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Education and the use of maternal health care in Thailand

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  • Raghupathy, Shobana
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    Abstract

    This study analyses the impact of female education on the use of maternal and child health services by women in Thailand during their pregnancy. Three types of health service use were examined--the use of tetanus toxide inoculations, prenatal care, and assistance by formal sources during delivery. While most previous research in the area had focussed on the effects of schooling per se, the present study tries to assess the differential impact of various schooling categories on utilization outcomes. An additional issue examined was the interactive effects of education and residence on health care use in the schooling-utilization link. The results of the analysis indicate that the health consequences of maternal education cannot be taken for granted--maternal schooling does not have a uniform impact across all services; nor are these effects necessarily positive. While there is distinct positive effect of schooling in the use of prenatal care, the educational differentials in the use of delivery assistance start emerging only after secondary schooling. It is with respect to TT inoculations that the most surprising result was seen; while women with primary and secondary schooling maintain their advantage, women with higher education showed a lower likelihood of use compared to those with no schooling. Overall, secondary education emerges as the most consistent predictor of health service use showing higher likelihood of use of all three services. Schooling effects also vary across residence, though this interaction was significant only in the case of inoculations. While educational differentials are maintained in rural areas, urban residence tends to narrow down these differentials considerably. The study concludes by making suggestions for policy.

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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 43 (1996)
    Issue (Month): 4 (August)
    Pages: 459-471

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    Handle: RePEc:eee:socmed:v:43:y:1996:i:4:p:459-471

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    Keywords: utilization maternal health education Thailand;

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    Cited by:
    1. Linnemayr, Sebastian & Alderman, Harold & Ka, Abdoulaye, 2008. "Determinants of malnutrition in Senegal: Individual, household, community variables, and their interaction," Economics & Human Biology, Elsevier, vol. 6(2), pages 252-263, July.
    2. Patience Aseweh Abor & Gordon Abekah-Nkrumah & Kojo Sakyi & Charles K.D. Adjasi & Joshua Abor, 2011. "The socio-economic determinants of maternal health care utilization in Ghana," International Journal of Social Economics, Emerald Group Publishing, vol. 38(7), pages 628-648, July.
    3. Navaneetham K & Dharmalingam A, 2007. "Utilization Of Maternal Health Care In South India," Working Papers id:940, eSocialSciences.
    4. K. Navaneetham & A. Dharmalingam, 2000. "Utilization of maternal health care services in South India," Centre for Development Studies, Trivendrum Working Papers 307, Centre for Development Studies, Trivendrum, India.
    5. Regina Fuchs & Elsie Pamuk & Wolfgang Lutz, 2010. "Education or wealth: which matters more for reducing child mortality in developing countries?," Vienna Yearbook of Population Research, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna, vol. 8(1), pages 175-199.
    6. Chen, Chin-Shyan & Liu, Tsai-Ching & Chen, Li-Mei, 2003. "National Health Insurance and the antenatal care use: a case in Taiwan," Health Policy, Elsevier, vol. 64(1), pages 99-112, April.

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