Does the Delivery of Primary Health Care Improve Birth Outcomes? Evidence from the Rollout of Community Health Centers
Working Paper 30047
DOI 10.3386/w30047
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Community Health Centers (CHCs) deliver primary care to underserved populations by locating sliding-scale clinics in economically disadvantaged areas. We investigate how this policy affected infant health using the rollout of CHCs and a flexible event study framework with Vital Statistics natality data. We find that maternal access to CHCs improves infant health outcomes within seven years after their introduction. Treatment-on-the-treated estimates show a 25 to 42 gram increase in birth weight and a 9% to 16% reduction in the likelihood of low birth weight. These improvements in infant health can be explained by increased access to early prenatal care and reductions in maternal smoking.
Non-Technical Summaries
- Community health centers (CHCs) offer primary care services at discounted prices in economically disadvantaged communities. The first...