IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v63y2006i3p706-721.html
   My bibliography  Save this article

Migration and maternal health services utilization in rural Guatemala

Author

Listed:
  • Lindstrom, David P
  • Muñoz-Franco, Elisa

Abstract

This article examines the relationship between migration and the use of formal maternal health-care services among rural women in Guatemala. We identify assimilation, diffusion, and remittances as three potential pathways through which migration can affect health-care service utilization in rural areas. Using data from the 1995 Guatemalan Survey of Family Health and multi-level regression models, we estimate the impact of migration experience at the individual, household, and community level on the use of formal prenatal care and delivery assistance. We find that urban migration experience and having relatives abroad are associated with a greater likelihood of formal prenatal care utilization, after taking account of background characteristics and enabling resources. Migration experience at all levels is also strongly associated with formal delivery assistance; however, this association operates primarily through the positive association between migration and enabling resources. The differential effects of out-migration on maternal health-care service utilization reflect the different barriers to service use that exist for formal prenatal care and delivery assistance. Financial cost and geographic access are the most important barriers to formal delivery assistance, whereas awareness and acceptance remain as important barriers to the use of formal prenatal care in rural Guatemala. Urban migration experience and social ties to urban and international migrants lower the barriers to formal maternal health-care utilization through the acquisition and diffusion of new ideas and practices, and the return flow of financial resources.

Suggested Citation

  • Lindstrom, David P & Muñoz-Franco, Elisa, 2006. "Migration and maternal health services utilization in rural Guatemala," Social Science & Medicine, Elsevier, vol. 63(3), pages 706-721, August.
    • Handle: RePEc:eee:socmed:v:63:y:2006:i:3:p:706-721
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(06)00088-8
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Levy-Storms, Lené & Wallace, Steven P., 2003. "Use of mammography screening among older Samoan women in Los Angeles county: a diffusion network approach," Social Science & Medicine, Elsevier, vol. 57(6), pages 987-1000, September.
    2. Glei, Dana A. & Goldman, Noreen & Rodríguez, Germán, 2003. "Utilization of care during pregnancy in rural Guatemala: does obstetrical need matter?," Social Science & Medicine, Elsevier, vol. 57(12), pages 2447-2463, December.
    3. Kroeger, Axel, 1983. "Anthropological and socio-medical health care research in developing countries," Social Science & Medicine, Elsevier, vol. 17(3), pages 147-161, January.
    4. 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.
    5. 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.
    6. Bhatia, Jagdish C. & Cleland, John, 1996. "Obstetric morbidity in south India: Results from a community survey," Social Science & Medicine, Elsevier, vol. 43(10), pages 1507-1516, November.
    7. Wong, Emelita L. & Popkin, Barry M. & Guilkey, David K. & Akin, John S., 1987. "Accessibility, quality of care and prenatal care use in the Philippines," Social Science & Medicine, Elsevier, vol. 24(11), pages 927-944, January.
    8. Shawn Kanaiaupuni & Katharine Donato, 1999. "Migradollars and mortality: The effects of migration on infant survival in Mexico," Demography, Springer;Population Association of America (PAA), vol. 36(3), pages 339-353, August.
    9. World Bank, 2004. "World Development Indicators 2004," World Bank Publications - Books, The World Bank Group, number 13890, December.
    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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Ulrich Nguemdjo & Bruno Ventelou, 2020. "How do migrations affect under-five mortality in rural areas? Evidence from Niakhar, Senegal," Working Papers halshs-03078776, HAL.
    2. Kalaj, Ermira Hoxha, 2014. "Are remittances spent in a healthy way? Evidence from Albania," SEER Journal for Labour and Social Affairs in Eastern Europe, Nomos Verlagsgesellschaft mbH & Co. KG, vol. 17(2), pages 237-266.
    3. Eliva Ambugo & Jenjira Yahirun, 2016. "Remittances and risk of major depressive episode and sadness among new legal immigrants to the United States," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 34(8), pages 243-258.
    4. Aline Philibert & Marion Ravit & Valéry Ridde & Inès Dossa & Emmanuel Bonnet & Florent Bédécarrats & Alexandre Dumont, 2017. "Maternal and neonatal health impact of obstetrical risk insurance scheme in Mauritania : a quasi experimental before-and-after study," Post-Print hal-03852218, HAL.
    5. Jean-Michel Lafleur & Olivier Lizin, 2014. "Transnational Health Insurance Schemes: A New Avenue for Congolese Immigrants in Belgium to Care for Their Relatives' Health from Abroad?," Working Papers 15-01d, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Migration and Development..
    6. Alassane DRABO & Christian EBEKE, 2010. "Remittances, Public Health Spending and Foreign Aid in the Access to Health Care Services in Developing Countries," Working Papers 201004, CERDI.
    7. Karim Khan & Muhammad Jehangir Khan & Abid Hussain, 2021. "Remittances and Healthcare Expenditures: Evidence from Pakistan," The Pakistan Development Review, Pakistan Institute of Development Economics, vol. 60(2), pages 175-200.
    8. Prashant Kumar Singh & Rajesh Kumar Rai & Lucky Singh, 2012. "Examining the Effect of Household Wealth and Migration Status on Safe Delivery Care in Urban India, 1992–2006," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-12, September.
    9. Lu, Yao, 2010. "Rural-urban migration and health: Evidence from longitudinal data in Indonesia," Social Science & Medicine, Elsevier, vol. 70(3), pages 412-419, February.

