Migration and Maternal Health Services Utilization in Rural Guatemala  

Oleh:

Lindstrom, David P. ; Munoz-Franco, Elisa

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 63 no. 3 (Aug. 2006), page 706-721.
Topik: utilization; migration; social networks; maetrnal health care; multi level; guatemala

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.5 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

This article examines the relationship between migration and the use of formal maternal health care services among rural women in guatemala. We identify assimilation, difusion, and remittances as three potential pathways through which migration can affect health care service utilization in rural areas. Using data from the 1995 guatemala survey of family health and multi level regression models, we estimate the impact of migration experience at the individual, household and community level on the use of formal prenatal care and delivery assistance. We find that urban migration experience and having relatives abroad are associated with a greater likelihood of formal prenatal care utilization, after taking account of background characteristics and enabling resources. migration experience at all levels is also strongly associated with formal delivery assistance, however this associaton operated primarily through the positive association betwen migration and enabling resources. The differential effects of out migration on maternal health care sefvice utilization reflect the different barrierd to service use that exist for formal prenatal care and delivery assistance. Finacial cost and geographic access are the most important barriers to formal delivery asistance, whereas awareness and acceptance remain as important barriers to the use of formal prenatal care in rural guatemala. urban migration experience and social ties to urban and international migrants lower the barriers to formal maternal health care utilization through the acquisition and diffusion of new ideas and practices, and the return flow of financial resources.

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