Changing Behavioral Patterns Related to Maternity and Childbirth in Rural and Poor Populations : A Critical Review

While life expectancy has increased worldwide in recent decades, dramatic health inequalities persist across and within countries and between different population groups. Maternal mortality in low- and middle-income countries is almost fifty times that of high-income countries, while neonatal mortal...

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Main Author:	Garcia-Prado, Ariadna
Format:	Journal Article
Published:	Published by Oxford University Press on behalf of the World Bank 2020
Subjects:	LIFE EXPECTANCY MORTALITY NEONATAL HEALTH MATERNAL HEALTH DEMAND STRATEGY
Online Access:	http://hdl.handle.net/10986/34346

id	okr-10986-34346
recordtype	oai_dc
spelling	okr-10986-343462021-05-25T10:54:39Z Changing Behavioral Patterns Related to Maternity and Childbirth in Rural and Poor Populations : A Critical Review Garcia-Prado, Ariadna LIFE EXPECTANCY MORTALITY NEONATAL HEALTH MATERNAL HEALTH DEMAND STRATEGY While life expectancy has increased worldwide in recent decades, dramatic health inequalities persist across and within countries and between different population groups. Maternal mortality in low- and middle-income countries is almost fifty times that of high-income countries, while neonatal mortality is nine times higher, and both are consistently higher in rural, poor, and indigenous populations. Despite important efforts to expand the supply of health services to disadvantaged populations, these inequalities have not fallen as expected. As a result, more emphasis is now being placed on demand strategies in an effort to change behavioral patterns related to maternity and childbirth. This review surveys the experimental and quasi-experimental literature in the area of maternal and neonatal health in rural and poor areas of developing countries to identify strategies that are capable of modifying demand behavior and thereby impacting key indicators. We analyze three kinds of strategies: those covering direct costs, promotion of social and cultural changes, and introduction of incentives. We find significant results from the combination of individual counselling and women groups in the community, as well as from the introduction of small incentives as opposed to more expensive Cash Conditional Transfers (CCTs). We conclude with lessons for impact evaluation and policy-making. 2020-08-12T19:26:18Z 2020-08-12T19:26:18Z 2019-02 Journal Article World Bank Research Observer 1564-6971 http://hdl.handle.net/10986/34346 CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Published by Oxford University Press on behalf of the World Bank Publications & Research Publications & Research :: Journal Article
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
topic	LIFE EXPECTANCY MORTALITY NEONATAL HEALTH MATERNAL HEALTH DEMAND STRATEGY
spellingShingle	LIFE EXPECTANCY MORTALITY NEONATAL HEALTH MATERNAL HEALTH DEMAND STRATEGY Garcia-Prado, Ariadna Changing Behavioral Patterns Related to Maternity and Childbirth in Rural and Poor Populations : A Critical Review
description	While life expectancy has increased worldwide in recent decades, dramatic health inequalities persist across and within countries and between different population groups. Maternal mortality in low- and middle-income countries is almost fifty times that of high-income countries, while neonatal mortality is nine times higher, and both are consistently higher in rural, poor, and indigenous populations. Despite important efforts to expand the supply of health services to disadvantaged populations, these inequalities have not fallen as expected. As a result, more emphasis is now being placed on demand strategies in an effort to change behavioral patterns related to maternity and childbirth. This review surveys the experimental and quasi-experimental literature in the area of maternal and neonatal health in rural and poor areas of developing countries to identify strategies that are capable of modifying demand behavior and thereby impacting key indicators. We analyze three kinds of strategies: those covering direct costs, promotion of social and cultural changes, and introduction of incentives. We find significant results from the combination of individual counselling and women groups in the community, as well as from the introduction of small incentives as opposed to more expensive Cash Conditional Transfers (CCTs). We conclude with lessons for impact evaluation and policy-making.
format	Journal Article
author	Garcia-Prado, Ariadna
author_facet	Garcia-Prado, Ariadna
author_sort	Garcia-Prado, Ariadna
title	Changing Behavioral Patterns Related to Maternity and Childbirth in Rural and Poor Populations : A Critical Review
title_short	Changing Behavioral Patterns Related to Maternity and Childbirth in Rural and Poor Populations : A Critical Review
title_full	Changing Behavioral Patterns Related to Maternity and Childbirth in Rural and Poor Populations : A Critical Review
title_fullStr	Changing Behavioral Patterns Related to Maternity and Childbirth in Rural and Poor Populations : A Critical Review
title_full_unstemmed	Changing Behavioral Patterns Related to Maternity and Childbirth in Rural and Poor Populations : A Critical Review
title_sort	changing behavioral patterns related to maternity and childbirth in rural and poor populations : a critical review
publisher	Published by Oxford University Press on behalf of the World Bank
publishDate	2020
url	http://hdl.handle.net/10986/34346
_version_	1764480706514255872

Changing Behavioral Patterns Related to Maternity and Childbirth in Rural and Poor Populations : A Critical Review

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