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The Private Health Care Sector and the Provision of Prenatal Care Services in Latin America

  • Alejandro Arrieta
  • Ariadna García Prado
  • Jorge Guillén

Private providers have become an important source of health care in Latin America, yet there is still little documentation on them, especially regarding their role as providers of preventive and public health interventions. This paper uses Demographic and Health Surveys from various Latin American countries to compare the effectiveness of the private and public sectors in providing prenatal care. Although the number of prenatal visits is higher in the private sector, this is not accompanied by better delivery outcomes. We discuss different strategies to improve the role of private providers.

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Paper provided by Inter-American Development Bank in its series IDB Publications (Working Papers) with number 9335.

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Date of creation: Jul 2009
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Handle: RePEc:idb:brikps:9335
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  1. 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.
  2. Fernando Ruiz & Liliana Amaya & Stella Venegas, 2007. "Progressive segmented health insurance: Colombian health reform and access to health services," Health Economics, John Wiley & Sons, Ltd., vol. 16(1), pages 3-18.
  3. Panis, Constantijn W. A. & Lillard, Lee A., 1994. "Health inputs and child mortality: Malaysia," Journal of Health Economics, Elsevier, vol. 13(4), pages 455-489.
  4. Jerry Hausman, 2001. "Mismeasured Variables in Econometric Analysis: Problems from the Right and Problems from the Left," Journal of Economic Perspectives, American Economic Association, vol. 15(4), pages 57-67, Fall.
  5. Das, Jishnu & Hammer, Jeffrey & Leonard, Kenneth, 2008. "The quality of medical advice in low-income countries," Policy Research Working Paper Series 4501, The World Bank.
  6. Hugh R. Waters & Laurel E. Hatt & Robert E. Black, 2008. "The role of private providers in treating child diarrhoea in Latin America," Health Economics, John Wiley & Sons, Ltd., vol. 17(1), pages 21-29.
  7. Peabody, John W. & Gertler, Paul J. & Leibowitz, Arleen, 1998. "The policy implications of better structure and process on birth outcomes in Jamaica," Health Policy, Elsevier, vol. 43(1), pages 1-13, January.
  8. Macq, Jean & Martiny, Patrick & Villalobos, Luis Bernardo & Solis, Alejandro & Miranda, Jose & Mendez, Hilda Cecilia & Collins, Charles, 2008. "Public purchasers contracting external primary care providers in Central America for better responsiveness, efficiency of health care and public governance: Issues and challenges," Health Policy, Elsevier, vol. 87(3), pages 377-388, September.
  9. Maitra, Pushkar, 2004. "Parental bargaining, health inputs and child mortality in India," Journal of Health Economics, Elsevier, vol. 23(2), pages 259-291, March.
  10. Guilkey, David K. & Popkin, Barry M. & Akin, John S. & Wong, Emelita L., 1989. "Prenatal care and pregnancy outcome in Cebu, Philippines," Journal of Development Economics, Elsevier, vol. 30(2), pages 241-272, April.
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