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The effects of women's education on maternal health: Evidence from Peru

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  • Weitzman, Abigail

Abstract

This article examines the causal effect of women's education on maternal health in Peru, a country where maternal mortality has declined by more than 70% in the last two and a half decades. To isolate the effects of education, the author employs an instrumented regression discontinuity that takes advantage of an exogenous source of variation—an amendment to compulsory schooling laws in 1993. The results indicate that extending women's years of schooling reduced the probability of several maternal health complications at last pregnancy/birth, sometimes by as much as 29%. Underlying these effects, increasing women's education is found to decrease the probability of short birth intervals and unwanted pregnancies (which may result in unsafe abortions) and to increase antenatal healthcare use, potentially owing to changes in women's cognitive skills, economic resources, and autonomy. These findings underscore the influential role of education in reducing maternal morbidity and highlight the contributions of women's education to population health and health transitions.

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  • Weitzman, Abigail, 2017. "The effects of women's education on maternal health: Evidence from Peru," Social Science & Medicine, Elsevier, vol. 180(C), pages 1-9.
  • Handle: RePEc:eee:socmed:v:180:y:2017:i:c:p:1-9
    DOI: 10.1016/j.socscimed.2017.03.004
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    1. Saifuddin Ahmed & Andreea A Creanga & Duff G Gillespie & Amy O Tsui, 2010. "Economic Status, Education and Empowerment: Implications for Maternal Health Service Utilization in Developing Countries," PLOS ONE, Public Library of Science, vol. 5(6), pages 1-6, June.
    2. Behrman, Julia Andrea, 2015. "The effect of increased primary schooling on adult women's HIV status in Malawi and Uganda: Universal Primary Education as a natural experiment," Social Science & Medicine, Elsevier, vol. 127(C), pages 108-115.
    3. Esther Duflo, 2001. "Schooling and Labor Market Consequences of School Construction in Indonesia: Evidence from an Unusual Policy Experiment," American Economic Review, American Economic Association, vol. 91(4), pages 795-813, September.
    4. Onah, Hyacinth Eze & Ikeako, Lawrence C. & Iloabachie, Gabriel C., 2006. "Factors associated with the use of maternity services in Enugu, southeastern Nigeria," Social Science & Medicine, Elsevier, vol. 63(7), pages 1870-1878, October.
    5. George Psacharopoulos & Harry Anthony Patrinos, 2004. "Returns to investment in education: a further update," Education Economics, Taylor & Francis Journals, vol. 12(2), pages 111-134.
    6. Sarah Baird & Ephraim Chirwa & Craig McIntosh & Berk Özler, 2010. "The short‐term impacts of a schooling conditional cash transfer program on the sexual behavior of young women," Health Economics, John Wiley & Sons, Ltd., vol. 19(S1), pages 55-68, September.
    7. Stock, James H & Wright, Jonathan H & Yogo, Motohiro, 2002. "A Survey of Weak Instruments and Weak Identification in Generalized Method of Moments," Journal of Business & Economic Statistics, American Statistical Association, vol. 20(4), pages 518-529, October.
    8. Thaddeus, Sereen & Maine, Deborah, 1994. "Too far to walk: Maternal mortality in context," Social Science & Medicine, Elsevier, vol. 38(8), pages 1091-1110, April.
    9. 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.
    10. 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.
    11. Shen, Ce & Williamson, John B., 1999. "Maternal mortality, women's status, and economic dependency in less developed countries: a cross-national analysis," Social Science & Medicine, Elsevier, vol. 49(2), pages 197-214, July.
    12. Julia Behrman, 2015. "Does Schooling Affect Women’s Desired Fertility? Evidence From Malawi, Uganda, and Ethiopia," Demography, Springer;Population Association of America (PAA), vol. 52(3), pages 787-809, June.
