income countries, geographical accessibility continues to be a barrier to health care utilization. In this paper, we aim to better understand the full relationship between distance to providers and utilization of maternal delivery services. We address three methodological challenges: non-linear effects between distance and utilization; unobserved heterogeneity through non-random distance "assignment"; and heterogeneous effects of distance. Linking Malawi Demographic Health Survey household data to Service Provision Assessment facility data, we consider distance as a continuous treatment variable, estimating a Dose-Response Function based on generalized propensity scores, allowing exploration of non-linearities in the effect of an increment in distance at different distance exposures. Using an instrumental variables approach, we examine the potential for unobserved differences between women residing at different distances to health facilities. Our results suggest distance significantly reduces the probability of having a facility delivery, with evidence of non-linearities in the effect. The negative relationship is shown to be particularly strong for women with poor health knowledge and lower socio-econom...Continue Reading

References

Jan 1, 1987·Social Science & Medicine·E L WongJ S Akin
Jul 25, 1968·The New England Journal of Medicine·V R Fuchs
Jan 1, 1983·Social Science & Medicine·R Stock
Apr 1, 1994·Social Science & Medicine·S Thaddeus, D Maine
Dec 6, 1997·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·O Samai, P Sengeh
Dec 5, 1998·International Journal of Epidemiology·I MüllerB Genton
May 7, 1996·Journal of Health Economics·V LavyP de Vreyer
Jul 8, 2000·Annual Review of Public Health·A Wagstaff, E van Doorslaer
Jul 12, 2001·Journal of Biosocial Science·P Griffiths, R Stephenson
Sep 2, 2003·Health Economics·Catharina Hjortsberg
Jan 20, 2004·The International Journal of Health Planning and Management·Daniel Buor
Feb 28, 2004·International Journal of Health Geographics·Mark F Guagliardo
Oct 12, 2004·Social Science & Medicine·Dat V DuongAndy H Lee
Dec 14, 2004·Journal of Health Economics·T Paul Schultz
Feb 3, 2006·Tropical Medicine & International Health : TM & IH·Satoko YanagisawaSusumu Wakai
Dec 25, 2007·Cadernos de saúde pública·Owen O'Donnell
Jan 15, 2008·Journal of Health Economics·Joseph V TerzaPaul J Rathouz
Aug 13, 2009·BMC Pregnancy and Childbirth·Sabine Gabrysch, Oona M R Campbell
Nov 13, 2009·Applied Health Economics and Health Policy·Sisira Sarma
Jan 26, 2011·American Journal of Epidemiology·Anja SchoepsHeiko Becher
Dec 1, 2008·The American Economic Review·Rebecca L Thornton
Feb 18, 2012·International Journal of Health Geographics·Victor A AleganaPeter M Atkinson
Jun 29, 2012·International Journal of Health Geographics·Justine I BlanfordAlan M MacEachren
Jan 12, 2013·Health Policy and Planning·Kenneth L Leonard
Aug 3, 2013·Social Science & Medicine·Samuel H MastersMichael Hanlon
May 11, 2016·AIDS·Philip AnglewiczHans-Peter Kohler
Aug 11, 2016·Scientific Reports·Robin C NesbittSabine Gabrysch
Nov 3, 2017·Health Economics·Christopher J CroninIlene S Speizer
Sep 10, 2018·The Lancet Global Health·Margaret E KrukMuhammad Pate
Mar 18, 2019·Journal of Health Economics·Karen A GrépinWilliam Jack

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