IDEAS home Printed from https://ideas.repec.org/p/hhs/gunwpe/0590.html
   My bibliography  Save this paper

Bridging the Gap for Roma Women: The Effects of a Health Mediation Program on Roma Prenatal Care and Child Health

Author

Listed:
  • Bejenariu, Simona

    (Department of Economics, School of Business, Economics and Law, Göteborg University)

  • Mitrut, Andreea

    (Department of Economics, School of Business, Economics and Law, Göteborg University)

Abstract

Roma, Europe’s largest minority, face poverty, social exclusion and life-long inequalities, despite the intensified efforts to alleviate their plight. Surprisingly, despite substantial funding aimed at improving Roma outcomes, there is a very little evidence on the effectiveness of these programs. This is the first paper to analyze the Roma Health Mediation Program (RHM), a large-scale public health program implemented first in Romania and developed further in other countries, whose main aim was to improve the health status of pregnant and postpartum Roma women and children, with the help of specially trained Roma health mediators. Using unique registered data from Romania, we exploit the spatial and temporal variation in implementation dates of the program to investigate the effects of the RHM on prenatal care take-up rates and child health. We find that the program had a very large impact on the take-up of prenatal care services, but this improvement was not reflected in the health outcomes at birth of Roma children. However, we do find evidence of decreased stillbirths and infant deaths after the program implementation.

Suggested Citation

  • Bejenariu, Simona & Mitrut, Andreea, 2014. "Bridging the Gap for Roma Women: The Effects of a Health Mediation Program on Roma Prenatal Care and Child Health," Working Papers in Economics 590, University of Gothenburg, Department of Economics.
    • Handle: RePEc:hhs:gunwpe:0590
    as

