IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v27y2018i3p576-591.html
   My bibliography  Save this article

The effects of health facility access and quality on family planning decisions in urban Senegal

Author

Listed:
  • Christopher J. Cronin
  • David K. Guilkey
  • Ilene S. Speizer

Abstract

Research in developing countries is rarely focused on examining how supply side factors affect family planning decisions due to a lack of facility‐level data. When these data exist, analyses tend to focus on rural environments. In this paper, we study the effects that health facility access and quality have on contraceptive use and desired number of children for women in urban Senegal. Unlike related studies focusing on rural environments, we find no evidence that greater access to health facilities and pharmacies increases contraceptive use among urban women. However, we do find that contraceptive use among urban women is higher with greater facility quality. For example, we find that increasing the proportion of pharmacies employing multiple pharmacists from 0% to 50% would increase contraceptive use by 6.0 percentage points, and increasing the proportion of facilities with family planning guidelines/protocols from 50% to 100% would increase use by 2.1 percentage points.

Suggested Citation

  • Christopher J. Cronin & David K. Guilkey & Ilene S. Speizer, 2018. "The effects of health facility access and quality on family planning decisions in urban Senegal," Health Economics, John Wiley & Sons, Ltd., vol. 27(3), pages 576-591, March.
    • Handle: RePEc:wly:hlthec:v:27:y:2018:i:3:p:576-591
    DOI: 10.1002/hec.3615
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.3615
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hec.3615?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
    ---><---

    References listed on IDEAS

    as
    1. Gustavo Angeles & David Guilkey & Thomas Mroz, 2005. "The determinants of fertility in rural Peru: Program effects in the early years of the national family planning program," Journal of Population Economics, Springer;European Society for Population Economics, vol. 18(2), pages 367-389, June.
    2. Mroz, Thomas A, 1987. "The Sensitivity of an Empirical Model of Married Women's Hours of Work to Economic and Statistical Assumptions," Econometrica, Econometric Society, vol. 55(4), pages 765-799, July.
    3. Pitt, Mark M & Rosenzweig, Mark R & Gibbons, Donna M, 1993. "The Determinants and Consequences of the Placement of Government Programs in Indonesia," The World Bank Economic Review, World Bank, vol. 7(3), pages 319-348, September.
    4. Paul Gertler & Jack Molyneaux, 1994. "Erratum to: How Economic Development and Family Planning Programs Combined to Reduce Indonesian Fertility," Demography, Springer;Population Association of America (PAA), vol. 31(2), pages 1-1, May.
    5. Mroz, Thomas A., 1999. "Discrete factor approximations in simultaneous equation models: Estimating the impact of a dummy endogenous variable on a continuous outcome," Journal of Econometrics, Elsevier, vol. 92(2), pages 233-274, October.
    6. 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.
    7. Paul Gertler & John Molyneaux, 1994. "How economic development and family planning programs combined to reduce indonesian fertility," Demography, Springer;Population Association of America (PAA), vol. 31(1), pages 33-63, February.
    8. Nava Ashraf & Erica Field & Jean Lee, 2014. "Household Bargaining and Excess Fertility: An Experimental Study in Zambia," American Economic Review, American Economic Association, vol. 104(7), pages 2210-2237, July.
    9. Feyisetan, Bamikale J & Ainsworth, Martha, 1996. "Contraceptive Use and the Quality, Price, and Availability of Family Planning in Nigeria," The World Bank Economic Review, World Bank, vol. 10(1), pages 159-187, January.
    10. Rosenzweig, Mark R & Wolpin, Kenneth I, 1986. "Evaluating the Effects of Optimally Distributed Public Programs: ChildHealth and Family Planning Interventions," American Economic Review, American Economic Association, vol. 76(3), pages 470-482, June.
    11. Ann Riley & Albert Hermalin & Luis Rosero-Bixby, 1993. "A new look at the determinants of nonnumeric response to desired family size: The case of Costa Rica," Demography, Springer;Population Association of America (PAA), vol. 30(2), pages 159-174, May.
    12. Cohen, Barney, 2000. "Family Planning Programs, Socioeconomic Characteristics, and Contraceptive Use in Malawi," World Development, Elsevier, vol. 28(5), pages 843-860, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Finn McGuire & Noemi Kreif & Peter C. Smith, 2021. "The effect of distance on maternal institutional delivery choice: Evidence from Malawi," Health Economics, John Wiley & Sons, Ltd., vol. 30(9), pages 2144-2167, September.
    2. Yacouba Kassouri, 2024. "Capital flight and public health outcomes in Africa," Health Economics, John Wiley & Sons, Ltd., vol. 33(3), pages 576-593, March.
    3. Christopher J. Cronin & David K. Guilkey & Ilene S. Speizer, 2019. "Measurement error in discrete health facility choice models: An example from urban Senegal," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 34(7), pages 1102-1120, November.
    4. Aissata Mahamadou Sidibe & Paul I Kadetz & Therese Hesketh, 2020. "Factors Impacting Family Planning Use in Mali and Senegal," IJERPH, MDPI, vol. 17(12), pages 1-15, June.

    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. World Bank, 2007. "Ethiopia - Capturing the Demographic Bonus in Ethiopia : Gender, Development, and Demographic Actions," World Bank Publications - Reports 7823, The World Bank Group.
    2. Angeles, Gustavo & Guilkey, David K & Mroz, Thomas A, 2005. "The Effects of Education and Family Planning Programs on Fertility in Indonesia," Economic Development and Cultural Change, University of Chicago Press, vol. 54(1), pages 165-201, October.
    3. Grant Miller, 2005. "Contraception as Development? New Evidence from Family Planning in Colombia," CID Working Papers 9, Center for International Development at Harvard University.
    4. Giles, John & Satriawan, Elan, 2015. "Protecting child nutritional status in the aftermath of a financial crisis: Evidence from Indonesia," Journal of Development Economics, Elsevier, vol. 114(C), pages 97-106.
    5. Uma Radhakrishnan, 2010. "A Dynamic Structural Model of Contraceptive Use and Employment Sector Choice for Women in Indonesia," Working Papers 10-28, Center for Economic Studies, U.S. Census Bureau.
    6. Rachel Connelly & Deborah DeGraff & Deborah Levison & Brian McCall, 2006. "Tackling The Endogeneity Of Fertility In The Study Of Women'S Employment In Developing Countries: Alternative Estimation Strategies Using Data From Urban Brazil," Feminist Economics, Taylor & Francis Journals, vol. 12(4), pages 561-597.
    7. Sinha, Nistha, 2003. "Fertility, Child Work and Schooling Consequences of Family Planning Programs: Evidence from an Experiment in Rural Bangladesh," Center Discussion Papers 28457, Yale University, Economic Growth Center.
    8. Ronald Rindfuss & David Guilkey & S. Morgan & Øystein Kravdal & Karen Guzzo, 2007. "Child care availability and first-birth timing in Norway," Demography, Springer;Population Association of America (PAA), vol. 44(2), pages 345-372, May.
    9. Frempong, Raymond Boadi & Kitzmüller, Lucas & Stadelmann, David, 2021. "A micro-based approach to evaluate the effect of water supply on health in Uganda," World Development, Elsevier, vol. 145(C).
    10. Portner, Claus C & Beegle, Kathleen & Christiaensen, Luc, 2011. "Family planning and fertility : estimating program effects using cross-sectional data," Policy Research Working Paper Series 5812, The World Bank.
    11. Jungho Kim, 2010. "Women's Education and Fertility: An Analysis of the Relationship between Education and Birth Spacing in Indonesia," Economic Development and Cultural Change, University of Chicago Press, vol. 58(4), pages 739-774, July.
    12. Christopher McKelvey & Duncan Thomas & Elizabeth Frankenberg, 2012. "Fertility Regulation in an Economic Crisis," Economic Development and Cultural Change, University of Chicago Press, vol. 61(1), pages 7-38.
    13. Jaikishan Desai & Alessandro Tarozzi, 2011. "Microcredit, Family Planning Programs, and Contraceptive Behavior: Evidence From a Field Experiment in Ethiopia," Demography, Springer;Population Association of America (PAA), vol. 48(2), pages 749-782, May.
    14. 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.
    15. Nistha Sinha, 2003. "Fertility, Child Work and Schooling Consequences of Family Planning Programs: Evidence from an Experiment in Rural Bangladesh," Working Papers 867, Economic Growth Center, Yale University.
    16. Frankenberg, E. & Thomas, D., 2000. "Women's Health and Pregnancy Outcomes: Does Access to Services Make a Difference?," Papers 00-04, RAND - Labor and Population Program.
    17. Lucia Breierova & Esther Duflo, 2003. "The Impact of Education on Fertility and Child Mortality: Do Fathers Really Matter Less Than Mothers?," OECD Development Centre Working Papers 217, OECD Publishing.
    18. Michael Grimm & Robert Sparrow & Luca Tasciotti, 2015. "Does Electrification Spur the Fertility Transition? Evidence From Indonesia," Demography, Springer;Population Association of America (PAA), vol. 52(5), pages 1773-1796, October.
    19. Hatton, Timothy J. & Sparrow, Robert & Suryadarma, Daniel & van der Eng, Pierre, 2018. "Fertility and the health of children in Indonesia," Economics & Human Biology, Elsevier, vol. 28(C), pages 67-78.
    20. Grant Miller, 2005. "Contraception as Development? New Evidence from Family Planning in Colombia," NBER Working Papers 11704, National Bureau of Economic Research, Inc.

    More about this item

    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:wly:hlthec:v:27:y:2018:i:3:p:576-591. 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: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

    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.