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The Price of Labor: Evaluating the Impact of Eliminating User Fees on Maternal and Infant Health Outcomes

Anne Fitzpatrick

AEA Papers and Proceedings, 2018, vol. 108, 412-15

Abstract: Since 2001, several sub-Saharan African countries have eliminated user fees for childbirth. Although intended to improve maternal and infant health outcomes, service quality also fell as facilities became overburdened. In this paper I combine DHS surveys on births from countries eliminating user fees. I identify the effect of user fee elimination using (i) a maternal fixed effect and (ii) an event study within a small geographic area. I find that user fees increase the likelihood of delivery at public sector facilities by 2–7 percentage points. I also find that user fee elimination reduces maternal mortality but may increase neonatal mortality.

JEL-codes: I12 I18 J13 J16 O15 (search for similar items in EconPapers)
Date: 2018
Note: DOI: 10.1257/pandp.20181118
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Citations: View citations in EconPapers (4)

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