The effects of maternal-child health service utilization on subsequent contraceptive use in Morocco
The effects of maternal-child health service utilization on subsequent contraceptive use in Morocco
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DOI：
10.1017/s0021932099001455
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发表时间：
1999-04-01
影响因子：
1.5
通讯作者：
Heikel, J
中科院分区：
文献类型：
--
作者：
Hotchkiss, DR;Magnani, RJ;Heikel, J
有多种原因可以预测，发展中国家妇女接触现代妇幼保健（MCH）服务将导致计划生育服务的使用增加。事实上，对这种关系的期望是在全球范围内通过的综合服务提供战略的基础。然而，支持这一主张的现有经验证据是不确定的。这项研究重新审查了摩洛哥的这一问题。全信息最大似然估计用于控制可能的保健和避孕选择的内消。研究结果表明，妇幼保健服务的使用强度和随后的避孕药具使用之间存在着实质性的和明显的因果关系。政策模拟表明，通过扩大妇幼保健服务的覆盖面和使用强度，避孕普及率可能会大幅度提高。
There are a number of reasons for anticipating that contact by women in developing country settings with modern maternal-child health (MCH) services will lead to increased use of family planning services. Indeed, the expectation of such a relationship underlies the integrated service delivery strategy that has been adopted on a more or less global basis. However, the available empirical evidence in support of this proposition is inconclusive. This study re-examines this issue in Morocco, Household survey data and data on the supply environment for health and family planning services gathered in 1992 are analysed in the study. A full-information maximum likelihood estimator is used to control for the possible endogeneity of health care and contraceptive choices. The findings indicate a substantial and apparently causal relationship between the intensity of MCH service use and subsequent contraceptive use. Policy simulations indicate that sizeable increases in contraceptive prevalence might be realized by increasing the coverage and intensity of use of MCH services.