The proposed project is an investigation of the effects of familial behavior and the local availability of MCH services on the health and survival of children in Guatemala in the late 1980s.
The specific aims of the project include examination of: 1. the pattern of distribution of health facilities and personnel in Guatemala; 2. the relative contribution to child health and survival of: a. family behavior with regard to children's health (e.g., use of health services for preventive care, maintenance of a sanitary environment, and appropriate infant feeding) and b. the type and accessibility of local health services; 3. the relationship between parental experience in non-traditional settings and their behavior related to children's health. The analysis will be based on the Encuesta Nacional de Salud Materno Infantil (ENSMI), conducted in 1987 as part of the Demographic and Health Surveys program. Data from the survey will be supplemented with information from published and unpublished sources for local areas, which will be entered into a data file and linked to ENSMI household records as part of this project.

National Institute of Health (NIH)
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Research Project (R01)
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Behavioral Medicine Study Section (BEM)
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Princeton University
Other Domestic Higher Education
United States
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Goldman, Noreen; Glei, Dana A (2003) Evaluation of midwifery care: results from a survey in rural Guatemala. Soc Sci Med 56:685-700
Glei, Dana A; Goldman, Noreen; Rodriguez, German (2003) Utilization of care during pregnancy in rural Guatemala: does obstetrical need matter? Soc Sci Med 57:2447-63
Goldman, Noreen; Pebley, Anne R; Gragnolati, Michele (2002) Choices about treatment for ARI and diarrhea in rural Guatemala. Soc Sci Med 55:1693-712
Goldman, N; Pebley, A R; Beckett, M (2001) Diffusion of ideas about personal hygiene and contamination in poor countries: evidence from Guatemala. Soc Sci Med 52:53-69
Goldman, N; Heuveline, P (2000) Health-seeking behaviour for child illness in Guatemala. Trop Med Int Health 5:145-55
Pebley, A; Hurtado, E; Goldman, N (1999) Beliefs about children's illness. J Biosoc Sci 31:195-219
Goldman, N; Vaughan, B; Pebley, A R (1998) The use of calendars to measure child illness in health interview surveys. Int J Epidemiol 27:505-12
Pebley, A R; Goldman, N; Rodriguez, G (1996) Prenatal and delivery care and childhood immunization in Guatemala: do family and community matter? Demography 33:231-47
Pebley, A R; Goldman, N (1995) Social inequality and children's growth in Guatemala. Health Transit Rev 5:1-20
Goldman, N; Pebley, A R (1994) Health cards, maternal reports and the measurement of immunization coverage: the example of Guatemala. Soc Sci Med 38:1075-89

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