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

doi:10.1086/713941

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

dc.contributor.author	Fink, Gunther
dc.contributor.author	Kandpal, Eeshani
dc.contributor.author	Shapira, Gil
dc.date.accessioned	2022-03-10T17:21:35Z
dc.date.available	2022-03-10T17:21:35Z
dc.date.issued	2022-02-14
dc.description.abstract	We use unique data on direct observations of patient-provider interactions linked to detailed patient exit interviews and household surveys to study the relationship between patients’ socioeconomic status and the quality of antenatal care in the Democratic Republic of Congo. We find a significant wealth-quality gradient: a 1 standard deviation in household wealth is associated with a 1.6–3.2 percentage point increase in protocol compliance, depending on the data source and the definition of the compliance index. A large part of the overall wealth-quality gradient is driven by generally lower facility quality in poorer areas. However, we also find a statistically significant within-village wealth-quality relationship that is primarily driven by wealthier women seeking care at higher-quality facilities even if they are more distant. Finally, we find some evidence that even within the same facilities, poorer women tend to receive worse care but, on average, also pay less for care of a given quality.	en
dc.identifier.citation	Economic Development and Cultural Change
dc.identifier.doi	10.1596/37119
dc.identifier.uri	https://hdl.handle.net/10986/37119
dc.publisher	The University of Chicago Press
dc.rights	CC BY-NC-ND 3.0 IGO
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/igo
dc.subject	INEQUALITY
dc.subject	HOUSEHOLD SURVEYS
dc.subject	HEALTH
dc.title	Inequality in the Quality of Health Services	en
dc.title.subtitle	Wealth, Content of Care, and the Price of Antenatal Consultations in the Democratic Republic of Congo	en
dc.type	Journal Article	en
dc.type	Article de journal	fr
dc.type	Artículo de revista	es
dspace.entity.type	Publication
okr.date.disclosure	2022-02-22
okr.date.doiregistration	2025-05-06T11:36:56.847600Z
okr.doctype	Publications & Research::Journal Article
okr.identifier.doi	10.1086/713941
okr.language.supported	en
okr.region.country	Congo, Democratic Republic of
okr.sector	Health and other social services :: Health
okr.topic	Health, Nutrition and Population
okr.topic	Health, Nutrition and Population::Health Indicators
okr.topic	Health, Nutrition and Population::Health Insurance
okr.topic	Health, Nutrition and Population::Health Policy and Management
okr.topic	Health, Nutrition and Population::Health Project Design and Implementation
okr.topic	Health, Nutrition and Population::Health and Sanitation
okr.volume	70(2)
relation.isAuthorOfPublication	26a2ca34-bd4e-5179-817c-e303c2d3c4b7
relation.isAuthorOfPublication	41f6725d-021b-5878-8750-949260b0f2ca
relation.isAuthorOfPublication.latestForDiscovery	26a2ca34-bd4e-5179-817c-e303c2d3c4b7