IDEAS home Printed from https://ideas.repec.org/a/eee/telpol/v48y2024i10s0308596124001691.html
   My bibliography  Save this article

Does affordable Internet promote maternal and child healthcare access? Evidence from a post-telecommunication market disruption period in India

Author

Listed:
  • Krishnatri, Vinayak
  • Vellakkal, Sukumar

Abstract

Indian telecommunication market witnessed a distortion in 2016 due to a late-entrant firm's disruptive market entry with deep-discounted pricing; however, Internet penetration marked a considerable increase. Using nationally representative cross-sectional data from the post-market disruption period and an instrumental variable strategy for identification, we estimate the impact of the Internet on the uptake of maternal and child healthcare services. We find that the Internet improves the uptake of antenatal care, institutional delivery, postnatal care, and modern contraceptive use. A series of robustness checks confirm consistent and similar findings. Heterogeneity analysis shows that the increased affordability of the Internet had a more profound impact among socioeconomically disadvantaged cohorts. Our findings imply that universal Internet penetration can enhance uptake of healthcare in low- and middle-income countries.

Suggested Citation

  • Krishnatri, Vinayak & Vellakkal, Sukumar, 2024. "Does affordable Internet promote maternal and child healthcare access? Evidence from a post-telecommunication market disruption period in India," Telecommunications Policy, Elsevier, vol. 48(10).
  • Handle: RePEc:eee:telpol:v:48:y:2024:i:10:s0308596124001691
    DOI: 10.1016/j.telpol.2024.102872
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0308596124001691
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.telpol.2024.102872?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. Romer, Paul M, 1986. "Increasing Returns and Long-run Growth," Journal of Political Economy, University of Chicago Press, vol. 94(5), pages 1002-1037, October.
    2. Anders Akerman & Ingvil Gaarder & Magne Mogstad, 2015. "The Skill Complementarity of Broadband Internet," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 130(4), pages 1781-1824.
    3. Michel Berne & Pierre Vialle & Jason Whalley, 2019. "An analysis of the disruptive impact of the entry of Free Mobile into the French mobile telecommunications market," Post-Print hal-02147914, HAL.
    4. Berne, Michel & Vialle, Pierre & Whalley, Jason, 2019. "An analysis of the disruptive impact of the entry of Free Mobile into the French mobile telecommunications market," Telecommunications Policy, Elsevier, vol. 43(3), pages 262-277.
    5. Kenkel, Don, 1990. "Consumer Health Information and the Demand for Medical Care," The Review of Economics and Statistics, MIT Press, vol. 72(4), pages 587-595, November.
    6. Dutta, Ujjal Protim & Gupta, Hemant & Sengupta, Partha Pratim, 2019. "ICT and health outcome nexus in 30 selected Asian countries: Fresh evidence from panel data analysis," Technology in Society, Elsevier, vol. 59(C).
    7. Melanie Guldi & Chris M. Herbst, 2017. "Offline effects of online connecting: the impact of broadband diffusion on teen fertility decisions," Journal of Population Economics, Springer;European Society for Population Economics, vol. 30(1), pages 69-91, January.
    8. Derksen, Laura & Michaud-Leclerc, Catherine & Souza, Pedro C.L., 2022. "Restricted access: How the internet can be used to promote reading and learning," Journal of Development Economics, Elsevier, vol. 155(C).
    9. Byaro, Mwoya & Rwezaula, Anicet & Ngowi, Nicholaus, 2023. "Does internet use and adoption matter for better health outcomes in sub-Saharan African countries? New evidence from panel quantile regression," Technological Forecasting and Social Change, Elsevier, vol. 191(C).
    10. Wang, Yuxi & McKee, Martin & Torbica, Aleksandra & Stuckler, David, 2019. "Systematic Literature Review on the Spread of Health-related Misinformation on Social Media," Social Science & Medicine, Elsevier, vol. 240(C).
    11. Ghosh, Dipayan, 2021. "The commercialization of bias in cashless India," Telecommunications Policy, Elsevier, vol. 45(5).
    12. Singh, Abinash & Vellakkal, Sukumar, 2021. "Impact of public health programs on maternal and child health services and health outcomes in India: A systematic review," Social Science & Medicine, Elsevier, vol. 274(C).
    13. Manierre, Matthew J., 2015. "Gaps in knowledge: Tracking and explaining gender differences in health information seeking," Social Science & Medicine, Elsevier, vol. 128(C), pages 151-158.
    14. Yang Chunfang & Zhang Yifeng & Wang Suyun, 2023. "The impact of the Internet on household consumption expenditure: an empirical study based on China Family Panel Studies data," Economic Research-Ekonomska Istraživanja, Taylor & Francis Journals, vol. 36(3), pages 2150255-215, December.
    15. Suziedelyte, Agne, 2012. "How does searching for health information on the Internet affect individuals' demand for health care services?," Social Science & Medicine, Elsevier, vol. 75(10), pages 1828-1835.
