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hal.structure.identifierDéveloppement, institutions et analyses de long terme [DIAL]
dc.contributor.authorRenard, Yohan
dc.date.accessioned2022-05-17T13:11:13Z
dc.date.available2022-05-17T13:11:13Z
dc.date.issued2022
dc.identifier.issn0305-750X
dc.identifier.urihttps://basepub.dauphine.psl.eu/handle/123456789/22945
dc.language.isoenen
dc.subjectFree health careen
dc.subjectChildbirth conditionsen
dc.subjectChild healthen
dc.subjectUser feesen
dc.subjectZambiaen
dc.subjectDifference-in-differencesen
dc.subject.ddc334en
dc.subject.classificationjelO55en
dc.subject.classificationjelI18en
dc.subject.classificationjelI38en
dc.titleFrom Fees to Free: User Fee Removal, Maternal Health Care Utilization and Child Health in Zambiaen
dc.typeArticle accepté pour publication ou publié
dc.description.abstractenDespite recent progress, about 295,000 women in the World still die each year from pregnancy-related causes, and about 4.1 million children die before reaching the age of one. 99% of these deaths occur in developing countries. In 2006 the Zambian government removed user fees in public and mission health facilities in 54 out of 72 districts, and then extended this policy to rural parts of unaffected districts in 2007. I exploit the staggered implementation of the policy to assess its impact on maternal health care utilization and child health outcomes. Using a difference-in-differences estimation strategy, I find a 43% increase in the probability to give birth in a medical facility following the removal and a 36% increase in the probability of being assisted by a skilled birth attendant during childbirth. These positive effects decrease with household’s distance from the nearest health facility. In terms of child health, chronic malnutrition decreased by 8% and the abolition of user fees reduced newborn mortality risk only for those living close to a health facility providing essential emergency obstetric care and child health services. Access improved but returns to formal health services remained rather limited, highlighting the importance of addressing supply-side constraints to generate substantial gains in population health.en
dc.relation.isversionofjnlnameWorld Development
dc.relation.isversionofjnlvol156en
dc.relation.isversionofjnldate2022-08
dc.relation.isversionofjnlpages105891en
dc.relation.isversionofdoi10.1016/j.worlddev.2022.105891en
dc.relation.isversionofjnlpublisherElsevieren
dc.subject.ddclabelEconomie socialeen
dc.relation.forthcomingnonen
dc.description.ssrncandidatenon
dc.description.halcandidateouien
dc.description.readershiprechercheen
dc.description.audienceInternationalen
dc.relation.Isversionofjnlpeerreviewedouien
dc.date.updated2022-04-28T08:51:46Z
hal.identifierhal-03670513
hal.version1
dc.subject.classificationjelHALO.O5.O55en
dc.subject.classificationjelHALI.I1.I18en
dc.subject.classificationjelHALI.I3.I38en
hal.date.transferred2022-05-17T13:11:14Z
hal.author.functionaut


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