Incentivizing Demand for Supply-Constrained Care: Institutional Birth in India
Vera-Herna¡ndez, Marcos 2024 Andrew, Alison
Incentivizing Demand for Supply-Constrained Care: Institutional Birth in India - The Review of Economics and Statistics 2024 - 102-118
If overcrowding harms health care quality, the impacts of encouraging more people to use services are not obvious. Impacts will depend on whether marginal entrants benefit and whether they benefit enough to offset the congestion externalities imposed on inframarginal users. We develop a general-equilibrium model that formalizes these ideas. We examine them empirically by studying JSY, a program in India that paid women to give birth in medical facilities. We find evidence that JSY increased perinatal mortality in areas with low health-system capacity, was particularly harmful in more-complex births, reduced the quality of facilities' postnatal care, and generated harmful spillovers onto other services.
0034-6535
Birth Outcomes
Health
Institutional Delivery
Perinatal Mortality
Institutional Birth
Incentivizing Demand for Supply-Constrained Care: Institutional Birth in India - The Review of Economics and Statistics 2024 - 102-118
If overcrowding harms health care quality, the impacts of encouraging more people to use services are not obvious. Impacts will depend on whether marginal entrants benefit and whether they benefit enough to offset the congestion externalities imposed on inframarginal users. We develop a general-equilibrium model that formalizes these ideas. We examine them empirically by studying JSY, a program in India that paid women to give birth in medical facilities. We find evidence that JSY increased perinatal mortality in areas with low health-system capacity, was particularly harmful in more-complex births, reduced the quality of facilities' postnatal care, and generated harmful spillovers onto other services.
0034-6535
Birth Outcomes
Health
Institutional Delivery
Perinatal Mortality
Institutional Birth