IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v282y2021ics0277953621003294.html
   My bibliography  Save this article

Faith-based provision of sexual and reproductive healthcare in Malawi

Author

Listed:
  • Tafesse, Wiktoria
  • Chalkley, Martin

Abstract

Faith-based organisations constitute the second largest healthcare providers in Sub-Saharan Africa but their religious values might be in conflict with providing some sexual and reproductive health services. We undertake regression analysis on data detailing client-provider interactions from a facility census in Malawi and examine whether religious ownership of facilities is associated with the degree of adherence to family planning guidelines. We find that faith-based organisations offer fewer services related to the investigation and prevention of sexually transmitted infections (STIs) and the promotion of condom use. The estimates are robust to several sensitivity checks on the impact of client selection. Given the prevalence of faith-based facilities in Sub-Saharan Africa, our results suggest that populations across the region may be at risk from inadequate sexual and reproductive healthcare provision which could exacerbate the incidence of STIs, such as HIV/AIDS, and unplanned pregnancies.

Suggested Citation

  • Tafesse, Wiktoria & Chalkley, Martin, 2021. "Faith-based provision of sexual and reproductive healthcare in Malawi," Social Science & Medicine, Elsevier, vol. 282(C).
    • Handle: RePEc:eee:socmed:v:282:y:2021:i:c:s0277953621003294
    DOI: 10.1016/j.socscimed.2021.113997
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953621003294
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2021.113997?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
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Emily Oster, 2005. "Sexually Transmitted Infections, Sexual Behavior, and the HIV/AIDS Epidemic," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 120(2), pages 467-515.
    2. DJEMAI, Elodie, 2018. "Roads and the spread of HIV in Africa," Journal of Health Economics, Elsevier, vol. 60(C), pages 118-141.
    3. Hill, Elaine L. & Slusky, David J.G. & Ginther, Donna K., 2019. "Reproductive health care in Catholic-owned hospitals," Journal of Health Economics, Elsevier, vol. 65(C), pages 48-62.
    4. Emily Oster, 2019. "Unobservable Selection and Coefficient Stability: Theory and Evidence," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 37(2), pages 187-204, April.
    5. Ritva Reinikka & Jakob Svensson, 2010. "Working for God? Evidence from a Change in Financing of Nonprofit Health Care Providers in Uganda," Journal of the European Economic Association, MIT Press, vol. 8(6), pages 1159-1178, December.
    6. Duchoslav, Jan & Cecchi, Francesco, 2019. "Do incentives matter when working for god? The impact of performance-based financing on faith-based healthcare in Uganda," World Development, Elsevier, vol. 113(C), pages 309-319.
    7. Tiemann, Oliver & Schreyögg, Jonas & Busse, Reinhard, 2012. "Hospital ownership and efficiency: A review of studies with particular focus on Germany," Health Policy, Elsevier, vol. 104(2), pages 163-171.
    8. repec:hal:wpspec:info:hdl:2441/76npisrda99aop75h6fmi4vduu is not listed on IDEAS
    9. Leonard, Kenneth & Masatu, Melkiory C., 2006. "Outpatient process quality evaluation and the Hawthorne Effect," Social Science & Medicine, Elsevier, vol. 63(9), pages 2330-2340, November.
    10. Wim Biesen & Norbert Lameire & Patrick Peeters & Raymond Vanholder, 2007. "Belgium’s mixed private/public health care system and its impact on the cost of end-stage renal disease," International Journal of Health Economics and Management, Springer, vol. 7(2), pages 133-148, September.
    11. Martin Chalkley, 2018. "Private Provision of Publicly Funded Health Care: The Economics of Ownership," Briefing 002055, Office of Health Economics.
    12. Gian Paolo Barbetta & Gilberto Turati & Angelo M. Zago, 2007. "Behavioral differences between public and private not‐for‐profit hospitals in the Italian national health service," Health Economics, John Wiley & Sons, Ltd., vol. 16(1), pages 75-96, January.
    13. repec:hal:spmain:info:hdl:2441/76npisrda99aop75h6fmi4vduu is not listed on IDEAS
    14. Calvi, Rossella & Mantovanelli, Federico G., 2018. "Long-term effects of access to health care: Medical missions in colonial India," Journal of Development Economics, Elsevier, vol. 135(C), pages 285-303.
    15. Emily Oster, 2005. "Sexually Transmitted Infections, Sexual Behavior and the HIV/AIDS Epidemic," CID Working Papers 4, Center for International Development at Harvard University.
    16. Sanjay Basu & Jason Andrews & Sandeep Kishore & Rajesh Panjabi & David Stuckler, 2012. "Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries: A Systematic Review," PLOS Medicine, Public Library of Science, vol. 9(6), pages 1-14, June.
    17. Grépin, Karen A. & Bharadwaj, Prashant, 2015. "Maternal education and child mortality in Zimbabwe," Journal of Health Economics, Elsevier, vol. 44(C), pages 97-117.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. repec:hal:wpspec:info:hdl:2441/76npisrda99aop75h6fmi4vduu is not listed on IDEAS
    2. Cagé, Julia & Rueda, Valeria, 2020. "Sex and the mission: the conflicting effects of early Christian missions on HIV in sub-Saharan Africa," Journal of Demographic Economics, Cambridge University Press, vol. 86(3), pages 213-257, September.
    3. repec:hal:spmain:info:hdl:2441/76npisrda99aop75h6fmi4vduu is not listed on IDEAS
    4. repec:spo:wpecon:info:hdl:2441/76npisrda99aop75h6fmi4vduu is not listed on IDEAS
    5. repec:spo:wpmain:info:hdl:2441/76npisrda99aop75h6fmi4vduu is not listed on IDEAS
    6. Cammett, Melani & Şaşmaz, Aytuğ, 2017. "Political Context, Organizational Mission, and the Quality of Social Services: Insights from the Health Sector in Lebanon," World Development, Elsevier, vol. 98(C), pages 120-132.
    7. Cui Zhang & Dandan Zhang, 2023. "Spatial Interactions and the Spread of COVID-19: A Network Perspective," Computational Economics, Springer;Society for Computational Economics, vol. 62(1), pages 383-405, June.
    8. Abu Bakkar Siddique & Kingsley E. Haynes & Rajendra Kulkarni & Meng-Hao Li, 2023. "Regional poverty and infection disease: early exploratory evidence from the COVID-19 pandemic," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 70(1), pages 209-236, February.
    9. Abel Brodeur & Warn N Lekfuangfu & Yanos Zylberberg, 2018. "War, Migration and the Origins of the Thai Sex Industry," Journal of the European Economic Association, European Economic Association, vol. 16(5), pages 1540-1576.
    10. Lucia Corno & Áureo de Paula, 2019. "Risky Sexual Behaviours: Biological Markers and Self‐reported Data," Economica, London School of Economics and Political Science, vol. 86(342), pages 229-261, April.
    11. Ibáñez, Ana María & Rozo, Sandra V. & Urbina, María J., 2021. "Forced Migration and the Spread of Infectious Diseases," Journal of Health Economics, Elsevier, vol. 79(C).
    12. Bertocchi, Graziella & Dimico, Arcangelo, 2019. "The long-term determinants of female HIV infection in Africa: The slave trade, polygyny, and sexual behavior," Journal of Development Economics, Elsevier, vol. 140(C), pages 90-105.
    13. Cunningham, Scott & DeAngelo, Gregory & Smith, Brock, 2020. "Fracking and risky sexual activity," Journal of Health Economics, Elsevier, vol. 72(C).
    14. Alpino,Matteo & Hammersmark,Eivind Moe, 2020. "The Role of Historical Christian Missions in the Location of World Bank Aid in Africa," Policy Research Working Paper Series 9146, The World Bank.
    15. Simona Rasciute, 2023. "Parental education and child health: The exploration of the cross‐gender intergenerational transmission mechanism," Kyklos, Wiley Blackwell, vol. 76(4), pages 642-658, November.
    16. Cassidy, Rachel & Groot Bruinderink, Marije & Janssens, Wendy & Morsink, Karlijn, 2021. "The power to protect: Household bargaining and female condom use," Journal of Development Economics, Elsevier, vol. 153(C).
    17. Yao, Yao, 2016. "Fertility and HIV risk in Africa," Working Paper Series 19501, Victoria University of Wellington, School of Economics and Finance.
    18. M. Perez-Alvarez & M. Favara, 2023. "Children having children: early motherhood and offspring human capital in India," Journal of Population Economics, Springer;European Society for Population Economics, vol. 36(3), pages 1573-1606, July.
    19. Anna-Maria Aksan, 2013. "Appropriate Health R&D and Intellectual Property Rights Reform in Developing Countries," Economica, London School of Economics and Political Science, vol. 80(319), pages 475-495, July.
    20. Roberto Colombi & Gianmaria Martini & Giorgio Vittadini, 2017. "Determinants of transient and persistent hospital efficiency: The case of Italy," Health Economics, John Wiley & Sons, Ltd., vol. 26(S2), pages 5-22, September.
    21. Mevlude Akbulut-Yuksel & Belgi Turan, 2013. "Left behind: intergenerational transmission of human capital in the midst of HIV/AIDS," Journal of Population Economics, Springer;European Society for Population Economics, vol. 26(4), pages 1523-1547, October.
    22. Julia Cage & Valeria Rueda, 2017. "Sex and the Mission: The Conflicting Effects of Early Christian Investments on the HIV Epidemic in sub-Saharan Africa," Sciences Po publications 12192, Sciences Po.
    23. Cagé, Julia & Rueda, Valeria, 2017. "Sex and the Mission: The Conflicting Effects of Early Christian Investments on the HIV Epidemic in sub-Saharan Africa," CEPR Discussion Papers 12192, C.E.P.R. Discussion Papers.
    24. Boto-García, David, 2023. "Investigating the two-way relationship between mobility flows and COVID-19 cases," Economic Modelling, Elsevier, vol. 118(C).

    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:eee:socmed:v:282:y:2021:i:c:s0277953621003294. 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.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with 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: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    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.