IDEAS home Printed from https://ideas.repec.org/a/spr/jopoec/v37y2024i4d10.1007_s00148-024-01050-7.html
   My bibliography  Save this article

Enhancing information to improve outcomes: the impact of home visiting programs on maternal health

Author

Listed:
  • Johabed G. Olvera

    (Pennsylvania State University)

  • Julio A. Ramos Pastrana

    (Indiana University)

Abstract

We examine the impact of a home visiting program targeting pregnant women in Mexico City on maternal mortality. Using administrative data and taking advantage of the program’s rollout, we estimate a staggered difference-in-differences model. We find that the program substantially reduces the maternal mortality rate by 23 maternal deaths per 100,000 births, leading to a total of 105 lives saved in the study period, which amounts to social welfare gains of 17 million dollars. We complement our analysis using call data from a government telehealth program and show that the program led to more pregnancy-related calls, suggesting that the reduction in maternal mortality was at least partially driven by the type of information provided during the home visits, which increased mothers’ awareness of common pregnancy complications signs and connected pregnant women with the healthcare system.

Suggested Citation

  • Johabed G. Olvera & Julio A. Ramos Pastrana, 2024. "Enhancing information to improve outcomes: the impact of home visiting programs on maternal health," Journal of Population Economics, Springer;European Society for Population Economics, vol. 37(4), pages 1-36, December.
  • Handle: RePEc:spr:jopoec:v:37:y:2024:i:4:d:10.1007_s00148-024-01050-7
    DOI: 10.1007/s00148-024-01050-7
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s00148-024-01050-7
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.

