Prenatal and Delivery Care and Childhood Immunization in Guatemala

Do Family and Community Matter?

Published in: Demography, v. 33, no. 2, May 1996, p. 231-247

Posted on RAND.org on January 01, 1996

by Anne R. Pebley, Noreen Goldman, German Rodriguez

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In this paper the authors investigate family choices about pregnancy-related care and the use of childhood immunization. Estimates obtained from a multilevel logistic model indicate that use of formal (or modern) health services differs substantially by ethnicity, by social and economic factors, and by availability of health services. The results also show that family and community membership are very important determinants of the use of health care, even in the presence of controls for a large number of observed characteristics of individuals, families, and communities.

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