AI Article Synopsis
- The study explores whether using maternal and child health (MCH) services affects the use of contraception among women in Guatemala, highlighting its relevance for integrating MCH and family planning services.
- Utilizing data from the 1995/6 Guatemalan Demographic Health Survey, the research employs a rigorous statistical model to analyze the relationship while controlling for various individual and community factors.
- Findings indicate a significant positive correlation between MCH service utilization and increased contraceptive use, suggesting that factors like age and education may play a role in promoting contraceptive methods through MCH services.
Article Abstract
Does the utilization of modern maternal and child health (MCH) services influence subsequent contraceptive use? The answer to this question holds important implications for proposals which advocate MCH and family planning service integration. This study uses data from the 1995/6 Guatemalan Demographic Health Survey and its 1997 Providers Census to test the influence of MCH service utilization on individual contraceptive use decisions. We use a full-information maximum likelihood regression model to control for unobserved heterogeneity. This model produces estimates of the MCH effect, independent of individual women's underlying receptiveness to MCH and contraceptive messages. The results of the analysis indicate that the intensity of MCH service use is indeed positively associated with subsequent contraceptive use among Guatemalan women, even after controlling for observed and unobserved individual- , household- , and community-level factors. Importantly, this finding holds even after controlling for the unobserved factors that 'predispose' some women to use both types of services. Simulations reveal that, for these Guatemalan women, key determinants such as age and primary schooling work indirectly through MCH service use to increase contraceptive utilization.
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| http://dx.doi.org/10.1016/j.socscimed.2004.11.068 | DOI Listing |
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