Health-Seeking Amidst Conflict: Evidence from the Philippines

Type Working Paper
Title Health-Seeking Amidst Conflict: Evidence from the Philippines
Author(s)
Publication (Day/Month/Year) 2016
URL http://scid.stanford.edu/sites/default/files/Teresa_Molina_Health-Seeking_Ph_Conflict_Feb2016-paper.​pdf
Abstract
That conflict can negatively impact child health is well documented, but one potentially important mechanism is less well-explored. In this paper, I ask whether violence in a community can reduce healthcare utilization in the Autonomous Region of Muslim Mindanao (ARMM) in the Philippines, a region plagued by endemic conflict. Combining a database of recorded violent events with the 2013 Demographic and Health Survey (DHS) of the Philippines, I exploit locationspecific variation in conflict over time to estimate how increases in local violence affect healthcare utilization patterns. I find that conflict reduces the probability a mother takes her sick child to a health facility, gives birth in a health facility, and vaccinates her children. I find evidence supporting a demand-side mechanism, which illustrates that avoidance behavior in response to violence can have non-trivial costs.

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