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Impact of Hospital Delivery on Child Mortality: An Analysis of Adolescent Mothers in Bangladesh

Pal, S (2015) Impact of Hospital Delivery on Child Mortality: An Analysis of Adolescent Mothers in Bangladesh Social Science & Medicine.

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Abstract

New medical inventions for saving young lives are not enough if these do not reach the children and the mother. The present paper provides new evidence that institutional delivery can significantly lower child mortality risks, because it ensures effective and timely access to modern diagnostics and medical treatments to save lives. We exploit the exogenous variation in community’s access to local health facilities (both traditional and modern) before and after the completion of the ‘Women’s Health Project’ in 2005 (that enhanced emergency obstetric care in women friendly environment) to identify the causal effect of hospital delivery on various mortality rates among children. Our best estimates come from the parents fixed effects models that help limiting any parents-level omitted variable estimation bias. Using 2007 Bangladesh Demographic Health Survey data from about 6000 children born during 2002-2007, we show that, ceteris paribus, access to family welfare clinic particularly boosted hospital delivery likelihood, which in turn lowered neo-natal, early and infant mortality rates, especially among adolescent mothers after the completion of Women’s Health Project in 2005; infant mortality for this cohort was more than halved if delivery took place in a health facility. Our analysis thus highlights the potential benefits of institutional delivery in women friendly environment that may save lives of newborn children, especially among young adolescent mothers.

Item Type: Article
Subjects : Economics
Divisions : Faculty of Arts and Social Sciences > Surrey Business School
Authors :
AuthorsEmailORCID
Pal, SUNSPECIFIEDUNSPECIFIED
Date : 12 August 2015
Identification Number : 10.1016/j.socscimed.2015.08.003
Copyright Disclaimer : © 2015. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
Depositing User : Symplectic Elements
Date Deposited : 19 Aug 2015 16:05
Last Modified : 21 Jul 2016 12:35
URI: http://epubs.surrey.ac.uk/id/eprint/808370

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