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The impact of a rural clinic expansion on the fertility of young rural women in Mexico

Author

Listed:
  • Laura Juarez

    (Centro de Estudios Economicos, El Colegio de Mexico)

  • Paulina Lopez

    (NDWA Labs)

Abstract

We estimate the effects of a rural health clinic expansion for the uninsured, which started in 1980 in Mexico, on the fertility of young women in 1987. Our results show that access to rural clinics decreased women’s fertility, particularly for the youngest in our sample. Clinics have positive and significant impacts on contraceptive knowledge and use, supporting the link between the decrease in fertility and the family planning services provided by them. Finally, we find evidence suggesting that the delay in fertility for these women allowed them to increase their schooling and their labor force participation.

Suggested Citation

  • Laura Juarez & Paulina Lopez, 2024. "The impact of a rural clinic expansion on the fertility of young rural women in Mexico," Review of Economics of the Household, Springer, vol. 22(1), pages 117-142, March.
    • Handle: RePEc:kap:reveho:v:22:y:2024:i:1:d:10.1007_s11150-023-09649-7
    DOI: 10.1007/s11150-023-09649-7
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    References listed on IDEAS

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    1. Grant Miller & Kimberly Singer Babiarz, 2016. "Family Planning Program Effects: Evidence from Microdata," Population and Development Review, The Population Council, Inc., vol. 42(1), pages 7-26, March.
    2. Grant Miller, 2010. "Contraception as Development? New Evidence from Family Planning in Colombia," Economic Journal, Royal Economic Society, vol. 120(545), pages 709-736, June.
    3. Grant Miller and Kimberly Singer Babiarz, 2016. "Family Planning Program Effects: A Review of Evidence from Microdata - Working Paper 422," Working Papers 422, Center for Global Development.
    4. Djavad Salehi‐Isfahani & M. Jalal Abbasi‐Shavazi & Meimanat Hosseini‐Chavoshi, 2010. "Family planning and fertility decline in rural Iran: the impact of rural health clinics," Health Economics, John Wiley & Sons, Ltd., vol. 19(S1), pages 159-180, September.
    5. Alec Ian Gershberg, 1998. "Decentralisation, Recentralisation and Performance Accountability: Building an Operationally Useful Framework for Analysis," Development Policy Review, Overseas Development Institute, vol. 16(4), pages 405-431, December.
    6. Ali Hashemi & Djavad Salehi-Isfahani, 2013. "From Health Service Delivery to Family Planning: The Changing Impact of Health Clinics on Fertility in Rural Iran," Economic Development and Cultural Change, University of Chicago Press, vol. 61(2), pages 281-309.
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    More about this item

    Keywords

    I15; J13;

    JEL classification:

    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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