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Structural and Behavioral Barriers to Improving Development Outcomes : The Case ofMaternal Care in Haiti

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  • Perge,Emilie Bernadette
  • Llopis Abella,Jimena
  • Fruttero,Anna

Abstract

This paper investigates the interplay between structural and behavioral barriers that discouragepregnant women from accessing institutional care in Haiti, where despite some improvements in the past decades,maternal mortality remains a significant challenge. The analysis complements household survey data with data onservice provision and qualitative data on beliefs, perceptions, and attitudes toward maternal health care.Using a mixed-methods approach, the paper confirms that transportation and poverty are important barriers thatdecrease the likelihood of attending maternal health care services. At the same time, the findings show that womensuffer from optimism bias and are uncomfortable with the current model of received care. These barriers discouragewomen from seeking, reaching, and receiving maternal health care services at health institutions. Tackling structuralbarriers while finding ways to encourage women to shift their beliefs, perceptions, and attitudes are keyrecommendations to improve maternal health in Haiti.

Suggested Citation

  • Perge,Emilie Bernadette & Llopis Abella,Jimena & Fruttero,Anna, 2023. "Structural and Behavioral Barriers to Improving Development Outcomes : The Case ofMaternal Care in Haiti," Policy Research Working Paper Series 10421, The World Bank.
    • Handle: RePEc:wbk:wbrwps:10421
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    References listed on IDEAS

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    1. Thaddeus, Sereen & Maine, Deborah, 1994. "Too far to walk: Maternal mortality in context," Social Science & Medicine, Elsevier, vol. 38(8), pages 1091-1110, April.
    2. Meghan A Bohren & Joshua P Vogel & Erin C Hunter & Olha Lutsiv & Suprita K Makh & João Paulo Souza & Carolina Aguiar & Fernando Saraiva Coneglian & Alex Luíz Araújo Diniz & Özge Tunçalp & Dena Javadi , 2015. "The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review," PLOS Medicine, Public Library of Science, vol. 12(6), pages 1-32, June.
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