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Does universalization of health work? Evidence from health systems restructuring and maternal and child health in Brazil

Sonia Bhalotra, Rudi Rocha and Rodigo R. Soares

No 2016-16, ISER Working Paper Series from Institute for Social and Economic Research

Abstract: We investigate restructuring of the health system in Brazil motivated to operationalize universal health coverage. Using administrative data from multiple sources and an event study approach that exploits the staggered rollout of programmatic changes across municipalities, we find large reductions in maternal, foetal, neonatal and postneonatal mortality, and fertility. We document increased prenatal care visits, hospital births and other maternal and child hospitalization, which suggest that the survival gains were supply-driven. We find no improvement in the quality of births, which may be explained by endogenous shifts in the composition of births towards higher-risk births.

Date: 2016-12-12
New Economics Papers: this item is included in nep-dev and nep-hea
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Citations: View citations in EconPapers (7)

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