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Utilization of Care During Pregnancy in Rural Guatemala: Does Obstetrical Need Matters

Author

Listed:
  • Dana A. Glei

    (University of California, Berkeley)

  • Noreen Goldman

    (Princeton University)

  • German Rodriguez

    (Princeton University)

Abstract

This study examines factors associated with the use of biomedical care during pregnancy in Guatemala, focusing on the extent to which complications in an ongoing or previous pregnancy affect a woman's decisions to seek care. The findings, based on multilevel models, suggest that obstetrical need as well as demographic, social, and cultural factors are important predictors of pregnancy care. In contrast, measures of availability and access to health services have modest effects. The results also suggest the importance of unobserved variables such as quality of care in explaining women's decisions about pregnancy care.

Suggested Citation

  • Dana A. Glei & Noreen Goldman & German Rodriguez, 2002. "Utilization of Care During Pregnancy in Rural Guatemala: Does Obstetrical Need Matters," Working Papers 308, Princeton University, Woodrow Wilson School of Public and International Affairs, Office of Population Research..
    • Handle: RePEc:pri:opopre:opr0201.pdf
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    File URL: https://www.princeton.edu/~ngoldman/papers/2003_Utilization_Of_Care.pdf
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    References listed on IDEAS

    as
    1. Cleland, John G. & van Ginneken, Jerome K., 1988. "Maternal education and child survival in developing countries: The search for pathways of influence," Social Science & Medicine, Elsevier, vol. 27(12), pages 1357-1368, January.
    2. Celik, Yusuf & Hotchkiss, David R., 2000. "The socio-economic determinants of maternal health care utilization in Turkey," Social Science & Medicine, Elsevier, vol. 50(12), pages 1797-1806, June.
    3. Goldman, Noreen & Pebley, Anne R. & Gragnolati, Michele, 2002. "Choices about treatment for ARI and diarrhea in rural Guatemala," Social Science & Medicine, Elsevier, vol. 55(10), pages 1693-1712, November.
    4. Greenberg, Linda, 1982. "Midwife training programs in highland Guatemala," Social Science & Medicine, Elsevier, vol. 16(18), pages 1599-1609, January.
    5. Deaton, A., 1989. "Saving in Developing Contries: Theory and Review," Papers 144, Princeton, Woodrow Wilson School - Development Studies.
    6. Goldman, Noreen & Pebley, Anne R. & Beckett, Megan, 2001. "Diffusion of ideas about personal hygiene and contamination in poor countries: evidence from Guatemala," Social Science & Medicine, Elsevier, vol. 52(1), pages 53-69, January.
    7. Shelah Bloom & David Wypij & Monica Gupta, 2001. "Dimensions of women’s autonomy and the influence on maternal health care utilization in a north indian city," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 67-78, February.
    8. Germáan Rodríguez & Noreen Goldman, 1995. "An Assessment of Estimation Procedures for Multilevel Models with Binary Responses," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 158(1), pages 73-89, January.
    9. Germán Rodríguez & Noreen Goldman, 2001. "Improved estimation procedures for multilevel models with binary response: a case‐study," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 164(2), pages 339-355.
    10. Anne Pebley & Noreen Goldman & Germán Rodríguez, 1996. "Prenatal and delivery care and childhood immunization in guatemala: Do family and community matter?," Demography, Springer;Population Association of America (PAA), vol. 33(2), pages 231-247, May.
    11. Goldman, Noreen & Glei, Dana A., 2003. "Evaluation of midwifery care: results from a survey in rural Guatemala," Social Science & Medicine, Elsevier, vol. 56(4), pages 685-700, February.
    12. Scrimshaw, Susan C. M. & Hurtado, Elena, 1988. "Anthropological involvement in the Central American diarrheal disease control project," Social Science & Medicine, Elsevier, vol. 27(1), pages 97-105, January.
    13. Cosminsky, Sheila, 1987. "Women and health care on a Guatemalan plantation," Social Science & Medicine, Elsevier, vol. 25(10), pages 1163-1173, January.
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    More about this item

    Keywords

    Guatemala;

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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