The effect of the health care supply environment on children's nutritional status in rural Nepal

Journal of Biosocial Science
D R HotchkissEric E Seiber

Abstract

This article examines the effect of access to health infrastructure, personnel and services on children's nutritional status in rural Nepal. Data for the study come from the 1996 Nepal Living Standards Survey, which includes individual- and household-level information on children's nutritional status and its environmental and socioeconomic determinants, and community-level information on the availability of health care infrastructure, personnel and services. The study uses a structural modelling approach to assess the relative contributions of the health care supply environment on children's anthropometric status via the pathway of maternal and child health (MCH) service use. The findings suggest that improvements in the availability of outreach clinics and the structural quality of the closest public facility would be expected to have statistically significant and large effects on the use of MCH services, and that increases in MCH service use would have a statistically significant impact on weight-for-age, but not weight-for-height or height-for-age. The overall impact of the heath care supply environment on nutritional status is assessed through a series of policy simulations.

Citations

Aug 25, 2015·Journal of Biomedical Informatics·Wenya YuLulu Zhang
Mar 20, 2008·Evaluation & the Health Professions·Pallav PokhrelErica Piedade
Jan 5, 2010·Addiction Research & Theory·Geoffrey HuntKristin Evans
Jul 5, 2018·International Journal of Environmental Research and Public Health·Claire BreretonPaul Jagals

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