Structural and Behavioral Barriers to Improving Development Outcomes
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World Bank, Washington, DC
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This paper investigates the interplay
between structural and behavioral barriers that discourage
pregnant women from accessing institutional care in Haiti,
where despite some improvements in the past decades,
maternal mortality remains a significant challenge. The
analysis complements household survey data with data on
service provision and qualitative data on beliefs,
perceptions, and attitudes toward maternal health care.
Using a mixed-methods approach, the paper confirms that
transportation and poverty are important barriers that
decrease the likelihood of attending maternal health care
services. At the same time, the findings show that women
suffer from optimism bias and are uncomfortable with the
current model of received care. These barriers discourage
women from seeking, reaching, and receiving maternal health
care services at health institutions. Tackling structural
barriers while finding ways to encourage women to shift
their beliefs, perceptions, and attitudes are key
recommendations to improve maternal health in Haiti.
Palabras clave
MATERNAL HEALTH, BEHAVIORAL BIASES, MULTILEVEL MODEL, MIXED METHODS, MATERNAL MORTALITY, POVERTY AND MATERNAL HEALTH, FEMALE HEALTH SERVICE LOCATION