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首页> 外文期刊>Journal of health economics >Reducing the Cost of Remoteness: Community-Based Health Interventions and Fertility Choices
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Reducing the Cost of Remoteness: Community-Based Health Interventions and Fertility Choices

机译：降低远程成本：基于社区的健康干预和生育选择

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摘要

Distance to health centers can represent a significant healthcare cost for poor households. Community-based health interventions and community health workers can be an alternative to deficient formal health care provision among remote populations. We analyze the effects on fertility outcomes of a large-scale community-based health worker program that aims to reach remote areas distant from health facilities in Madagascar. We use a triple difference model that exploits time and geographic variation in the program rollout and the geocoded household distance to the closest health facility. Our findings indicate that the program decreased the probability of conception among women in treated areas but did not have a differential effect among women living in remote areas. A potential mechanism underlying this fertility reduction is that the program increased women's modern contraceptive use. (C) 2020 Published by Elsevier B.V.
机译：与健康中心的距离可以代表贫困家庭的大量医疗保健费用。社区的健康干预和社区卫生工作人员可以是偏离群体之间的正式保健条款的替代方案。我们分析了对大型社区卫生工作人员的生育结果的影响，该计划旨在达到远离马达加斯加的卫生设施的偏远地区。我们使用三重差异模型，该模型利用程序卷展栏和地理编码家庭距离的时间和地理变化与最近的健康设施。我们的调查结果表明，该计划减少了治疗区域妇女概念的概念，但在偏远地区的妇女之间没有差异效应。这种生育率降低的潜在机制是该计划增加了女性的卫生避孕药。 （c）2020由elsevier b.v发布。

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