    File URL: https://libkey.io/10.1007/s00148-024-01050-7?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. Hilary W. Hoynes & Diane Whitmore Schanzenbach, 2009. "Consumption Responses to In-Kind Transfers: Evidence from the Introduction of the Food Stamp Program," American Economic Journal: Applied Economics, American Economic Association, vol. 1(4), pages 109-139, October.
    2. James J. Heckman & Margaret L. Holland & Kevin K. Makino & Rodrigo Pinto & Maria Rosales-Rueda, 2017. "An Analysis of the Memphis Nurse-Family Partnership Program," NBER Working Papers 23610, National Bureau of Economic Research, Inc.
    3. Sean Grant & Amanda Parsons & Jennifer Burton & Paul Montgomery & Kristen Underhill & Evan Mayo Wilson, 2014. "Home Visits for Prevention of Impairment and Death in Older Adults: A Systematic Review," Campbell Systematic Reviews, John Wiley & Sons, vol. 10(1), pages 1-85.
    4. Hoynes, Hilary & Page, Marianne & Stevens, Ann Huff, 2011. "Can targeted transfers improve birth outcomes?: Evidence from the introduction of the WIC program," Journal of Public Economics, Elsevier, vol. 95(7-8), pages 813-827, August.
    5. Jens Ludwig & Douglas L. Miller, 2007. "Does Head Start Improve Children's Life Chances? Evidence from a Regression Discontinuity Design," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 159-208.
    6. Nancy Reichman & Hope Corman & Kelly Noonan & Ofira Schwartz-Soicher, 2010. "Effects of prenatal care on maternal postpartum behaviors," Review of Economics of the Household, Springer, vol. 8(2), pages 171-197, June.
    7. Seema Jayachandran & Adriana Lleras-Muney & Kimberly V. Smith, 2010. "Modern Medicine and the Twentieth Century Decline in Mortality: Evidence on the Impact of Sulfa Drugs," American Economic Journal: Applied Economics, American Economic Association, vol. 2(2), pages 118-146, April.
    8. Alison Comfort, 2016. "Long-term effect of in utero conditions on maternal survival later in life: evidence from Sub-Saharan Africa," Journal of Population Economics, Springer;European Society for Population Economics, vol. 29(2), pages 493-527, April.
    9. D. Mark Anderson & Ryan Brown & Kerwin Kofi Charles & Daniel I. Rees, 2020. "Occupational Licensing and Maternal Health: Evidence from Early Midwifery Laws," Journal of Political Economy, University of Chicago Press, vol. 128(11), pages 4337-4383.
    10. Callaway, Brantly & Sant’Anna, Pedro H.C., 2021. "Difference-in-Differences with multiple time periods," Journal of Econometrics, Elsevier, vol. 225(2), pages 200-230.
    11. Evans, William N. & Lien, Diana S., 2005. "The benefits of prenatal care: evidence from the PAT bus strike," Journal of Econometrics, Elsevier, vol. 125(1-2), pages 207-239.
    12. Bertrand, Marianne & Shafir, Eldar & Mullainathan, Sendhil, 2006. "Behavioral Economics and Marketing in Aid of Decision Making Among the Poor," Scholarly Articles 2962609, Harvard University Department of Economics.
    13. Ji Yan, 2017. "The Effects of Prenatal Care Utilization on Maternal Health and Health Behaviors," Health Economics, John Wiley & Sons, Ltd., vol. 26(8), pages 1001-1018, August.
    14. Costas Meghir & Orazio Attanasio & Sarah Cattan, 2022. "Early Childhood Development, Human Capital, and Poverty," Annual Review of Economics, Annual Reviews, vol. 14(1), pages 853-892, August.
    15. Goodman-Bacon, Andrew, 2021. "Difference-in-differences with variation in treatment timing," Journal of Econometrics, Elsevier, vol. 225(2), pages 254-277.
    16. Alison B. Comfort, 2016. "Long-term effect of in utero conditions on maternal survival later in life: evidence from Sub-Saharan Africa," Journal of Population Economics, Springer;European Society for Population Economics, vol. 29(2), pages 493-527, April.
    17. Delphine Hu & Stefano M Bertozzi & Emmanuela Gakidou & Steve Sweet & Sue J Goldie, 2007. "The Costs, Benefits, and Cost-Effectiveness of Interventions to Reduce Maternal Morbidity and Mortality in Mexico," PLOS ONE, Public Library of Science, vol. 2(8), pages 1-10, August.
    18. Sun, Liyang & Abraham, Sarah, 2021. "Estimating dynamic treatment effects in event studies with heterogeneous treatment effects," Journal of Econometrics, Elsevier, vol. 225(2), pages 175-199.
    19. Douglas Almond & Hilary W. Hoynes & Diane Whitmore Schanzenbach, 2011. "Inside the War on Poverty: The Impact of Food Stamps on Birth Outcomes," The Review of Economics and Statistics, MIT Press, vol. 93(2), pages 387-403, May.
    20. Marcelo de Lima, 2020. "The value of a statistical life in Mexico," Journal of Environmental Economics and Policy, Taylor & Francis Journals, vol. 9(2), pages 140-166, April.
    21. Wüst, Miriam, 2012. "Early interventions and infant health: Evidence from the Danish home visiting program," Labour Economics, Elsevier, vol. 19(4), pages 484-495.
    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. Esra Kose & Siobhan M. O'Keefe & Maria Rosales-Rueda, 2022. "Does the Delivery of Primary Health Care Improve Birth Outcomes? Evidence from the Rollout of Community Health Centers," NBER Working Papers 30047, National Bureau of Economic Research, Inc.
