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Impact of Oportunidades on Skilled Attendance at Delivery in Rural Areas

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  • Jose Urquieta
  • Gustavo Angeles
  • Thomas Mroz
  • Hector Lamadrid-Figueroa
  • Bernardo Hernández

Abstract

Oportunidades (formerly PROGRESA) is a conditional cash transfer program ran by the Mexican federal government designed to break the intergenerational cycle of poverty. Among other activities, it provides free delivery attendance for women enrolled in the program. Skilled attendance at delivery has been identified as an effective strategy to reduce maternal mortality, an important health problem in Mexico. In this paper we assess the impact of Oportunidades on skilled attendance at delivery taking advantage of the experimental design implemented for the evaluation of this program in rural areas and using a variety of analytical techniques. The main results of the study indicate that Oportunidades had, at best, only a small effect on skilled attendance at delivery in treatment communities. The program had larger effects on those women who had one birth just prior to the experimental treatment and another birth subsequent to the experimental treatment. These results should lead to a review about the strategies used by Oportunidades to increase skilled attendance at delivery. (c) 2009 by The University of Chicago. All rights reserved.

Suggested Citation

  • Jose Urquieta & Gustavo Angeles & Thomas Mroz & Hector Lamadrid-Figueroa & Bernardo Hernández, 2009. "Impact of Oportunidades on Skilled Attendance at Delivery in Rural Areas," Economic Development and Cultural Change, University of Chicago Press, vol. 57(3), pages 539-558, April.
    • Handle: RePEc:ucp:ecdecc:v:57:y:2009:i:3:p:539-558
    DOI: 10.1086/596598
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    References listed on IDEAS

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    1. Angrist, Joshua D. & Krueger, Alan B., 1999. "Empirical strategies in labor economics," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 3, chapter 23, pages 1277-1366, Elsevier.
    2. Jere R. Behrman & John Hoddinott, 2005. "Programme Evaluation with Unobserved Heterogeneity and Selective Implementation: The Mexican PROGRESA Impact on Child Nutrition," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 67(4), pages 547-569, August.
    3. Hahn, Jinyong & Todd, Petra & Van der Klaauw, Wilbert, 2001. "Identification and Estimation of Treatment Effects with a Regression-Discontinuity Design," Econometrica, Econometric Society, vol. 69(1), pages 201-209, January.
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    1. de Brauw, Alan & Peterman, Amber, 2011. "Can conditional cash transfers improve maternal health and birth outcomes?: Evidence from El Salvador's Comunidades Solidarias Rurales," IFPRI discussion papers 1080, International Food Policy Research Institute (IFPRI).
    2. Díaz, Juan José & Saldarriaga, Víctor, 2017. "Promoting prenatal health care in poor rural areas through conditional cash transfers: evidence from JUNTOS in Peru," Avances de Investigación 0025, Grupo de Análisis para el Desarrollo (GRADE).
    3. Kusuma, Dian & Cohen, Jessica & McConnell, Margaret & Berman, Peter, 2016. "Can cash transfers improve determinants of maternal mortality? Evidence from the household and community programs in Indonesia," Social Science & Medicine, Elsevier, vol. 163(C), pages 10-20.
    4. Benjamin M Hunter & Sean Harrison & Anayda Portela & Debra Bick, 2017. "The effects of cash transfers and vouchers on the use and quality of maternity care services: A systematic review," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-37, March.
    5. Okeke, Edward N. & Abubakar, Isa S., 2020. "Healthcare at the beginning of life and child survival: Evidence from a cash transfer experiment in Nigeria," Journal of Development Economics, Elsevier, vol. 143(C).
    6. Juan‐José Díaz & Victor Saldarriaga, 2019. "Encouraging use of prenatal care through conditional cash transfers: Evidence from JUNTOS in Peru," Health Economics, John Wiley & Sons, Ltd., vol. 28(9), pages 1099-1113, September.
    7. Aizawa, T.;, 2019. "Reviewing the Existing Evidence of the Conditional Cash Transfer in India through the Partial Identification Approach," Health, Econometrics and Data Group (HEDG) Working Papers 19/24, HEDG, c/o Department of Economics, University of York.
    8. Sudhanshu Handa & Amber Peterman & David Seidenfeld & Gelson Tembo, 2016. "Income Transfers and Maternal Health: Evidence from a National Randomized Social Cash Transfer Program in Zambia," Health Economics, John Wiley & Sons, Ltd., vol. 25(2), pages 225-236, February.
    9. Hugh Sharma Waddington & Paul Fenton Villar & Jeffrey C. Valentine, 2023. "Can Non-Randomised Studies of Interventions Provide Unbiased Effect Estimates? A Systematic Review of Internal Replication Studies," Evaluation Review, , vol. 47(3), pages 563-593, June.
    10. Mary Kopriva, 2023. "Universal Cash Transfer Impacts on Maternal and Infant Health," Working Papers 2023-02, University of Alaska Anchorage, Department of Economics.
    11. Independent Evaluation Group, 2014. "Social Safety Nets and Gender : Learning from Impact Evaluations and World Bank Projects," World Bank Publications - Books, The World Bank Group, number 21365, December.

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