    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. 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..
    2. Po Wong, 2011. "Mothers’ Marital Status and Type of Delivery Medical Care in Guatemala," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 30(1), pages 43-57, February.
    3. 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.
    4. Xiaoying Liu & Jere R Behrman & Aryeh D Stein & Linda S Adair & Santosh K Bhargava & Judith B Borja & Mariangela Freitas da Silveira & Bernardo L Horta & Reynaldo Martorell & Shane A Norris & Linda M , 2017. "Prenatal care and child growth and schooling in four low- and medium-income countries," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-21, February.
    5. Navaneetham K, 2007. "Utilization Of Maternal Health Care In South India," Working Papers id:940, eSocialSciences.
    6. Lindelow, Magnus, 2004. "Health care decisions as a family matter - intra-household education externalities and the utilization of health services," Policy Research Working Paper Series 3324, The World Bank.
    7. Jeffrey E. Harris & Sandra G. Sosa-Rubi, 2009. "Impact of "Seguro Popular" on Prenatal Visits in Mexico, 2002-2005: Latent Class Model of Count Data with a Discrete Endogenous Variable," NBER Working Papers 14995, National Bureau of Economic Research, Inc.
    8. Guliani, Harminder & Sepehri, Ardeshir & Serieux, John, 2012. "What impact does contact with the prenatal care system have on women’s use of facility delivery? Evidence from low-income countries," Social Science & Medicine, Elsevier, vol. 74(12), pages 1882-1890.
    9. Carol Kaufman, 1998. "Contraceptive use in South Africa under apartheid," Demography, Springer;Population Association of America (PAA), vol. 35(4), pages 421-434, November.
    10. 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.
    11. Jakob Skoet & Kostas Stamoulis & Annelies Deuss, 2004. "Investing in Agriculture for Growth and Food Security in the ACP countries," Working Papers 04-22, Agricultural and Development Economics Division of the Food and Agriculture Organization of the United Nations (FAO - ESA).
    12. Justin Lin & Peilin Liu, 2006. "Economic Development Strategy, Openness and Rural Poverty: A Framework and China's Experiences," WIDER Working Paper Series RP2006-43, World Institute for Development Economic Research (UNU-WIDER).
    13. Dean Yang, 2008. "International Migration, Remittances and Household Investment: Evidence from Philippine Migrants' Exchange Rate Shocks," Economic Journal, Royal Economic Society, vol. 118(528), pages 591-630, April.
    14. Amanda Ellis & Claire Manuel & C. Mark Blackden, 2005. "Gender and Economic Growth in Uganda : Unleashing the Power of Women," World Bank Publications - Books, The World Bank Group, number 7388, December.
    15. Ehmke, Mariah & Lusk, Jayson & Tyner, Wallace, 2010. "Multidimensional tests for economic behavior differences across cultures," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 39(1), pages 37-45, January.
    16. Faria, Andr & Mauro, Paolo, 2009. "Institutions and the external capital structure of countries," Journal of International Money and Finance, Elsevier, vol. 28(3), pages 367-391, April.
    17. Akay, Alpaslan & Martinsson, Peter, 2011. "Does relative income matter for the very poor? Evidence from rural Ethiopia," Economics Letters, Elsevier, vol. 110(3), pages 213-215, March.
    18. Carré, Sylvain & Cohen, Daniel & Villemot, Sébastien, 2019. "The sources of sovereign risk: a calibration based on Lévy stochastic processes," Journal of International Economics, Elsevier, vol. 118(C), pages 31-43.
    19. Sadhana Srivastava, 2006. "The Role Of Foreign Direct Investment In India'S Services Exports: An Empirical Investigation," The Singapore Economic Review (SER), World Scientific Publishing Co. Pte. Ltd., vol. 51(02), pages 175-194.
    20. Frölich, Markus & Michaelowa, Katharina, 2004. "Peer effects and textbooks in primary education: Evidence from francophone sub-Saharan Africa," HWWA Discussion Papers 311, Hamburg Institute of International Economics (HWWA).

    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:eee:socmed:v:63:y:2006:i:3:p:706-721. 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: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    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.