IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v32y2023i3p697-714.html
   My bibliography  Save this article

The impact of community midwives on maternal healthcare utilization

Author

Listed:
  • Tareena Musaddiq

Abstract

Globally 800 women die every day from preventable causes related to pregnancy and childbirth. One of the major reasons for high maternal mortality ratios in many developing countries is the low proportion of births attended by Skilled Birth Attendants (SBA). To address the high number of maternal deaths, in 2008 the Government of Pakistan introduced the Community Midwives Program. Under the program, women from across the country were trained and deployed as Community Midwives. In this study, I use six rounds of Pakistan Social and Living Measurement Survey to estimate the impact of this program on maternal healthcare utilization. I find that women residing in districts with higher Community Midwives per capita were 9 percentage points more likely to be attended by a SBA at the time of delivery and were 8 percentage points more likely to give birth at a medical facility as opposed to birthing at home. I find no evidence of impact on take up of prenatal and post‐natal check‐ups. The use of Community Midwives may be a cost effective tool to reduce maternal deaths, especially for developing countries with low health budgets.

Suggested Citation

  • Tareena Musaddiq, 2023. "The impact of community midwives on maternal healthcare utilization," Health Economics, John Wiley & Sons, Ltd., vol. 32(3), pages 697-714, March.
    • Handle: RePEc:wly:hlthec:v:32:y:2023:i:3:p:697-714
    DOI: 10.1002/hec.4640
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.4640
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hec.4640?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. Kenneth Bollen & David Guilkey & Thomas Mroz, 1995. "Binary outcomes and endogenous explanatory variables: Tests and solutions with an application to the demand for contraceptive use in tunisia," Demography, Springer;Population Association of America (PAA), vol. 32(1), pages 111-131, February.
    2. Dhammika Deepani Siriwardhana & Arunasalam Pathmeswaran & Ananda Rajitha Wickremasinghe, 2019. "Socioeconomic inequality and determinants of postnatal home visits made by public health midwives: An analysis of the Sri Lanka Demographic and Health Survey," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-15, April.
    3. Bryant-Stephens, T. & Kurian, C. & Guo, R. & Zhao, H., 2009. "Impact of a household environmental intervention delivered by lay health workers on asthma symptom control in urban, disadvantaged children with asthma," American Journal of Public Health, American Public Health Association, vol. 99, pages 657-665.
    4. Ranjan Shrestha, 2010. "The village midwife program and infant mortality in Indonesia," Bulletin of Indonesian Economic Studies, Taylor & Francis Journals, vol. 46(2), pages 193-211.
    5. Kim, K. & Choi, J.S. & Choi, E. & Nieman, C.L. & Joo, J.H. & Lin, F.R. & Gitlin, L.N. & Han, H.-R., 2016. "Effects of community-based health worker interventions to improve chronic disease management and care among vulnerable populations: A systematic review," American Journal of Public Health, American Public Health Association, vol. 106(4), pages 3-28.
    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. Francesco Renna, 2007. "The economic cost of teen drinking: late graduation and lowered earnings," Health Economics, John Wiley & Sons, Ltd., vol. 16(4), pages 407-419, April.
    2. Mehrnoush Bonakdar Tehrani & Stacy Blythe & Suza Trajkovski & Lynn Kemp, 2024. "Co-Design Model of Support for Child and Family Health Nurse Practice with Culturally and Linguistically Diverse Families," IJERPH, MDPI, vol. 21(10), pages 1-13, September.
    3. Pinka Chatterji, 2006. "Illicit drug use and educational attainment," Health Economics, John Wiley & Sons, Ltd., vol. 15(5), pages 489-511, May.
    4. Artjoms Ivlevs & Roswitha M. King, 2014. "Emigration, remittances and corruption experience of those staying behind," Working Papers 20141411, Department of Accounting, Economics and Finance, Bristol Business School, University of the West of England, Bristol.
    5. Alison Snow Jones & David W. Richmond, 2006. "Causal effects of alcoholism on earnings: estimates from the NLSY," Health Economics, John Wiley & Sons, Ltd., vol. 15(8), pages 849-871, August.
    6. Bambio, Yiriyibin & Bouayad Agha, Salima, 2018. "Land tenure security and investment: Does strength of land right really matter in rural Burkina Faso?," World Development, Elsevier, vol. 111(C), pages 130-147.
    7. Michael Strunz & Naomi Pua’nani Jiménez & Lisa Gregorius & Walter Hewer & Johannes Pollmanns & Kerstin Viehmann & Frank Jacobi, 2022. "Interventions to Promote the Utilization of Physical Health Care for People with Severe Mental Illness: A Scoping Review," IJERPH, MDPI, vol. 20(1), pages 1-17, December.
    8. Jae-Young Lim & Hyun-Hoon Lee & Yeon-Hee Hwang, 2011. "Trust on doctor, social capital and medical care use of the elderly," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 12(2), pages 175-188, April.
    9. DeGraff, Deborah S. & Wong, Rebeca, 2014. "Modeling old-age wealth with endogenous early-life outcomes: The case of Mexico," The Journal of the Economics of Ageing, Elsevier, vol. 3(C), pages 58-70.
    10. Valentino Larcinese, 2007. "Does political knowledge increase turnout? Evidence from the 1997 British general election," Public Choice, Springer, vol. 131(3), pages 387-411, June.
    11. Joseph P. McGarrity & Daniel Sutter, 2000. "A Test of the Structure of PAC Contracts: An Analysis of House Gun Control Votes in the 1980s," Southern Economic Journal, John Wiley & Sons, vol. 67(1), pages 41-63, July.
    12. Deepa Mankikar & Carla Campbell & Rachael Greenberg, 2016. "Evaluation of a Home-Based Environmental and Educational Intervention to Improve Health in Vulnerable Households: Southeastern Pennsylvania Lead and Healthy Homes Program," IJERPH, MDPI, vol. 13(9), pages 1-15, September.
    13. Phyllis Mumia Machio, 2018. "Determinants of Neonatal and Under-five Mortality in Kenya: Do Antenatal and Skilled Delivery Care Services Matter?," Journal of African Development, African Finance and Economic Association (AFEA), vol. 20(1), pages 59-67.
    14. Van Houtven, Courtney Harold & Norton, Edward C., 2004. "Informal care and health care use of older adults," Journal of Health Economics, Elsevier, vol. 23(6), pages 1159-1180, November.
    15. Richard W. Johnson & Amy J. Davidoff & Kevin Perese, 2003. "Health Insurance Costs and Early Retirement Decisions," ILR Review, Cornell University, ILR School, vol. 56(4), pages 716-729, July.
    16. Rashad, Inas & Kaestner, Robert, 2004. "Teenage sex, drugs and alcohol use: problems identifying the cause of risky behaviors," Journal of Health Economics, Elsevier, vol. 23(3), pages 493-503, May.
    17. Pinka Chatterji & Kevin Frick, 2005. "Does Returning to Work After Childbirth Affect Breastfeeding Practices?," Review of Economics of the Household, Springer, vol. 3(3), pages 315-335, September.
    18. Priya Nanda, 1999. "Women's participation in rural credit programmes in Bangladesh and their demand for formal health care: is there a positive impact?1," Health Economics, John Wiley & Sons, Ltd., vol. 8(5), pages 415-428, August.
    19. Gimenez-Nadal, José Ignacio & Molina, José Alberto, 2015. "Voluntary Activities and Daily Happiness in the US," IZA Discussion Papers 8764, Institute of Labor Economics (IZA).
    20. 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.

    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:32:y:2023:i:3:p:697-714. 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.