Impact of an employment guarantee scheme on utilisation of maternal healthcare services
Results from a natural experiment in India
Bibliographic Data
| ID | 4597546 |
|---|---|
| Authors | Dhruv Parmar (0000-0002-7979-3140, City, University of London, corresponding author), Aneesh Banerjee (0000-0001-8961-7223, City, University of London) |
| Year | 2019 |
| Volume | 222 |
| Pages | 285-293 |
| Publication date | 2019-02-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2019.01.028 |
| PMID | 30677642 |
| OpenAlex | W2909357728 |
| Language | EN |
| Citations received | 1 |
| References cited | 23 |
We assess the impact of India's National Rural Employment Guarantee (NREG) scheme, the world's largest workfare scheme, on healthcare utilisation - specifically maternal healthcare. The primary objective of NREG is to improve the income of rural households by guaranteeing 100 days of employment. We expect that by improving household income, thereby reducing some of the financial barriers, such as out-of-pocket payments, NREG can increase utilisation of maternal health services. Using a nationally representative household survey and a difference-in-differences approach that exploits the phased rollout of the scheme, we estimate the impact of NREG on utilisation of maternal health services: mainly deliveries at health facilities. We find that NREG did not increase overall facility deliveries, even though it led to an increase in deliveries at public facilities. There is weak evidence to suggest that deliveries at private facilities reduced due to NREG. Furthermore, sub-group analyses reveal that among poorer households, who are more likely to participate in NREG, there is a reduction in facility deliveries while home deliveries increased. Among richer households, NREG increased deliveries at public facilities. There was no impact on households belonging to marginalised castes. We conclude by discussing the possible mechanisms for these effects and its impact on equity in healthcare utilisation
Business · Demographic economics · Developing country · Economic growth · Economics · Environmental health · Equity (law · Geography · Health care · Health facility · Health services · Household income · Maternal health · Natural experiment · Payment · Political science · Population · Socioeconomics · Welfare · Workfare · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Finance
Access to Health
Labor Market Effects of Social Programs
Still too far to walk
Health care and equity in India
Interaction terms in logit and probit models
Targeting Poverty through Community-Based Public Works Programmes
State and socio-demographic group variation in out-of-pocket expenditure, borrowings and Janani Suraksha Yojana (JSY) programme use for birth deliveries in India
Workfare as an Effective Way to Fight Poverty
Raising Consumption Through India’s National Rural Employment Guarantee Scheme
Comparing Health Outcomes Across Scheduled Tribes and Castes in India
Out-of-pocket expenditure on institutional delivery in India
Welfare and Poverty Impacts of India's National Rural Employment Guarantee Scheme
Maternal Employment and Changes in Family Dynamics
Utilization of maternal health care services in Southern India
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2024 - 2024 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |