LEADER 02217nam a2200325 i 4500001 99131234772106421 005 20231019092204.0 006 m o d 007 cr ||||||||||| 008 231019s2023 dcu o 000 0 eng d 024 7 10.1596/1813-9450-10421 035 (CKB)5600000000604715 035 (NjHacI)995600000000604715 035 (EXLCZ)995600000000604715 040 NjHacI |beng |erda |cNjHacl 050 4 HB1323.M6 |b.P474 2023 082 04 312.27309797 |223 100 1 Perge, Emilie, |eauthor. 245 10 Structural and Behavioral Barriers to Improving Development Outcomes : |bThe Case of Maternal Care in Haiti / |cEmilie Perge, Jimena Llopis Abella, Anna Fruttero. 246 Structural and Behavioral Barriers to Improving Development Outcomes 264 1 Washington, DC : |bWorld Bank, |c2023. 300 1 online resource (22 pages). 336 text |btxt |2rdacontent 337 computer |bc |2rdamedia 338 online resource |bcr |2rdacarrier 490 1 Policy research working papers 588 Description based on publisher supplied metadata and other sources. 520 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. 650 0 Mothers |xMortality. 700 1 Fruttero, Anna, |eauthor. 700 1 Abella, Jimena Llopis, |eauthor. 830 0 Policy research working papers. 906 BOOK