Evidence map›Paper›PMID 32444362›Full record

ArticleBMJ global health2020

Improving the demand for birth registration: a discrete choice experiment in Ethiopia.

Mahari Yihdego, Ayanaw Amogne, Selamawit Desta, Yoonjoung Choi, Solomon Shiferaw, Assefa Seme, Li Liu, Stéphane Helleringer

Abstract read
In one paragraph

Article in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Mahari YihdegoPMA Ethiopia Project, Addis Ababa University, Addis Ababa, Addis Ababa, Ethiopia.
Ayanaw AmognePMA Ethiopia Project, Addis Ababa University, Addis Ababa, Addis Ababa, Ethiopia.
Selamawit DestaSchool of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Yoonjoung ChoiiSquared, Information x Insight, Severna Park, MD, USA.
Solomon ShiferawDepartment of Reproductive Health and Health Service Management, Addis Ababa University, Addis Ababa, Ethiopia.
Assefa SemeDepartment of Reproductive Health and Health Service Management, Addis Ababa University, Addis Ababa, Ethiopia.
Li LiuSchool of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Stéphane HelleringerSchool of Public Health, Johns Hopkins University, Baltimore, Maryland, USA sheller7@jhu.edu.ORCID 0000-0002-5921-9651

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBirth registration remains limited in most low and middle-income countries. We investigated which characteristics of birth registration facilities might determine caregivers' decisions to register children in Ethiopia.

methodsWe conducted a discrete choice experiment in randomly selected households in Addis Ababa and the Southern Nations, Nationalities, and People's Region. We interviewed caregivers of children 0-5 years old. We asked participants to make eight choices between pairs of hypothetical registration facilities. These facilities were characterised by six attributes selected through a literature review and consultations with local stakeholders. Levels of these attributes were assigned at random using a fractional design. We analysed the choice data using mixed logit models that account for heterogeneity in preferences across respondents. We calculated respondents' willingness to pay to access registration facilities with specific attributes. We analysed all data separately by place of residence (urban vs rural).

resultsSeven hundred and five respondents made 5614 choices. They exhibited preferences for registration facilities that charged lower fees for birth certificates, that required shorter waiting time to complete procedures and that were located closer to their residence. Respondents preferred registration facilities that were open on weekends, and where they could complete procedures in a single visit. In urban areas, respondents also favoured registration facilities that remained open for extended hours on weekdays, and where the presence of only one of the parents was required for registration. There was significant heterogeneity between respondents in the utility derived from several attributes of registration facilities. Willingness to pay for access to registration facilities with particular attributes was larger in urban than rural areas.

conclusionIn these regions of Ethiopia, changes to the operating schedule of registration facilities and to application procedures might help improve registration rates. Discrete choice experiments can help orient initiatives aimed at improving birth registration.

Indexed as

Rural PopulationChildChild, PreschoolEthiopiaHumansInfantInfant, Newbornchild healthcross-sectional surveyother study design

Identifiers

PMID32444362
PMCPMC7247413

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