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Inequality in the Quality of Health Services: Wealth, Content of Care, and Price of Antenatal Consultations in the Democratic Republic of Congo

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dc.contributor.authorFink, Gunther
dc.contributor.authorKandpal, Eeshani
dc.contributor.authorShapira, Gil
dc.date.accessioned2019-04-18T20:36:04Z
dc.date.available2019-04-18T20:36:04Z
dc.date.issued2019-04
dc.description.abstractUsing unique direct observations of patient-provider interactions linked to patient exit interviews and detailed household surveys, this paper assesses the relationship between patient wealth and the quality and price of antenatal care in the Democratic Republic of Congo. Overall, the analysis finds a significant wealth-quality gradient, with a standard deviation increase in wealth being associated with an increase of 4 percentage points in protocol compliance. This increase in compliance represents 8 percent of the average quality of care received by women in the lowest wealth quintile. Over half of the wealth-quality gradient is driven by lower facility quality in poorer areas. However, the analysis also finds statistically significant within-village and even within-facility wealth-quality relationships. Within villages, wealth-quality gradients are primarily driven by wealthier women seeking care at higher-quality even if more distant facilities. Within the same facilities, poorer women tend to receive worse care, but on average they also pay less for the same quality of care compared with wealthier women. The price gap increases in the local ratio of wealthy to poor households, suggesting that providers do not charge different prices only for redistributive reasons.en
dc.identifierhttp://documents.worldbank.org/curated/en/851111555342898988/Inequality-in-the-Quality-of-Health-Services-Wealth-Content-of-Care-and-Price-of-Antenatal-Consultations-in-the-Democratic-Republic-of-Congo
dc.identifier.doi10.1596/1813-9450-8818
dc.identifier.urihttps://hdl.handle.net/10986/31560
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesPolicy Research Working Paper;No. 8818
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectHEALTH SERVICES
dc.subjectQUALITY OF CARE
dc.subjectACCESS TO HEALTH CARE SERVICE
dc.subjectCLINICS
dc.subjectPRENATAL CARE
dc.titleInequality in the Quality of Health Servicesen
dc.title.subtitleWealth, Content of Care, and Price of Antenatal Consultations in the Democratic Republic of Congoen
dc.typeWorking Paperen
dc.typeDocument de travailfr
dc.typeDocumento de trabajoes
dspace.entity.typePublication
okr.crossref.titleInequality in the Quality of Health Services: Wealth, Content of Care, and Price of Antenatal Consultations in the Democratic Republic of Congo
okr.date.disclosure2019-04-15
okr.doctypePublications & Research
okr.doctypePublications & Research::Policy Research Working Paper
okr.docurlhttp://documents.worldbank.org/curated/en/851111555342898988/Inequality-in-the-Quality-of-Health-Services-Wealth-Content-of-Care-and-Price-of-Antenatal-Consultations-in-the-Democratic-Republic-of-Congo
okr.guid851111555342898988
okr.identifier.doi10.1596/1813-9450-8818
okr.identifier.externaldocumentum090224b086b9f67b_1_0
okr.identifier.internaldocumentum30984410
okr.identifier.reportWPS8818
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/851111555342898988/pdf/Inequality-in-the-Quality-of-Health-Services-Wealth-Content-of-Care-and-Price-of-Antenatal-Consultations-in-the-Democratic-Republic-of-Congo.pdfen
okr.region.administrativeAfrica
okr.region.countryCongo, Democratic Republic of
okr.statistics.combined1641
okr.statistics.dr851111555342898988
okr.statistics.drstats1285
okr.topicHealth, Nutrition and Population::Health Service Management and Delivery
okr.topicHealth, Nutrition and Population::Public Health Promotion
okr.topicHealth, Nutrition and Population::Reproductive Health
okr.unitDevelopment Research Group, Development Economics
relation.isAuthorOfPublication26a2ca34-bd4e-5179-817c-e303c2d3c4b7
relation.isAuthorOfPublication41f6725d-021b-5878-8750-949260b0f2ca
relation.isAuthorOfPublication.latestForDiscovery26a2ca34-bd4e-5179-817c-e303c2d3c4b7
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
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