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Health reforms, facility-based delivery, and newborn's health: evidence from Rwanda

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  • Jiwon PARK

    (Korea Institute for International Economic Policy)

Abstract

Since 2006, Rwanda has experienced a substantial rise in the facility-based delivery (FBD) rate, attributed to various health initiatives. This paper investigates the impact of multiple health reforms on maternal service utilization and neonatal mortality rates. Employing a difference-in-differences framework utilizing geographical variation in the baseline FBD rate, our estimates indicate a 10–17 percentage point increase in FBD and a 0.15–0.18 times increase in the number of antenatal care visits. While our analysis indicates some evidence of a reduction in neonatal mortality rates, the findings are inconclusive. Nevertheless, our results suggest that the effect of the reforms on neonatal mortality rates was weakly intensified for those residing near district hospitals providing care for complicated pregnancies.

Suggested Citation

  • Jiwon PARK, 2026. "Health reforms, facility-based delivery, and newborn's health: evidence from Rwanda," JODE - Journal of Demographic Economics, Cambridge University Press, vol. 92(1), pages 28-51, March.
    • Handle: RePEc:ctl:louvde:v:92:y:2026:i:1:p:28-51
    DOI: 10.1017/dem.2024.7
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    JEL classification:

    • J19 - Labor and Demographic Economics - - Demographic Economics - - - Other
    • I1 - Health, Education, and Welfare - - Health
    • J10 - Labor and Demographic Economics - - Demographic Economics - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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