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Bailey Master's Thesis.pdf (704.8 KB)

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Healthcare access under health system decentralization in Honduras: A mixed methods study

Bailey, Emelie
http://rave.ohiolink.edu/etdc/view?acc_num=osu1471905575

Abstract Details

2016, Master of Arts, Ohio State University, Geography.
Honduras has some of the worst health outcomes for women and children in the Americas. Despite major improvements over the past 25 years, the country still lags behind neighboring countries and regional averages. To address this disparity, Honduras is slowly rolling out national health system decentralization by delegating decision-making authority to the municipal level in select municipalities throughout the country. It is theorized that local ownership over the health system will improve healthcare access by customizing the health system to better meet the needs of each community. The selective rollout of decentralization in Honduras provides a natural experiment to evaluate the impact on healthcare access. Pre-and post-intervention secondary health survey data and primary semi-structured interview data were used to conduct a mixed methods analysis. Difference-in-differences analyses show improvement in healthcare access over time for women and children, but limited improvement attributable to the effect of decentralization. However, qualitative analyses point toward improvement in healthcare access under decentralization. The diverging results may be due to external factors, and/or a national-level prioritization of the health of women and children regardless of decentralization status.
Elisabeth Root (Advisor)
88 p.
Geography; Public Health
decentralization; access; geography; women; children; dhs; difference-in-difference;

Recommended Citations

Citations

  • Bailey, E. (2016). Healthcare access under health system decentralization in Honduras: A mixed methods study [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1471905575

    APA Style (7th edition)

  • Bailey, Emelie. Healthcare access under health system decentralization in Honduras: A mixed methods study. 2016. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1471905575.

    MLA Style (8th edition)

  • Bailey, Emelie. "Healthcare access under health system decentralization in Honduras: A mixed methods study." Master's thesis, Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1471905575

    Chicago Manual of Style (17th edition)

osu1471905575
1,899
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This open access ETD is published by The Ohio State University and OhioLINK.