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Can Expanding Access to Basic Healthcare Improve Children’s Health Status? Lessons from Indonesia’s ‘Midwife in the Village’ Programme

Citation

Frankenberg, Elizabeth; Suriastini, Wayan; & Thomas, Duncan (2005). Can Expanding Access to Basic Healthcare Improve Children's Health Status? Lessons from Indonesia's 'Midwife in the Village' Programme. Population Studies, 59(1), 5-19.

Abstract

In the 1990s, the Indonesian government placed over 50,000 midwives in communities throughout the country. We examine how this expansion in health services affected children's height-for-age. To address the problem that midwives were not randomly allocated to communities, the estimation exploits the biology of childhood growth, the timing of the introduction of midwives to communities, and rich longitudinal data. The evidence indicates that the nutritional status of children fully exposed to a midwife during early childhood is significantly better than that of their peers of the same age and cohort in communities without a midwife. The former are also better off than children assessed at the same age from the same communities but who were born before the midwife arrived. Within communities, the improvement in nutritional status across cohorts is greater where midwives were introduced than where they were not. This result is robust to the inclusion of community fixed effects.

URL

http://dx.doi.org/10.1080/0032472052000332674

Reference Type

Journal Article

Year Published

2005

Journal Title

Population Studies

Author(s)

Frankenberg, Elizabeth
Suriastini, Wayan
Thomas, Duncan