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Disruptions to healthcare quality and early child health outcomes: Evidence from health-worker strikes in Kenya

Willa Friedman, Anthony Keats and Martin Kavao Mutua

Journal of Health Economics, 2022, vol. 86, issue C

Abstract: This paper measures the effects of disruptions to healthcare quality at birth on early child health outcomes in Kenya. To identify impacts, we exploit variation in the timing and location of health-worker strikes at individual hospitals across the country between 1999 and 2014. Using data from Demographic Health Surveys, we find that children born during strikes are more likely to suffer a neonatal death. We find similar results using separate data collected in two informal settlements in Nairobi located near hospitals with frequent strikes. These results show that interruptions to healthcare quality can have large immediate health impacts, and suggests that status quo hospital care provides positive benefits. We also find suggestive evidence of reductions in later health investments, measured by vaccine take-up, among those who survive. This study provides the first rigorous evidence on the consequences of health-worker strikes, a frequent but understudied phenomenon in Sub-Saharan Africa.

Keywords: Child mortality; Institutional delivery; Health-service provision (search for similar items in EconPapers)
JEL-codes: I15 I18 O15 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:jhecon:v:86:y:2022:i:c:s0167629622001096

DOI: 10.1016/j.jhealeco.2022.102694

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Journal of Health Economics is currently edited by J. P. Newhouse, A. J. Culyer, R. Frank, K. Claxton and T. McGuire

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