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THE EFFECTS OF MATERNAL–CHILD HEALTH SERVICE UTILIZATION ON SUBSEQUENT CONTRACEPTIVE USE IN MOROCCO

Published online by Cambridge University Press:  01 April 1999

DAVID R. HOTCHKISS ,
ROBERT J. MAGNANI ,
JEFFREY J. ROUS ,
MUSTAPHA AZELMAT ,
THOMAS A. MROZ  and
JAFFAR HEIKEL
DAVID R. HOTCHKISS
Affiliation:
Tulane University Medical Center, School of Public Health and Tropical Medicine, Department of International Health and Development, New Orleans, LA, USA
ROBERT J. MAGNANI
Affiliation:
Tulane University Medical Center, School of Public Health and Tropical Medicine, Department of International Health and Development, New Orleans, LA, USA
JEFFREY J. ROUS
Affiliation:
University of North Texas, Department of Economics, Denton, TX, USA
MUSTAPHA AZELMAT
Affiliation:
Ministere de la Sante Publique, Service des Etudes et de L'Information Sanitaire, Rabat, Morocco
THOMAS A. MROZ
Affiliation:
University of North Carolina at Chapel Hill, Department of Economics and Carolina Population Center, Chapel Hill, NC, USA
JAFFAR HEIKEL
Affiliation:
Ministere de la Sante Publique, Service des Etudes et de L'Information Sanitaire, Rabat, Morocco
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Abstract

There are a number of reasons for anticipating that contact by women in developing country settings with modern maternal–child health (MCH) services will lead to increased use of family planning services. Indeed, the expectation of such a relationship underlies the integrated service delivery strategy that has been adopted on a more or less global basis. However, the available empirical evidence in support of this proposition is inconclusive. This study re-examines this issue in Morocco. Household survey data and data on the supply environment for health and family planning services gathered in 1992 are analysed in the study. A full-information maximum likelihood estimator is used to control for the possible endogeneity of health care and contraceptive choices. The findings indicate a substantial and apparently causal relationship between the intensity of MCH service use and subsequent contraceptive use. Policy simulations indicate that sizeable increases in contraceptive prevalence might be realized by increasing the coverage and intensity of use of MCH services.

Type
Research Article
Information
Journal of Biosocial Science , Volume 31 , Issue 2 , April 1999 , pp. 145 - 165
Copyright
© 1999 Cambridge University Press

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