The Effect of Health Facility Births on Newborn Mortality in Malawi and Ethiopia

Posted: 27 Dec 2016

See all articles by Dawoon Jung

Dawoon Jung

University of Southern California, Department of Economics, Students

Booyuel Kim

KDI School of Public Policy and Management

Hyuncheol Kim

Cornell University

Date Written: December 2016

Abstract

We study the causal effect of hospital births on infant survival in Malawi and Ethiopia. We find that the hospital births has a strong and statistical significant impact on infant survival. In order to overcome the endogeneity of hospital births, we utilize two different instrument variables (IVs). The first IV is the timing of labor contraction. If the pregnant woman feel labor contraction during night time, she is less likely to go to hospital to give a birth due to concern for the safety and transportation. The second iv is the interaction of distance to hospital and rainfall. Rainfall makes more exogenous variation by distance in the traveling cost to the health facility. We find a consistent sign of the causal estimates across two IVs and two different countries. We also provide the suggestive evidence that hospital births is likely to incentivize mothers to utilize hospital or medical care for their children after the births and this may link the relationship between hospital births and infant survival.

Suggested Citation

Jung, Dawoon and Kim, Booyuel and Kim, Hyuncheol, The Effect of Health Facility Births on Newborn Mortality in Malawi and Ethiopia (December 2016). Available at SSRN: https://ssrn.com/abstract=2889283

Dawoon Jung (Contact Author)

University of Southern California, Department of Economics, Students ( email )

Los Angeles, CA
United States

Booyuel Kim

KDI School of Public Policy and Management ( email )

P.O. Box 184
Seoul, 130-868
Korea, Republic of (South Korea)

Hyuncheol Kim

Cornell University ( email )

Ithaca, NY 14853
United States

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