The Effect of Absenteeism and Clinic Protocol on Health Outcomes: The Case of Mother-to-Child Transmission of HIV in Kenya

• 成果类型: Article
• 署名作者: Goldstein, Markus; Zivin, Joshua Graff; Habyarimana, James; Pop-Eleches, Cristian; Thirumurthy, Harsha
• 署名单位: The World Bank; University of California System; University of California San Diego; Columbia University; University of North Carolina; University of North Carolina Chapel Hill
• 刊物名称: AMERICAN ECONOMIC JOURNAL-APPLIED ECONOMICS
• ISSN/ISSBN: 1945-7782
• DOI: 10.1257/app.5.2.58
• 发表日期: 2013
• 页码: 58-85
• 关键词: Incentives; services; teacher; care

摘要

We show that pregnant women whose first clinic visit coincides with the nurse's attendance are 58 percentage points more likely to test for HIV and 46 percent more likely to deliver in a hospital. Furthermore, women with high pretest expectations of being HIV positive, whose visit coincides with nurse attendance, are 25 and 7.4 percentage points more likely to deliver in a hospital and receive PMTCT medication, and 9 percentage points less likely to breast-feed than women whose visit coincides with nurse absence. The shortcomings that prevent pregnant women from testing on a subsequent visit are common in sub-Saharan Africa. (JEL I12, J16, O15)