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Does it Pay to Deliver? An Evaluation of India’s Safe Motherhood Program

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  • Joshi, Shareen
  • Sivaram, Anusuya

Abstract

The paper evaluates an Indian maternal conditional cash transfer scheme. Launched in 2005, the program gives women cash transfers for receiving maternal and child health care services. Data are drawn from India’s District Level Household Survey to evaluate the program’s impact. Results indicate that the program had a limited overall effect: relative to the broader population, the targeted population experienced a 3 percentage point increase in medically supervised births, but no increase in ante-natal or post-natal care. We do however, find evidence of heterogeneity of impact. Women without any formal education and women in rural areas experience disproportionate gains.

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  • Joshi, Shareen & Sivaram, Anusuya, 2014. "Does it Pay to Deliver? An Evaluation of India’s Safe Motherhood Program," World Development, Elsevier, vol. 64(C), pages 434-447.
    • Handle: RePEc:eee:wdevel:v:64:y:2014:i:c:p:434-447
    DOI: 10.1016/j.worlddev.2014.06.004
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    1. Nazmul Chaudhury & Jeffrey Hammer & Michael Kremer & Karthik Muralidharan & F. Halsey Rogers, 2006. "Missing in Action: Teacher and Health Worker Absence in Developing Countries," Journal of Economic Perspectives, American Economic Association, vol. 20(1), pages 91-116, Winter.
    2. Glewwe, Paul & Kassouf, Ana Lucia, 2012. "The impact of the Bolsa Escola/Familia conditional cash transfer program on enrollment, dropout rates and grade promotion in Brazil," Journal of Development Economics, Elsevier, vol. 97(2), pages 505-517.
    3. Schady, Norbert & Rosero, José, 2008. "Are cash transfers made to women spent like other sources of income?," Economics Letters, Elsevier, vol. 101(3), pages 246-248, December.
    4. Osmani, Siddiq & Sen, Amartya, 2003. "The hidden penalties of gender inequality: fetal origins of ill-health," Economics & Human Biology, Elsevier, vol. 1(1), pages 105-121, January.
    5. Das, Jishnu & Hammer, Jeffrey, 2007. "Money for nothing: The dire straits of medical practice in Delhi, India," Journal of Development Economics, Elsevier, vol. 83(1), pages 1-36, May.
    6. Sarah Baird & Ephraim Chirwa & Craig McIntosh & Berk Özler, 2010. "The short‐term impacts of a schooling conditional cash transfer program on the sexual behavior of young women," Health Economics, John Wiley & Sons, Ltd., vol. 19(S1), pages 55-68, September.
    7. de Brauw, Alan & Peterman, Amber, 2011. "Can conditional cash transfers improve maternal health and birth outcomes?: Evidence from El Salvador's Comunidades Solidarias Rurales," IFPRI discussion papers 1080, International Food Policy Research Institute (IFPRI).
    8. Abhijit Banerjee & Angus Deaton & Esther Duflo, 2004. "Wealth, Health, and Health Services in Rural Rajasthan," American Economic Review, American Economic Association, vol. 94(2), pages 326-330, May.
    9. Ariel Fiszbein & Norbert Schady & Francisco H.G. Ferreira & Margaret Grosh & Niall Keleher & Pedro Olinto & Emmanuel Skoufias, 2009. "Conditional Cash Transfers : Reducing Present and Future Poverty," World Bank Publications - Books, The World Bank Group, number 2597.
    10. Adato, Michelle & Hoddinott, John (ed.), 2010. "Conditional Cash Transfers in Latin America," IFPRI books, International Food Policy Research Institute (IFPRI), number 978-0-8018-9498-5.
    11. Powell-Jackson, Timothy & Hanson, Kara, 2012. "Financial incentives for maternal health: Impact of a national programme in Nepal," Journal of Health Economics, Elsevier, vol. 31(1), pages 271-284.
    12. Dreze, Jean & Sen, Amartya, 2002. "India: Development and Participation," OUP Catalogue, Oxford University Press, edition 2, number 9780199257492.