    Download full text from publisher

    File URL: https://gupea.ub.gu.se/handle/2077/35659
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Heather Royer, 2009. "Separated at Girth: US Twin Estimates of the Effects of Birth Weight," American Economic Journal: Applied Economics, American Economic Association, vol. 1(1), pages 49-85, January.
    2. Currie, Janet & Grogger, Jeffrey, 2002. "Medicaid expansions and welfare contractions: offsetting effects on prenatal care and infant health?," Journal of Health Economics, Elsevier, vol. 21(2), pages 313-335, March.
    3. Sandra E. Black & Paul J. Devereux & Kjell G. Salvanes, 2007. "From the Cradle to the Labor Market? The Effect of Birth Weight on Adult Outcomes," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 409-439.
    4. R. Todd Jewell & Patricia Triunfo, 2006. "The impact of prenatal care on birthweight: the case of Uruguay," Health Economics, John Wiley & Sons, Ltd., vol. 15(11), pages 1245-1250, November.
    5. Janet Currie & Enrico Moretti, 2007. "Biology as Destiny? Short- and Long-Run Determinants of Intergenerational Transmission of Birth Weight," Journal of Labor Economics, University of Chicago Press, vol. 25(2), pages 231-264.
    6. Anna Aizer, 2007. "Public Health Insurance, Program Take-Up, and Child Health," The Review of Economics and Statistics, MIT Press, vol. 89(3), pages 400-415, August.
    7. Pascaline Dupas, 2011. "Do Teenagers Respond to HIV Risk Information? Evidence from a Field Experiment in Kenya," American Economic Journal: Applied Economics, American Economic Association, vol. 3(1), pages 1-34, January.
    8. Bejenariu, Simona & Mitrut, Andreea, 2012. "Austerity Measures and Infant Health. Lessons from an Unexpected Wage Cut Policy," Working Paper Series, Center for Labor Studies 2012:5, Uppsala University, Department of Economics, revised 10 Oct 2013.
    9. Ashraf, Nava & Jack, B. Kelsey & Kamenica, Emir, 2013. "Information and subsidies: Complements or substitutes?," Journal of Economic Behavior & Organization, Elsevier, vol. 88(C), pages 133-139.
    10. Maria Földes & Alina Covaci, 2012. "Research on Roma health and access to healthcare: state of the art and future challenges," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(1), pages 37-39, February.
    11. Douglas Almond & Janet Currie, 2011. "Killing Me Softly: The Fetal Origins Hypothesis," Journal of Economic Perspectives, American Economic Association, vol. 25(3), pages 153-172, Summer.
    12. Conway, Karen Smith & Deb, Partha, 2005. "Is prenatal care really ineffective? Or, is the 'devil' in the distribution?," Journal of Health Economics, Elsevier, vol. 24(3), pages 489-513, May.
    13. Jeffrey J. Rous & R. Todd Jewell & Robert W. Brown, 2004. "The effect of prenatal care on birthweight: a full‐information maximum likelihood approach," Health Economics, John Wiley & Sons, Ltd., vol. 13(3), pages 251-264, March.
    14. repec:ucn:wpaper:10197/317 is not listed on IDEAS
    15. Bertrand, Marianne & Shafir, Eldar & Mullainathan, Sendhil, 2006. "Behavioral Economics and Marketing in Aid of Decision Making Among the Poor," Scholarly Articles 2962609, Harvard University Department of Economics.
    16. Bharadwaj, Prashant & Eberhard, Juan & Neilson, Christopher, 2010. "Do Initial Endowments Matter Only Initially? The Persistent Effect of Birth Weight on School Achievement," University of California at San Diego, Economics Working Paper Series qt4536p0hd, Department of Economics, UC San Diego.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mitrut, Andreea & Tudor, Simona, 2018. "Bridging the gap for Roma: The effects of an ethnically targeted program on prenatal care and child health," Journal of Public Economics, Elsevier, vol. 165(C), pages 114-132.
    2. Bejenariu, Simona & Mitrut, Andreea, 2012. "Austerity Measures and Infant Health. Lessons from an Unexpected Wage Cut Policy," Working Paper Series, Center for Labor Studies 2012:5, Uppsala University, Department of Economics, revised 10 Oct 2013.
    3. Mark E. Mcgovern, 2013. "Still Unequal at Birth: Birth Weight,Socio-economic Status and Outcomes at Age 9," The Economic and Social Review, Economic and Social Studies, vol. 44(1), pages 53-84.
    4. Ana I. Balsa & Patricia Triunfo, 2012. "The Effectiveness of Prenatal Care in a Low Income Population: A Panel Data Approach," Documentos de Trabajo/Working Papers 1204, Facultad de Ciencias Empresariales y Economia. Universidad de Montevideo..
    5. Almond, Douglas & Currie, Janet, 2011. "Human Capital Development before Age Five," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 4, chapter 15, pages 1315-1486, Elsevier.
    6. Ana Inés Balsa & Patricia Triunfo, 2012. "¿Son los cuidados prenatales efectivos? Un enfoque con datos individuales de panel," Documentos de Trabajo (working papers) 0612, Department of Economics - dECON.
    7. Fidel Gonzalez & Santosh Kumar, 2018. "Prenatal care and birthweight in Mexico," Applied Economics, Taylor & Francis Journals, vol. 50(10), pages 1156-1170, February.
    8. Cassandra Robertson & Rourke O’Brien, 2018. "Health Endowment at Birth and Variation in Intergenerational Economic Mobility: Evidence From U.S. County Birth Cohorts," Demography, Springer;Population Association of America (PAA), vol. 55(1), pages 249-269, February.
    9. Carlson, Kyle, 2015. "Fear itself: The effects of distressing economic news on birth outcomes," Journal of Health Economics, Elsevier, vol. 41(C), pages 117-132.
    10. Osea Giuntella & Giulia La Mattina & Climent Quintana-Domeque, 2019. "Intergenerational Transmission of Health at Birth from Mothers and Fathers," Working Papers 2019-010, Human Capital and Economic Opportunity Working Group.
    11. L. Booker, Cara & Pudney, Stephen, 2013. "In sickness and in health? Comorbidity in older couples," ISER Working Paper Series 2013-30, Institute for Social and Economic Research.
    12. Noghanibehambari, Hamid, 2022. "Intergenerational health effects of Medicaid," Economics & Human Biology, Elsevier, vol. 45(C).
    13. Jonas Helgertz & Tommy Bengtsson, 2019. "The Long-Lasting Influenza: The Impact of Fetal Stress During the 1918 Influenza Pandemic on Socioeconomic Attainment and Health in Sweden, 1968–2012," Demography, Springer;Population Association of America (PAA), vol. 56(4), pages 1389-1425, August.
    14. Andreella, Claudia & Karlsson, Martin & Nilsson, Therese & Westphal, Matthias, 2015. "The long shadows of past insults intergenerational transmission of health over 130 years," Ruhr Economic Papers 571, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    15. Sarah Miller & Laura Wherry & Gloria Aldana, 2022. "Covering Undocumented Immigrants: The Effects of a Large-Scale Prenatal Care Intervention," NBER Working Papers 30299, National Bureau of Economic Research, Inc.
    16. Maruyama, Shiko & Heinesen, Eskil, 2020. "Another look at returns to birthweight," Journal of Health Economics, Elsevier, vol. 70(C).
    17. Mark E. McGovern, 2019. "How much does birth weight matter for child health in developing countries? Estimates from siblings and twins," Health Economics, John Wiley & Sons, Ltd., vol. 28(1), pages 3-22, January.
    18. Kreiner, Claus Thustrup & Sievertsen, Hans Henrik, 2020. "Neonatal health of parents and cognitive development of children," Journal of Health Economics, Elsevier, vol. 69(C).
    19. Janet Currie, 2011. "Inequality at Birth: Some Causes and Consequences," American Economic Review, American Economic Association, vol. 101(3), pages 1-22, May.
    20. Damian Clarke & Sonia Oreffice & Climent Quintana‐Domeque, 2021. "On the Value of Birth Weight," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 83(5), pages 1130-1159, October.

    More about this item

    Keywords

    Roma; exclusion; poverty; program take-up; health at birth;
    All these keywords.

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J15 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:hhs:gunwpe:0590. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Ann-Christin Räätäri Nyström (email available below). General contact details of provider: https://edirc.repec.org/data/naiguse.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.