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Migration and maternal health services utilization in rural Guatemala

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  • Lindstrom, David P
  • Muñoz-Franco, Elisa

Abstract

This article examines the relationship between migration and the use of formal maternal health-care services among rural women in Guatemala. We identify assimilation, diffusion, and remittances as three potential pathways through which migration can affect health-care service utilization in rural areas. Using data from the 1995 Guatemalan Survey of Family Health and multi-level regression models, we estimate the impact of migration experience at the individual, household, and community level on the use of formal prenatal care and delivery assistance. We find that urban migration experience and having relatives abroad are associated with a greater likelihood of formal prenatal care utilization, after taking account of background characteristics and enabling resources. Migration experience at all levels is also strongly associated with formal delivery assistance; however, this association operates primarily through the positive association between migration and enabling resources. The differential effects of out-migration on maternal health-care service utilization reflect the different barriers to service use that exist for formal prenatal care and delivery assistance. Financial cost and geographic access are the most important barriers to formal delivery assistance, whereas awareness and acceptance remain as important barriers to the use of formal prenatal care in rural Guatemala. Urban migration experience and social ties to urban and international migrants lower the barriers to formal maternal health-care utilization through the acquisition and diffusion of new ideas and practices, and the return flow of financial resources.

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  • Lindstrom, David P & Muñoz-Franco, Elisa, 2006. "Migration and maternal health services utilization in rural Guatemala," Social Science & Medicine, Elsevier, vol. 63(3), pages 706-721, August.
    • Handle: RePEc:eee:socmed:v:63:y:2006:i:3:p:706-721
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    2. Prashant Kumar Singh & Rajesh Kumar Rai & Lucky Singh, 2012. "Examining the Effect of Household Wealth and Migration Status on Safe Delivery Care in Urban India, 1992–2006," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-12, September.
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    6. Kalaj, Ermira Hoxha, 2014. "Are remittances spent in a healthy way? Evidence from Albania," SEER Journal for Labour and Social Affairs in Eastern Europe, Nomos Verlagsgesellschaft mbH & Co. KG, vol. 17(2), pages 237-266.
    7. Eliva Ambugo & Jenjira Yahirun, 2016. "Remittances and risk of major depressive episode and sadness among new legal immigrants to the United States," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 34(8), pages 243-258.
    8. Aline Philibert & Marion Ravit & Valéry Ridde & Inès Dossa & Emmanuel Bonnet & Florent Bédécarrats & Alexandre Dumont, 2017. "Maternal and neonatal health impact of obstetrical risk insurance scheme in Mauritania : a quasi experimental before-and-after study," Post-Print hal-03852218, HAL.
    9. Karim Khan & Muhammad Jehangir Khan & Abid Hussain, 2021. "Remittances and Healthcare Expenditures: Evidence from Pakistan," The Pakistan Development Review, Pakistan Institute of Development Economics, vol. 60(2), pages 175-200.

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