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
Date Written: April 4, 2016
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: Suggested Citation