Organized Violence and Institutional Child Delivery: Micro-Level Evidence From Sub-Saharan Africa, 1989-2014.

The conditions under which a mother gives birth greatly affect the health risk of both the mother and the child. This article addresses how local exposure to organized violence affects whether women give birth in a health facility. We combine geocoded data on violent events from the Uppsala Conflict...

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Publicado en:Demography (Springer Nature) Vol. 55; no. 4; pp. 1295 - 1317
Autores principales: Østby, Gudrun, Urdal, Henrik, Tollefsen, Andreas Forø, Kotsadam, Andreas, Belbo, Ragnhild, Ormhaug, Christin
Formato: journal article
Publicado: Springer Nature Aug2018
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Acceso en línea:Ver este registro en EBSCOhost
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        10.1007/s13524-018-0685-4
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        atl: Organized Violence and Institutional Child Delivery: Micro-Level Evidence From Sub-Saharan Africa, 1989-2014.
      aug:
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          Østby, Gudrun
          Urdal, Henrik
          Tollefsen, Andreas Forø
          Kotsadam, Andreas
          Belbo, Ragnhild
          Ormhaug, Christin
        affil:
          Peace Research Institute Oslo (PRIO), PO Box 9229, Grønland, NO-0134, Oslo, Norway
          The Ragnar Frisch Centre for Economic Research, University of Oslo, Gaustadalléen 21, 0349, Oslo, Norway
          Noragric, International Environment and Development Studies, Norwegian University of Life Sciences, PO Box 5003, NO-1432, Ås, Norway
      su:
        Sub-Saharan Africa
        Violence
        Mother-child relationship
        Parenting
        Motherhood
        Public health
        Maternal health services
      sug:
        subj:
          Violence
          Mother-child relationship
          Parenting
          Motherhood
          Public health
          Sub-Saharan Africa
          Health and Welfare Funds
          Maternal health services
      keyword:
        Armed conflict
        Demographic and Health Surveys
        Maternal health
        Organized violence
        Armed conflict
        Demographic and Health Surveys
        Maternal health
        Organized violence
      ab: The conditions under which a mother gives birth greatly affect the health risk of both the mother and the child. This article addresses how local exposure to organized violence affects whether women give birth in a health facility. We combine geocoded data on violent events from the Uppsala Conflict Data Program with georeferenced survey data on the use of maternal health care services from the Demographic and Health Surveys. Our sample covers 569,201 births by 390,574 mothers in 31 countries in sub-Saharan Africa. We use a mother fixed-effects analysis to estimate the effect of recent organized violence events within a radius of 50 km of the home of each mother on the likelihood that her child is born in a health facility. The results indicate that geographical and temporal proximity to organized violence significantly reduces the likelihood of institutional births. Although the level of maternal health care overall is lower in rural areas, the negative effect of violence appears to be stronger in urban areas. The study further underscores the importance of household and individual resilience, indicating that the effect of organized violence on institutional child delivery is greater among poor and less-educated mothers.
      pubtype: Academic Journal
      doctype: journal article
      src: R
    language: English
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