Suchergebnisse

This work was supported by the Spanish Government Innovation Development and Research Office under grant DPI2017-89186-R and the Government of the Principality of Asturias under Grant FC-GRUPIN-IDI/2018/000241.

AbstractThis paper assesses the impact of the national health insurance on the utilization of maternal health care services in Egypt using propensity score matching. The results suggest that health insurance has a strong and robust positive impact on most of the maternal health care indicators. © 2019 John Wiley & Sons, Ltd.

SummaryThis study examined the underlying demographic and socioeconomic determinants of child nutritional status in Egypt using data from the most recent round of the Demographic and Health Survey. The height-for-age Z-score (HAZ) was used as a measure of child growth. A quantile regression approach was used to allow for a heterogeneous effect of each determinant along different percentiles of the conditional distribution of the HAZ. A nationally representative sample of 13,682 children aged 0–4 years was drawn from the 2014 Egypt DHS. The multivariate analyses included a set of HAZ determinants commonly used in the literature. The conditional and unconditional analyses revealed a socioeconomic gradient in child nutritional status, in which children of low income/education households have a worse HAZ than those from high income/education households. The results also showed significant disparities in child nutritional status by demographic and social characteristics. The quantile regression results showed that the association between the demographic and socioeconomic factors and HAZ differed along the conditional HAZ distribution. Intervention measures need to consider the heterogeneous effect of the determinants of child nutritional status along the different percentiles of the HAZ distribution. There is no one-size-fits-all policy to combat child malnutrition; a multifaceted approach and targeted policy interventions are required to address this problem effectively.