The Effects of Health Facility Access and Quality on Family Planning Decisions in Urban Senegal

34 Pages Posted: 7 Mar 2015 Last revised: 17 Jun 2016

See all articles by Christopher Cronin

Christopher Cronin

University of Notre Dame, Department of Economics

David K. Guilkey

University of North Carolina (UNC) at Chapel Hill - Department of Economics

Ilene Speizer

Gillings School of Public Health, Department of Maternal and Child Health and Carolina Population Center

Date Written: April 4, 2016

Abstract

Research in developing countries is rarely focused on examining how supply side factors affect family planning decisions due to a lack of facility-level data. When these data exist, analyses tend to focus on rural environments. In this paper we study the effects that health facility access and quality have on both contraceptive use and desired number of children for women in urban Senegal. Unlike related studies focusing on rural environments, we find no evidence that greater access to health facilities and pharmacies increases contraceptive use among urban women. However, we do find that contraceptive use among urban women is higher with greater facility quality. For example, we find that increasing the proportion of pharmacies employing multiple pharmacists from 0% to 50% would increase contraceptive use by 6.0 percentage points and increasing the proportion of facilities with family planning guidelines/protocols from 50% to 100% would increase use by 2.1 percentage points.

Keywords: Health facility quality, Family planning decisions, Urban health programs, Endogenous selection, Endogenous program placement, Non-numeric survey responses, Senegal

JEL Classification: J13, I14

Suggested Citation

Cronin, Christopher and Guilkey, David K. and Speizer, Ilene, The Effects of Health Facility Access and Quality on Family Planning Decisions in Urban Senegal (April 4, 2016). Available at SSRN: https://ssrn.com/abstract=2574073 or http://dx.doi.org/10.2139/ssrn.2574073

Christopher Cronin (Contact Author)

University of Notre Dame, Department of Economics ( email )

Notre Dame, IN 46556-5646
United States

David K. Guilkey

University of North Carolina (UNC) at Chapel Hill - Department of Economics ( email )

Chapel Hill, NC 27599
United States
919-966-2385 (Phone)
919-966-4986 (Fax)

Ilene Speizer

Gillings School of Public Health, Department of Maternal and Child Health and Carolina Population Center ( email )

102 Ridge Road
Chapel Hill, NC NC 27514
United States

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