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Does Distance Matter for Institutional Delivery in Rural India?

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  • Santosh Kumar

    (Department of Economics and International Business, Sam Houston State University)

  • Emily Dansereau

    (University of Washington)

  • Chris Murray

    (University of Washington)

Abstract

In this paper, we examine if access to health facilities improves institutional birth delivery in a resource-constrained country like India. Using a household- and village-level health survey, we find that women living closer to health facilities have a higher probability of in-facility births. A one kilometer increase in the distance to the nearest health facility decreases the probability of institutional delivery by 0.8%. This result does not change significantly even after we account for endogenous placement of health facilities. The results of Two-Stage Residual Inclusion (2SRI) and IV-Probit models suggest that an additional travel of one kilometer decreases probability of in-facility delivery (IFD) by 4.4%. The policy simulation result suggest that, the mean probability of in-facility delivery increases when the density of health facility is increased. Overall, results suggest that geographic distance is an important barrier to service utilization and improving access to health facilities may be an important policy instrument to improve utilization of health services in resource-poor countries.

Suggested Citation

  • Santosh Kumar & Emily Dansereau & Chris Murray, 2014. "Does Distance Matter for Institutional Delivery in Rural India?," Working Papers 1405, Sam Houston State University, Department of Economics and International Business.
    • Handle: RePEc:shs:wpaper:1405
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    3. Ajay Mahal & Navy Mulou & Marie Ishida, 2023. "Distance to healthcare facilities, healthcare use and health outcomes: The case of Papua New Guinea," Australian Economic Papers, Wiley Blackwell, vol. 62(4), pages 616-632, December.
    4. Aggarwal, Shilpa, 2021. "The long road to health: Healthcare utilization impacts of a road pavement policy in rural India," Journal of Development Economics, Elsevier, vol. 151(C).
    5. Lisa Cameron & Diana Contreras Suarez & Katy Cornwell, 2019. "Understanding the determinants of maternal mortality: An observational study using the Indonesian Population Census," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-18, June.
    6. Bansal, Prateek & Daziano, Ricardo A. & Sunder, Naveen, 2019. "Arriving at a decision: A semi-parametric approach to institutional birth choice in India," Journal of choice modelling, Elsevier, vol. 31(C), pages 86-103.
    7. Srinivas Goli & Anu Rammohan & Moradhvaj, 2018. "Out-of-pocket expenditure on maternity care for hospital births in Uttar Pradesh, India," Health Economics Review, Springer, vol. 8(1), pages 1-16, December.
    8. HOSHI, Kisho, 2023. "New Medical Schools, Access to Doctors and Health Outcomes : Evidence from Japan," CEI Working Paper Series 2023-05, Center for Economic Institutions, Institute of Economic Research, Hitotsubashi University.
    9. Viera Ivanková & Rastislav Kotulič & Jaroslav Gonos & Martin Rigelský, 2019. "Health Care Financing Systems and Their Effectiveness: An Empirical Study of OECD Countries," IJERPH, MDPI, vol. 16(20), pages 1-22, October.
    10. Noah Kaiser & Christina K. Barstow, 2022. "Rural Transportation Infrastructure in Low- and Middle-Income Countries: A Review of Impacts, Implications, and Interventions," Sustainability, MDPI, vol. 14(4), pages 1-48, February.
    11. Salau, S. & Omotesho, O. & Muhammad-Lawal, A., 2018. "Agricultural Commercialization, Fertilizer Use and Non-Farm Employment: What Options for Smallholder Farmers in Nigeria?," 2018 Conference, July 28-August 2, 2018, Vancouver, British Columbia 277180, International Association of Agricultural Economists.
    12. Finn McGuire & Noemi Kreif & Peter C. Smith, 2021. "The effect of distance on maternal institutional delivery choice: Evidence from Malawi," Health Economics, John Wiley & Sons, Ltd., vol. 30(9), pages 2144-2167, September.
    13. Mampi Bose, 2019. "Determinants of Choice of Care Providers During Childbirth in Rural West Bengal, India," Indian Journal of Human Development, , vol. 13(1), pages 47-70, April.
    14. Vyacheslav Mikhed & Barry Scholnick, 2014. "Financial benefits, travel costs, and bankruptcy," Working Papers 14-18, Federal Reserve Bank of Philadelphia.
    15. Mohd Zuhair & Fuli Zhou & Saurabh Pratap & Ram Babu Roy, 2022. "Eliciting key attributes of health insurance in rural India: a qualitative analysis," SN Business & Economics, Springer, vol. 2(3), pages 1-28, March.
    16. Laura Anselmi & Mylène Lagarde & Kara Hanson, 2015. "Health service availability and health seeking behaviour in resource poor settings: evidence from Mozambique," Health Economics Review, Springer, vol. 5(1), pages 1-13, December.
    17. Satis Devkota & Christopher Butler, 2016. "Caste-ethnic disparity in vaccine use among 0- to 5-year-old children in Nepal: a decomposition analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(6), pages 693-699, July.
    18. Teketo Kassaw Tegegne & Catherine Chojenta & Deborah Loxton & Roger Smith & Kelemu Tilahun Kibret, 2018. "The impact of geographic access on institutional delivery care use in low and middle-income countries: Systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-16, August.

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