Using Subsidies to Enhance Access to Maternal and Newborn Health Care in Remote Villages

Antonella Bancalari, Pedro Bernal, María Fernanda García, Pablo Ibarrarán, Emmanuelle Sánchez-Monin and Paola Zúñiga Brenes

No 13791, IDB Publications (Working Papers) from Inter-American Development Bank

Abstract: This paper investigates the effects of alleviating remoteness constraints on access to quality maternal and newborn health care. Using a cluster-randomized controlled trial, we provided transportation vouchers to impoverished pregnant women residing in remote Nicaraguan villages located approximately five hours from the nearest health center, along with accommodations vouchers for maternal waiting homes. These vouchers were provided to the women and to companions of their choosing. The subsidies increased the utilization of quality antenatal care, institutional delivery, and quality postnatal care for mothers and newborns. Additionally, neonatal and infant mortality rates, as well as fertility rates, decreased in treated communities five years after the intervention began.

Keywords: remoteness; subsidies; maternal health; infant mortality (search for similar items in EconPapers)
JEL-codes: D04 D10 I15 O12 O18 (search for similar items in EconPapers)
Date: 2024-10
New Economics Papers: this item is included in nep-exp and nep-hea
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Persistent link: https://EconPapers.repec.org/RePEc:idb:brikps:13791

DOI: 10.18235/0013208

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