IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2008.146209_9.html
   My bibliography  Save this article

Women's preferences for place of delivery in rural Tanzania: A population-based discrete choice experiment

Author

Listed:
  • Kruk, M.E.
  • Paczkowski, M.
  • Mbaruku, G.
  • De Pinho, H.
  • Galea, S.

Abstract

Objectives. We fielded a population-based discrete choice experiment (DCE) in rural western Tanzania, where only one third of women deliver children in a health facility, to evaluate health-system factors that influence women's delivery decisions. Methods. Women were shown choice cards that described 2 hypothetical health centers by means of 6 attributes (distance, cost, type of provider, attitude of provider, drugs and equipment, free transport). The women were then asked to indicate which of the 2 facilities they would prefer to use for a future delivery. We used a hierarchical Bayes procedure to estimate individual and mean utility parameters. Results. A total of 1203 women completed the DCE. The model showed good predictive validity for actual facility choice. The most important facility attributes were a respectful provider attitude and availability of drugs and medical equipment. Policy simulations suggested that if these attributes were improved at existing facilities, the proportion of women preferring facility delivery would rise from 43% to 88%. Conclusions. In regions in which attended delivery rates are low despite availability of primary care facilities, policy experiments should test the effect of targeted quality improvements on facility use.

Suggested Citation

  • Kruk, M.E. & Paczkowski, M. & Mbaruku, G. & De Pinho, H. & Galea, S., 2009. "Women's preferences for place of delivery in rural Tanzania: A population-based discrete choice experiment," American Journal of Public Health, American Public Health Association, vol. 99(9), pages 1666-1672.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.146209_9
    DOI: 10.2105/AJPH.2008.146209
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2008.146209
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2008.146209?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Carlos Díaz-Caro & Eva Crespo-Cebada & Borja Encinas Goenechea & Ángel-Sabino Mirón Sanguino, 2023. "Trinomial: Return-Risk and Sustainability: Is Sustainability Valued by Investors? A Choice Experiment for Spanish Investors Applied to SDG 12," Risks, MDPI, vol. 11(8), pages 1-12, August.
    2. Bezu, Sosina & Binyaruka, Peter & Mæstad, Ottar & Somville, Vincent, 2021. "Pay-for-performance reduces bypassing of health facilities: Evidence from Tanzania," Social Science & Medicine, Elsevier, vol. 268(C).
    3. Hari S Iyer & Lisa R Hirschhorn & Marie Paul Nisingizwe & Emmanuel Kamanzi & Peter C Drobac & Felix C Rwabukwisi & Michael R Law & Andrew Muhire & Vincent Rusanganwa & Paulin Basinga, 2017. "Impact of a district-wide health center strengthening intervention on healthcare utilization in rural Rwanda: Use of interrupted time series analysis," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-19, August.
    4. Van Rijsbergen, Bart & D’Exelle, Ben, 2013. "Delivery Care in Tanzania: A Comparative Analysis of Use and Preferences," World Development, Elsevier, vol. 43(C), pages 276-287.
    5. Abiiro, Gilbert Abotisem & Torbica, Aleksandra & Kwalamasa, Kassim & De Allegri, Manuela, 2014. "Eliciting community preferences for complementary micro health insurance: A discrete choice experiment in rural Malawi," Social Science & Medicine, Elsevier, vol. 120(C), pages 160-168.
    6. Miriam Rabkin & Michael Strauss & Joanne E Mantell & Munyaradzi Mapingure & Tsitsi B Masvawure & Matthew R Lamb & Jennifer M Zech & Godfrey Musuka & Innocent Chingombe & Martin Msukwa & Rodrigo Boccan, 2020. "Optimizing differentiated treatment models for people living with HIV in urban Zimbabwe: Findings from a mixed methods study," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-14, January.
    7. Timothy Abuya & Charlotte E Warren & Nora Miller & Rebecca Njuki & Charity Ndwiga & Alice Maranga & Faith Mbehero & Anne Njeru & Ben Bellows, 2015. "Exploring the Prevalence of Disrespect and Abuse during Childbirth in Kenya," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-13, April.
    8. Saleh Babazadeh & Philip Anglewicz & Janna M Wisniewski & Patrick K Kayembe & Julie Hernandez & Jane T Bertrand, 2020. "The influence of health facility-level access measures on modern contraceptive use in Kinshasa, DRC," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-20, July.
    9. Matthew Quaife & Fern Terris-Prestholt & Gian Luca Di Tanna & Peter Vickerman, 2018. "How well do discrete choice experiments predict health choices? A systematic review and meta-analysis of external validity," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(8), pages 1053-1066, November.
    10. Miho Sato & Deogratias Maufi & Upendo John Mwingira & Melkidezek T Leshabari & Mayumi Ohnishi & Sumihisa Honda, 2017. "Measuring three aspects of motivation among health workers at primary level health facilities in rural Tanzania," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-17, May.
    11. Afis A Agboola & Oluwaseun T Esan & Oluwasegun T Afolabi & Taiwo A Soyinka & Adedunmola O Oluwaranti & Adeniji Adetayo, 2018. "Economic burden of the therapeutic management of mental illnesses and its effect on household purchasing power," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-13, September.
    12. Alessandro Mengoni & Chiara Seghieri & Sabina Nuti, 2013. "The application of discrete choice experiments in health economics: a systematic review of the literature," Working Papers 201301, Scuola Superiore Sant'Anna of Pisa, Istituto di Management.
    13. Sushma Rajbanshi & Mohd Noor Norhayati & Nik Hussain Nik Hazlina, 2021. "Perceptions of Good-Quality Antenatal Care and Birthing Services among Postpartum Women in Nepal," IJERPH, MDPI, vol. 18(13), pages 1-13, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.146209_9. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.