Social and Behavioral Sciences Commons^™

On The Empirics Of User-Fees, Maternal Health-Seeking Behavior And Child Survival In Ghana, Ahmed Salim Nuhu

Student Honors Theses

This paper seeks to answer a simple question; what happens to maternal health seeking-behavior when user-fees are eliminated? We analyze this question empirically by investigating the effects of the free maternal health care (Health Insurance) policy instituted by the government of Ghana, on a variety of health utilization measures and child survival outcomes. Using robust linear and binomial logistic estimation techniques, we find evidence from over 4,000 households, that eliminating user-fees significantly increases the utilization of skilled delivery assistance whilst simultaneously reducing the number of deliveries assisted by unskilled birth attendants. Utilization of antenatal and postnatal care experience similar effects …