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Household characteristics affecting where mothers deliver in rural Kenya

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  • Dominic Hodgkin

Abstract

Data from a household survey were used to analyse the distribution of newborn deliveries in a rural area of Kenya. It was found that 52% of deliveries occurred at home or with traditional birth attendants. Using regression techniques, the most significant predictors of choosing an informal delivery setting are the household's distance from the nearest maternity bed and whether a household member has insurance. The results suggest that travel time is an important barrier to access. Therefore, quality improvements at existing facilities may not result in greater use of modern sector delivery, particularly if improvements are partially offset by user fees.

Suggested Citation

  • Dominic Hodgkin, 1996. "Household characteristics affecting where mothers deliver in rural Kenya," Health Economics, John Wiley & Sons, Ltd., vol. 5(4), pages 333-340, July.
  • Handle: RePEc:wly:hlthec:v:5:y:1996:i:4:p:333-340
    DOI: 10.1002/(SICI)1099-1050(199607)5:43.0.CO;2-K
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    References listed on IDEAS

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    6. Huber, Joyce H., 1993. "Ensuring access to health care with the introduction of user fees: A Kenyan example," Social Science & Medicine, Elsevier, vol. 36(4), pages 485-494, February.
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    2. De Allegri, Manuela & Ridde, Valéry & Louis, Valérie R. & Sarker, Malabika & Tiendrebéogo, Justin & Yé, Maurice & Müller, Olaf & Jahn, Albrecht, 2011. "Determinants of utilisation of maternal care services after the reduction of user fees: A case study from rural Burkina Faso," Health Policy, Elsevier, vol. 99(3), pages 210-218, March.
    3. Lohlein, Daniela & Jutting, Johannes Paul & Wehrheim, Peter, 2002. "Provision of Public Goods in the Transition Process: Empirical Evidence on Access to Health Care in Rural Regions of Russia," 2002 International Congress, August 28-31, 2002, Zaragoza, Spain 24843, European Association of Agricultural Economists.
    4. Mampi Bose, 2019. "Determinants of Choice of Care Providers During Childbirth in Rural West Bengal, India," Indian Journal of Human Development, , vol. 13(1), pages 47-70, April.
    5. Nikièma, Béatrice & Haddad, Slim & Potvin, Louise, 2008. "Women Bargaining to Seek Healthcare: Norms, Domestic Practices, and Implications in Rural Burkina Faso," World Development, Elsevier, vol. 36(4), pages 608-624, April.
    6. Masters, Samuel H. & Burstein, Roy & Amofah, George & Abaogye, Patrick & Kumar, Santosh & Hanlon, Michael, 2013. "Travel time to maternity care and its effect on utilization in rural Ghana: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 93(C), pages 147-154.

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