    16. Sunil, T.S. & Rajaram, S. & Zottarelli, Lisa K., 2006. "Do individual and program factors matter in the utilization of maternal care services in rural India? A theoretical approach," Social Science & Medicine, Elsevier, vol. 62(8), pages 1943-1957, April.
    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. Zhong, Meirui & Qiang, Dan & Wang, Jinxian & Sun, Weizeng, 2024. "Improving health and reducing health inequality: An innovation of digitalization?," Social Science & Medicine, Elsevier, vol. 348(C).
    2. Pierre Vialle & Jason Whalley & Shengxing Yang, 2021. "Seizing opportunities for international growth - The case of Iliad and the Italian mobile telecommunications market," Post-Print hal-03549645, HAL.
    3. Lei-Ju Qiu & Shun-Bin Zhong & Bao-Wen Sun & Yu Song & Xiao-Hua Chen, 2021. "Is internet penetration narrowing the rural–urban income inequality? A cross-regional study of China," Quality & Quantity: International Journal of Methodology, Springer, vol. 55(5), pages 1795-1814, October.
    4. Chen, Jinrui & Zhang, Yichang, 2025. "Substantive change or strategic response? Digital industrial convergence policy and urban green innovation," Innovation and Green Development, Elsevier, vol. 4(1).
    5. Briglauer, Wolfgang & Krämer, Jan & Palan, Nicole, 2024. "Socioeconomic benefits of high-speed broadband availability and service adoption: A survey," Telecommunications Policy, Elsevier, vol. 48(7).
    6. Huang, Zhuo & Tao, Yunqing & Zhang, Qidi & Ye, Yongwei, 2023. "The road to entrepreneurship: The effect of China's broadband infrastructure construction," Economic Analysis and Policy, Elsevier, vol. 80(C), pages 1831-1847.
    7. Rosa Sanchis-Guarner & José Montalbán & Felix Weinhardt, 2021. "Home Broadband and Human Capital Formation," CESifo Working Paper Series 8846, CESifo.
    8. Robin Döttling & Enrico Perotti, 2015. "Mortgage Finance and Technological Change," Tinbergen Institute Discussion Papers 15-079/IV, Tinbergen Institute.
    9. Cambini, Carlo & Sabatino, Lorien & Zaccagni, Sarah, 2024. "The faster the better? Advanced internet access and student performance," Telecommunications Policy, Elsevier, vol. 48(8).
    10. Dwyer, Debra Sabatini & Liu, Hong, 2013. "The impact of consumer health information on the demand for health services," The Quarterly Review of Economics and Finance, Elsevier, vol. 53(1), pages 1-11.
    11. Chen, Lipeng & Liu, Wanlin, 2022. "The effect of Internet access on body weight: Evidence from China," Journal of Health Economics, Elsevier, vol. 85(C).
    12. Christian Schmid, 2015. "Consumer Health Information and the Demand for Physician Visits," Health Economics, John Wiley & Sons, Ltd., vol. 24(12), pages 1619-1631, December.
    13. Kahouli, Bassem & Omri, Anis & Afi, Hatem, 2024. "Technological innovations and health performance: Effects and transmission channels," Technological Forecasting and Social Change, Elsevier, vol. 204(C).
    14. Michael DiNardi & Melanie Guldi & David Simon, 2019. "Body weight and Internet access: evidence from the rollout of broadband providers," Journal of Population Economics, Springer;European Society for Population Economics, vol. 32(3), pages 877-913, July.
    15. Nofal, María B. & Coremberg, Ariel & Sartorio, Luca, 2018. "Data, measurement and initiatives for inclusive digitalization and future of work," Economics Discussion Papers 2018-71, Kiel Institute for the World Economy (IfW Kiel).
    16. Wang, Yi & Niu, Geng & Zhou, Yang & Lu, Weijie, 2023. "Broadband internet and stock market participation," International Review of Financial Analysis, Elsevier, vol. 85(C).
    17. Howell, Bronwyn & González, Fernando Herrera & Serentschy, Georg & Jamison, Mark & Potgieter, Petrus & Layton, Roslyn & García, Íñigo Herguera, 2025. "Perspectives on political influences on changes in telecommunications and internet economy markets," Telecommunications Policy, Elsevier, vol. 49(2).
    18. Byaro, Mwoya & Rwezaula, Anicet & Ngowi, Nicholaus, 2023. "Does internet use and adoption matter for better health outcomes in sub-Saharan African countries? New evidence from panel quantile regression," Technological Forecasting and Social Change, Elsevier, vol. 191(C).
    19. An, Jiafu & Guo, Shiqi & Jiang, Haicheng, 2025. "Foreign-assisted infrastructure and local employment: Evidence from China's aid to Africa," Journal of Comparative Economics, Elsevier, vol. 53(1), pages 118-138.
    20. Hiroaki Suenaga & Maria Rosalía Vicente, 2022. "Online and offline health information seeking and the demand for physician services," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(3), pages 337-356, April.

    More about this item

    Keywords

    ;
    ;
    ;
    ;

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • O53 - Economic Development, Innovation, Technological Change, and Growth - - Economywide Country Studies - - - Asia including Middle East
    • O33 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Technological Change: Choices and Consequences; Diffusion Processes

    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:eee:telpol:v:48:y:2024:i:10:s0308596124001691. 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/30471/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.