| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w25605 |
| 来源ID | Working Paper 25605 |
| Socialized Healthcare and Women\u2019s Fertility Decisions | |
| Resul Cesur; Pinar Mine Gunes; Erdal Tekin; Aydogan Ulker | |
| 发表日期 | 2019-03-04 |
| 出版年 | 2019 |
| 语种 | 英语 |
| 摘要 | This paper examines the effect of a nationwide healthcare reform implemented in Turkey on women’s fertility decisions. The Family Medicine Program (FMP), introduced in 2005, provided a wide-range of primary healthcare services, free of charge, and achieved universal access by matching each citizen to a specific family physician, who operates at neighborhood clinics, called Family Health Centers, on a walk-in basis. Although reducing fertility was not specified among the goals of the reform, reproductive-health and family-planning services have been covered under the FMP. To establish causality, we exploit the staggered rollout of the FMP implementation across Turkish provinces over time using a difference-in-differences estimation strategy. Our estimates indicate that the FMP significantly reduced childbearing among both teenagers and women ages 20-29. These results can be explained by increased access to and reduced cost of reproductive-health and family-planning services. However, the patterns in which the program effect has evolved over time differs between the two groups of women in a way that provides additional insights about the mechanisms. For teenagers, the FMP had a direct effect on childbearing, reflected by an immediate and rapidly-increasing pattern, which is not surprising given the broad agreement about the negative consequences of teenage childbearing among government and public health officials, including those in Turkey. For women ages 20-29, however, the program had a gradual and slowly-increasing effect, which is consistent with an empowerment channel. This should be interpreted as an unintended consequence of the program because, if anything, Turkey is a country where the government’s position is to encourage fertility behavior and discourage birth control practices among women at prime childbearing ages. |
| 主题 | Health, Education, and Welfare ; Health ; Labor Economics ; Demography and Aging |
| URL | https://www.nber.org/papers/w25605 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/583279 |
| 推荐引用方式 GB/T 7714 | Resul Cesur,Pinar Mine Gunes,Erdal Tekin,et al. Socialized Healthcare and Women\u2019s Fertility Decisions. 2019. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w25605.pdf（522KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
除非特别说明，本系统中所有内容都受版权保护，并保留所有权利。
