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Indirect impact of health disasters on maternal and child mortality

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  • El-Shal, Amira
  • Mohieldin, Mahmoud
  • Moustafa, Eman

Abstract

In times of epidemics and pandemics, depletion or diversion of health system resources from routine health care is common, posing serious threats to primary care. This study estimates the contemporaneous and long-run effects of health disasters on maternal and child mortality in 111 countries during 2000–2019 using two-way fixed-effects and two-step system general method of moments frameworks. We also provide evidence that indicates how health system capacity, public health infrastructure, health care coverage and financing, and social determinants of health can mitigate disaster effects. In low- and middle-income countries, health disasters increase maternal, under-5, and neonatal mortalities by 0.3%, 0.3%, and 0.2% instantaneously and by 35%, 80%, and 26% after one year, respectively. Our estimates show that emergency preparedness and response can prevent these effects. However, other mitigators, namely physician density, water, sanitation, and hygiene coverage, universal health coverage, education, gender equality, and financial inclusion have greater impact.

Suggested Citation

  • El-Shal, Amira & Mohieldin, Mahmoud & Moustafa, Eman, 2022. "Indirect impact of health disasters on maternal and child mortality," Economic Analysis and Policy, Elsevier, vol. 74(C), pages 477-493.
    • Handle: RePEc:eee:ecanpo:v:74:y:2022:i:c:p:477-493
    DOI: 10.1016/j.eap.2022.03.003
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    1. Amira El-Shal & Patricia Cubi-Molla & Mireia Jofre-Bonet, 2023. "Discontinuation of performance-based financing in primary health care: impact on family planning and maternal and child health," International Journal of Health Economics and Management, Springer, vol. 23(1), pages 109-132, March.

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    More about this item

    Keywords

    Health disaster; Epidemic; Mortality; Mitigation; Preparedness; SDG3;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • H5 - Public Economics - - National Government Expenditures and Related Policies
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health

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