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Health care at birth and infant mortality: Evidence from nighttime deliveries in Nigeria.
Okeke, Edward N; Chari, A V.
Afiliación
  • Okeke EN; Department of Economics, Sociology and Statistics, RAND Corporation, 4570 Fifth Avenue, Pittsburgh, PA, 15213, United States. Electronic address: eokeke@rand.org.
  • Chari AV; Department of Economics, University of Sussex, Brighton, BN1 9RH, UK. Electronic address: a.chari@sussex.ac.uk.
Soc Sci Med ; 196: 86-95, 2018 01.
Article en En | MEDLINE | ID: mdl-29161641
High rates of home births in developing countries are often linked to high rates of newborn deaths, but there is considerable debate about how much of this is causal. This paper weighs in on this question by analyzing data on the timing of birth, health care utilization, and mortality for a sample of births between 2009-2014 in 7021 rural Nigerian households. First, we show that timing of birth is strongly linked to use of institutional care: women with a nighttime birth are significantly less likely to use a health facility because of the difficulties associated with accessing care at night. In turn, this is associated with a sharp increase in the rate of newborn mortality at night. Leveraging variation in household proximity to a health care facility that offers 24-h coverage, we show that this increase in mortality is plausibly due to lack of formal health care at the time of birth: infants born at night to households without a nearby health care facility that offers 24-h coverage, experience an increase in mortality equivalent to about 10 additional newborn deaths per 1000 live births. In contrast, when households have a nearby health facility that provides care at night, there is no detectable increase in mortality. These results suggest that well-designed policies to increase access to (and quality of) formal care at birth may lead to significant reductions in newborn deaths.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 10_ODS3_salud_sexual_reprodutiva / 1_ASSA2030 / 2_ODS3 / 7_ODS3_muertes_prevenibles_nacidos_ninos Problema de salud: 10_adolescent_pregnacy / 10_safe_abortion_services / 1_geracao_evidencia_conhecimento / 2_cobertura_universal / 2_muertes_prevenibles / 2_salud_sexual_reprodutiva / 7_environmental_health Asunto principal: Mortalidad Infantil / Parto Obstétrico Límite: Adolescent / Adult / Female / Humans / Infant / Male / Newborn / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Soc Sci Med Año: 2018 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 10_ODS3_salud_sexual_reprodutiva / 1_ASSA2030 / 2_ODS3 / 7_ODS3_muertes_prevenibles_nacidos_ninos Problema de salud: 10_adolescent_pregnacy / 10_safe_abortion_services / 1_geracao_evidencia_conhecimento / 2_cobertura_universal / 2_muertes_prevenibles / 2_salud_sexual_reprodutiva / 7_environmental_health Asunto principal: Mortalidad Infantil / Parto Obstétrico Límite: Adolescent / Adult / Female / Humans / Infant / Male / Newborn / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Soc Sci Med Año: 2018 Tipo del documento: Article
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