    13. Patricia Ames & Vanessa Rojas, 2011. "Cambios y oportunidades: la transición de la escuela primaria a la secundaria en el Perú," Documentos de Trabajo (Niños del Milenio-GRADE) ninosm63, Niños del Milenio (Young Lives).
    14. Sarmistha Pal, 2004. "Child schooling in Peru: Evidence from a sequential analysis of school progression," Journal of Population Economics, Springer;European Society for Population Economics, vol. 17(4), pages 657-680, December.
    15. Lundberg, Shelly & Pollak, Robert A, 1993. "Separate Spheres Bargaining and the Marriage Market," Journal of Political Economy, University of Chicago Press, vol. 101(6), pages 988-1010, December.
    16. McCrary, Justin, 2008. "Manipulation of the running variable in the regression discontinuity design: A density test," Journal of Econometrics, Elsevier, vol. 142(2), pages 698-714, February.
    17. Raghupathy, Shobana, 1996. "Education and the use of maternal health care in Thailand," Social Science & Medicine, Elsevier, vol. 43(4), pages 459-471, August.
    18. Grépin, Karen A. & Bharadwaj, Prashant, 2015. "Maternal education and child mortality in Zimbabwe," Journal of Health Economics, Elsevier, vol. 44(C), pages 97-117.
    19. Emily Smith-Greenaway, 2013. "Maternal Reading Skills and Child Mortality in Nigeria: A Reassessment of Why Education Matters," Demography, Springer;Population Association of America (PAA), vol. 50(5), pages 1551-1561, October.
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    2. Dai Binh Tran, 2022. "Health Benefits of Education: Comparative Evidence from Vietnam and Thailand," SAGE Open, , vol. 12(2), pages 21582440221, April.
    3. Mohanty, Ranjan Kumar & Behera, Deepak Kumar, 2020. "How Effective is Public Health Care Expenditure in Improving Health Outcome? An Empirical Evidence from the Indian States," Working Papers 20/300, National Institute of Public Finance and Policy.
    4. Thao Bui, 2023. "Compulsory education reform and child mortality in Peru," Health Economics, John Wiley & Sons, Ltd., vol. 32(9), pages 1941-1963, September.
    5. Canning, David & Mabeu, Marie Christelle & Pongou, Roland, 2020. "Colonial origins and fertility: can the market overcome history?," MPRA Paper 112496, University Library of Munich, Germany.
    6. Muhammad Fikru Rizal & Nicole Black & David W. Johnston & Rohan Sweeney, 2023. "Long‐term health effects of a school construction program," Health Economics, John Wiley & Sons, Ltd., vol. 32(8), pages 1670-1688, August.
    7. Arif Ahmed & Mohammad S. Zahangir, 2019. "The Impact of Education and Residence on Current Use of Contraception in Ethiopian Women," Global Journal of Health Science, Canadian Center of Science and Education, vol. 11(9), pages 182-182, August.
    8. Barman, Bikash & Saha, Jay & Chouhan, Pradip, 2020. "Impact of education on the utilization of maternal health care services: An investigation from National Family Health Survey (2015–16) in India," Children and Youth Services Review, Elsevier, vol. 108(C).
    9. Dai Binh Tran & Sasiwimon Warunsiri Paweenawat, 2023. "The returns to education and wage penalty from overeducation: New evidence from Vietnam," Bulletin of Economic Research, Wiley Blackwell, vol. 75(4), pages 1267-1290, October.
    10. Fatema, Kaniz, 2020. "Mass Media Exposure and Maternal Healthcare Utilization in South Asia," SocArXiv 5dhyr, Center for Open Science.
    11. Stephanie R. Psaki & Erica Soler-Hampejsek & Jyotirmoy Saha & Barbara S. Mensch & Sajeda Amin, 2019. "The Effects of Adolescent Childbearing on Literacy and Numeracy in Bangladesh, Malawi, and Zambia," Demography, Springer;Population Association of America (PAA), vol. 56(5), pages 1899-1929, October.
    12. Emmanuel O. Nwosu & Anthony Orji, 2018. "A Comparative Analysis of Socioeconomic Indicators and Child Nutritional Status in Nigeria’s Geopolitical Zones," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 11(5), pages 1677-1698, October.

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    Peru; Maternal health; Education;
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