    13. Barham, Tania & Maluccio, John A., 2009. "Eradicating diseases: The effect of conditional cash transfers on vaccination coverage in rural Nicaragua," Journal of Health Economics, Elsevier, vol. 28(3), pages 611-621, May.
    14. Paul Schultz, T., 2004. "School subsidies for the poor: evaluating the Mexican Progresa poverty program," Journal of Development Economics, Elsevier, vol. 74(1), pages 199-250, June.
    15. de Brauw, Alan & Hoddinott, John, 2011. "Must conditional cash transfer programs be conditioned to be effective? The impact of conditioning transfers on school enrollment in Mexico," Journal of Development Economics, Elsevier, vol. 96(2), pages 359-370, November.
    16. Dilip Mookherjee & Debraj Ray, 2008. "A Dynamic Incentive‐Based Argument for Conditional Transfers," The Economic Record, The Economic Society of Australia, vol. 84(s1), pages 2-16, September.
    17. Adato, Michelle & Roopnaraine, Terry & Becker, Elisabeth, 2011. "Understanding use of health services in conditional cash transfer programs: Insights from qualitative research in Latin America and Turkey," Social Science & Medicine, Elsevier, vol. 72(12), pages 1921-1929, June.
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    1. Cooper, Jan E. & Benmarhnia, Tarik & Koski, Alissa & King, Nicholas B., 2020. "Cash transfer programs have differential effects on health: A review of the literature from low and middle-income countries," Social Science & Medicine, Elsevier, vol. 247(C).
    2. Anaka Aiyar & Naveen Sunder, 2024. "Health insurance and child mortality: Evidence from India," Health Economics, John Wiley & Sons, Ltd., vol. 33(5), pages 870-893, May.
    3. Prabhat Kishore & Pratap S. Birthal, 2024. "The impact of direct benefit transfers for micro-irrigation on farm performance: Evidence from India," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 26(7), pages 17995-18015, July.
    4. Chatterjee, Somdeep & Poddar, Prashant, 2019. "Maternal Health, Children Education and Women Empowerment: Quasi-Experimental Evidence from India," GLO Discussion Paper Series 332, Global Labor Organization (GLO).
    5. Susmita Baulia, 2020. "Cash incentives to mothers or to community health workers - what contributes better to the health of the mother and the newborn? Evidence from India," Discussion Papers 133, Aboa Centre for Economics.
    6. Vedavati Patwardhan, 2023. "The impact of the Mamata conditional cash transfer program on child nutrition in Odisha, India," Health Economics, John Wiley & Sons, Ltd., vol. 32(9), pages 2127-2146, September.
    7. Forman-Rabinovici, Aliza & Sommer, Udi, 2018. "An impediment to gender Equality?: Religion’s influence on development and reproductive policy," World Development, Elsevier, vol. 105(C), pages 48-58.
    8. Benjamin M Hunter & Sean Harrison & Anayda Portela & Debra Bick, 2017. "The effects of cash transfers and vouchers on the use and quality of maternity care services: A systematic review," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-37, March.
    9. Somdeep Chatterjee & Prashant Poddar, 2021. "From Safe Motherhood to Cognitive Ability: Exploring Intrahousehold and Intergenerational Spillovers," Economica, London School of Economics and Political Science, vol. 88(352), pages 1075-1106, October.
    10. Harsh Malhotra, 2022. "Why Healthcare CCTs may not Improve Children's Health:Insights from India's Janani Suraksha Yojana," Working papers 321, Centre for Development Economics, Delhi School of Economics.
    11. Aizawa, T.;, 2019. "Reviewing the Existing Evidence of the Conditional Cash Transfer in India through the Partial Identification Approach," Health, Econometrics and Data Group (HEDG) Working Papers 19/24, HEDG, c/o Department of Economics, University of York.

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