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Faith-based provision of sexual and reproductive healthcare in Malawi

Bibliographic Data

ID4601061
AuthorsWiktoria Tafesse (0000-0002-0076-8285, University of York, corresponding author), Martin Chalkley (0000-0002-1091-8259, University of York)
Year2021
Volume282
Pages113997
Publication date2021-08-01
Open AccessYes
TypeARTICLE
VenueSocial Science & Medicine (JOURNAL)
Journal identifiersISSN: 0277-9536 • E-ISSN: 1873-5347
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.socscimed.2021.113997
PMID34183195
OpenAlexW3160802813
LanguageEN
Citations received3
References cited26

Faith-based organisations constitute the second largest healthcare providers in Sub-Saharan Africa but their religious values might be in conflict with providing some sexual and reproductive health services. We undertake regression analysis on data detailing client-provider interactions from a facility census in Malawi and examine whether religious ownership of facilities is associated with the degree of adherence to family planning guidelines. We find that faith-based organisations offer fewer services related to the investigation and prevention of sexually transmitted infections (STIs) and the promotion of condom use. The estimates are robust to several sensitivity checks on the impact of client selection. Given the prevalence of faith-based facilities in Sub-Saharan Africa, our results suggest that populations across the region may be at risk from inadequate sexual and reproductive healthcare provision which could exacerbate the incidence of STIs, such as HIV/AIDS, and unplanned pregnancies

Census · Condom · Developing country · Economic growth · Environmental health · Faith · Family medicine · Family planning · Health care · Human immunodeficiency virus (HIV · Population · Reproductive health · Socioeconomics · Sociology · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · Medicine · Religion, Society, and Development

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    Open Access•Franciele Hellwig, Yohannes Dibaba Wado et al.•BMJ Global Health•2024

  • Stakeholder perspectives on adolescent sexual and reproductive health and rights in Malawi

    Open Access•Gavin George, Adamson S Muula et al.•Global Public Health•2026

  • “I don’t know if you have searched through the scriptures to find a reference on HIV/Aids. I mean there isn’t going to be one, right?”

    Germari Kruger, E A J G van der Borght et al.•African Journal of AIDS Research•2023

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    Open Access•Sanjay Basu, Jason Andrews et al.•PLoS Medicine•2012

  • Maternal education and child mortality in Zimbabwe

    Open Access•Karen A Grépin, Prashant Bharadwaj•Journal of Health Economics•2015

  • Understanding the roles of faith-based health-care providers in Africa

    Open Access•Johan Olivier, Jill Olivier et al.•The Lancet•2015

  • Working For God? Evidence From A Change In Financing Of Nonprofit Health Care Providers In Uganda 3

    Open Access•Ritva Reinikka, J Svensson•Journal of the European Economic…•2010

  • Controversies in faith and health care

    Open Access•Andrew Tomkins, Jean Duff et al.•The Lancet•2015

  • Working for God? Evidence from a Change in Financing of Nonprofit Health Care Providers in Uganda

    Open Access•Ritva Reinikka, J Svensson•Journal of the European Economic…•2010

  • Unobservable Selection and Coefficient Stability

    Emily Oster•Journal of Business and Economic…•2019

  • Am I Going to Be in Trouble for What I'm Doing?”

    Open Access•Yuan Liu, Luciana E Hebert et al.•Perspectives on Sexual and…•2019

  • My Hands Are Tied”

    Open Access•Lee Hasselbacher, Luciana E Hebert et al.•Perspectives on Sexual and…•2020

  • Can faith and freedom co-exist? When faith-based health providers and women’s needs clash

    Open Access•Jon O’brien•Gender & Development•2017

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  • Long-term effects of access to health care

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    Open Access•Josephine Borghi, Spy Munthali et al.•Health Policy and Planning•2018

  • Accuracy of Standard Measures of Family Planning Service Quality

    Open Access•Katherine Tumlinson, Ilene S Speizer et al.•Studies in Family Planning•2014

  • Correlates of Contraceptive Use and Health Facility Choice among Young Women in Malawi

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  • Guest editor conclusion

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Citations per year1
Citation span2023 - 2026 (4)
Highly citedNo

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