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Maternal and child health and family planning service utilization in Guatemala: implications for service integration

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  • Seiber, Eric E.
  • Hotchkiss, David R.
  • Rous, Jeffrey J.
  • Berruti, Andrés A.

Abstract

Does the utilization of modern maternal and child health (MCH) services influence subsequent contraceptive use? The answer to this question holds important implications for proposals which advocate MCH and family planning service integration. This study uses data from the 1995/6 Guatemalan Demographic Health Survey and its 1997 Providers Census to test the influence of MCH service utilization on individual contraceptive use decisions. We use a full-information maximum likelihood regression model to control for unobserved heterogeneity. This model produces estimates of the MCH effect, independent of individual women's underlying receptiveness to MCH and contraceptive messages. The results of the analysis indicate that the intensity of MCH service use is indeed positively associated with subsequent contraceptive use among Guatemalan women, even after controlling for observed and unobserved individual- , household- , and community-level factors. Importantly, this finding holds even after controlling for the unobserved factors that 'predispose' some women to use both types of services. Simulations reveal that, for these Guatemalan women, key determinants such as age and primary schooling work indirectly through MCH service use to increase contraceptive utilization.

Suggested Citation

  • Seiber, Eric E. & Hotchkiss, David R. & Rous, Jeffrey J. & Berruti, Andrés A., 2005. "Maternal and child health and family planning service utilization in Guatemala: implications for service integration," Social Science & Medicine, Elsevier, vol. 61(2), pages 279-291, July.
    • Handle: RePEc:eee:socmed:v:61:y:2005:i:2:p:279-291
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    1. Heckman, James & Singer, Burton, 1984. "A Method for Minimizing the Impact of Distributional Assumptions in Econometric Models for Duration Data," Econometrica, Econometric Society, vol. 52(2), pages 271-320, March.
    2. Saifuddin Ahmed & W. Mosley, 2002. "Simultaneity in the use of maternal-child health care and contraceptives: evidence from developing countries," Demography, Springer;Population Association of America (PAA), vol. 39(1), pages 75-93, February.
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    Cited by:

    1. Mercy G. Mugo & Peterson J. Muriithi, 2018. "Cost Effectiveness Analysis of Family Planning Provision in Kenya," Journal of African Development, African Finance and Economic Association (AFEA), vol. 20(1), pages 13-22.
    2. Muchabaiwa L. & Mazambani D. & Chigusiwa L. & Bindu S. & Mudavanhu V., 2012. "Determinants of Maternal Healthcare Utilization in Zimbabwe," International Journal of Business and Economic Sciences Applied Research (IJBESAR), International Hellenic University (IHU), Kavala Campus, Greece (formerly Eastern Macedonia and Thrace Institute of Technology - EMaTTech), vol. 5(2), pages 145-162, August.
    3. Priyanka Dixit & Laxmi Kant Dwivedi & Amrita Gupta, 2017. "Role of Maternal and Child Health Care Services on Postpartum Contraceptive Adoption in India," SAGE Open, , vol. 7(3), pages 21582440177, September.

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