Does Distance Matter for Institutional Delivery in Rural India: An Instrumental Variable Approach

32 Pages Posted: 4 Apr 2013 Last revised: 31 Mar 2019

See all articles by Santosh Kumar

Santosh Kumar

Department of Economics and International Business, College of Business Administration, Sam Houston State University, Huntsville, TX, USA

Emily Dansereau

University of Washington - The Institute for Health Metrics and Evaluation

Christopher Murray

University of Washington - Health Metrics and Evaluation

Date Written: October 1, 2012

Abstract

This paper estimates the causal effect of distance to health facility on institutional delivery in rural India, taking into account the endogenous placement of the health facility. We find that women living closer to health facilities are more likely to give birth at health facility. An increase of one kilometer in the distance to nearest health facility decreases the probability of institutional delivery by 4.4%. Policy simulation results indicate restricting the maximum distance to 5 kilometers would increase institutional delivery by 10%. Overall, our findings show that distance is an important barrier to service utilization.

Keywords: In-facility delivery, access, distance, India

JEL Classification: I10, I15

Suggested Citation

Kumar, Santosh and Dansereau, Emily and Murray, Christopher, Does Distance Matter for Institutional Delivery in Rural India: An Instrumental Variable Approach (October 1, 2012). Available at SSRN: https://ssrn.com/abstract=2243709 or http://dx.doi.org/10.2139/ssrn.2243709

Santosh Kumar (Contact Author)

Department of Economics and International Business, College of Business Administration, Sam Houston State University, Huntsville, TX, USA ( email )

1821 Ave I
SHSU Box 2118
Huntsville, TX 77341-2118
United States

Emily Dansereau

University of Washington - The Institute for Health Metrics and Evaluation ( email )

Seattle, WA
United States

Christopher Murray

University of Washington - Health Metrics and Evaluation ( email )

Box 356340
1925 N.E. Pacific Street
Seattle, WA 98195-6340
United States

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