    2. Marein, Brian, 2023. "Public health departments and the mortality transition in Latin America: Evidence from Puerto Rico," Journal of Development Economics, Elsevier, vol. 160(C).
    3. Mitrut, Andreea & Tudor, Simona, 2018. "Bridging the gap for Roma: The effects of an ethnically targeted program on prenatal care and child health," Journal of Public Economics, Elsevier, vol. 165(C), pages 114-132.
    4. Marianne Bitler & Theodore F. Figinski, 2024. "Long-Run Effects of Food Assistance: Evidence from the Food Stamp Program and Administrative Data," NBER Working Papers 33182, National Bureau of Economic Research, Inc.
    5. Alex Hollingsworth & Krzysztof Karbownik & Melissa A. Thomasson & Anthony Wray, 2024. "The Gift of a Lifetime: The Hospital, Modern Medicine, and Mortality," American Economic Review, American Economic Association, vol. 114(7), pages 2201-2238, July.
    6. Hope Corman & Dhaval Dave & Nancy E. Reichman, 2018. "Evolution of the Infant Health Production Function," Southern Economic Journal, John Wiley & Sons, vol. 85(1), pages 6-47, July.
    7. Doyle, Mary-Alice & Schurer, Stefanie & Silburn, Sven, 2022. "Unintended consequences of welfare reform: Evidence from birthweight of Aboriginal children in Australia," Journal of Health Economics, Elsevier, vol. 84(C).
    8. Dodini, Samuel & Larrimore, Jeff & Tranfaglia, Anna, 2024. "Financial repercussions of SNAP work requirements," Journal of Public Economics, Elsevier, vol. 229(C).
    9. Adrienne M. Lucas & Nicholas L. Wilson, 2018. "Can At-Scale Drug Provision Improve the Health of the Targeted in Sub-Saharan Africa?," American Journal of Health Economics, University of Chicago Press, vol. 4(3), pages 358-382, Summer.
    10. Deborah A. Cobb-Clark & Nathan Kettlewell & Stefanie Schurer & Sven Silburn, 2023. "The Effect of Quarantining Welfare on School Attendance in Indigenous Communities," Journal of Human Resources, University of Wisconsin Press, vol. 58(6), pages 2072-2110.
    11. Hilary Hoynes & Diane Whitmore Schanzenbach & Douglas Almond, 2016. "Long-Run Impacts of Childhood Access to the Safety Net," American Economic Review, American Economic Association, vol. 106(4), pages 903-934, April.
    12. Joan Costa-Font & Martin Knapp & Cristina Vilaplana-Prieto, 2023. "The ‘welcomed lockdown’ hypothesis? Mental wellbeing and mobility restrictions," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(5), pages 679-699, July.
    13. Bingley, Paul & Cappellari, Lorenzo & Ovidi, Marco, 2023. "When It Hurts the Most: Timing of Parental Job Loss and a Child's Education," IZA Discussion Papers 16367, Institute of Labor Economics (IZA).
    14. Hoa Vu, 2024. "I wish I were born in another time: Unintended consequences of immigration enforcement on birth outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 33(2), pages 345-362, February.
    15. Da Mata, Daniel & Emanuel, Lucas & Pereira, Vitor & Sampaio, Breno, 2023. "Climate adaptation policies and infant health: Evidence from a water policy in Brazil," Journal of Public Economics, Elsevier, vol. 220(C).
    16. Martha J Bailey & Hilary Hoynes & Maya Rossin-Slater & Reed Walker, 2024. "Is the Social Safety Net a Long-Term Investment? Large-Scale Evidence From the Food Stamps Program," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 91(3), pages 1291-1330.
    17. Bellés-Obrero, Cristina & Cabrales, Antonio & Jiménez-Martín, Sergi & Vall-Castelló, Judit, 2023. "Women’s education, fertility and children’ health during a gender equalization process: Evidence from a child labor reform in Spain," European Economic Review, Elsevier, vol. 154(C).
    18. Kihwan Bae & Edward Timmons, 2023. "Now You Can Take It with You: Effects of Occupational Credential Recognition on Labor Market Outcomes," Working Papers 23-03, Department of Economics, West Virginia University.
    19. Dickson, Alex & Gehrsitz, Markus & Kemp, Jonathan, 2022. "Does a Spoonful of Sugar Levy Help the Calories Go Down? An Analysis of the UK Soft Drinks Industry Levy," VfS Annual Conference 2022 (Basel): Big Data in Economics 264048, Verein für Socialpolitik / German Economic Association.
    20. Bas Scheer & Wiljan van den Berge & Maarten Goos & Alan Manning & Anna Salomons, 2022. "Alternative Work Arrangements and Worker Outcomes: Evidence from Payrolling," CPB Discussion Paper 435, CPB Netherlands Bureau for Economic Policy Analysis.

    More about this item

    Keywords

    Home visiting programs; Maternal mortality; Prenatal care; Global health; Information;
    All these keywords.

    JEL classification:

    • D04 - Microeconomics - - General - - - Microeconomic Policy: Formulation; Implementation; Evaluation
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    Statistics

    Access and download statistics

    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:spr:jopoec:v:37:y:2024:i:4:d:10.1007_s00148-024-01050-7. 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: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    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.