The politics of women’s health: Decentralization, state capacity, and maternal mortality disparities

dc.contributor.advisor Carmen M. Bain
dc.contributor.advisor David J. Peters
dc.contributor.author Halimatusa'diyah, Iim
dc.contributor.department Sociology
dc.date 2019-09-20T04:23:05.000
dc.date.accessioned 2020-06-30T03:16:38Z
dc.date.available 2020-06-30T03:16:38Z
dc.date.copyright Wed May 01 00:00:00 UTC 2019
dc.date.embargo 2019-10-24
dc.date.issued 2019-01-01
dc.description.abstract <p>Maternal mortality reduction has been on the global development agenda for the last several years. Nevertheless, the evidence has suggested that while the number of maternal mortality has declined significantly, disparities between and within countries persist. What explains these disparities? Many studies on maternal mortality have stressed socio-economic development as the primary cause of these disparities while overlooking the influence of political and institutional factors such as state capacity and decentralization. The latter has been long-advocated by many international development agencies as a development strategy to improve the quality of state capacity, and public goods and service delivery. However, the extent to which the interconnection between decentralization and state capacity affects the disparities in maternal mortality is not well understood. To fill in this gap, this dissertation research examined the impact of decentralization and state capacity on maternal mortality. It is this researcher’s belief that a strong decentralized state, characterized with high levels of central and local state capacities is necessary for achieving the promise of decentralization to bring about and improve public health outcomes. This dissertation research focused on: (1) the importance of political, institutional, and historical dynamics for understanding maternal mortality disparities; (2) the “causes of the cause” or “fundamental causes” of maternal mortality disparities in sub-national levels including the variations of state capacity within a country; and (3) local government proliferation on maternal mortality disparities including social embeddedness of street-level of bureaucrats on the effectiveness of maternal health service delivery.</p>
dc.format.mimetype application/pdf
dc.identifier archive/lib.dr.iastate.edu/etd/17197/
dc.identifier.articleid 8204
dc.identifier.contextkey 15016108
dc.identifier.s3bucket isulib-bepress-aws-west
dc.identifier.submissionpath etd/17197
dc.identifier.uri https://dr.lib.iastate.edu/handle/20.500.12876/31380
dc.language.iso en
dc.source.bitstream archive/lib.dr.iastate.edu/etd/17197/Halimatusadiyah_iastate_0097E_18008.pdf|||Fri Jan 14 21:18:15 UTC 2022
dc.subject.disciplines Sociology
dc.subject.keywords Decentralization
dc.subject.keywords Fundamental Causes
dc.subject.keywords Indonesia
dc.subject.keywords Maternal Mortality
dc.subject.keywords Southeast Asia
dc.subject.keywords State Capacity
dc.title The politics of women’s health: Decentralization, state capacity, and maternal mortality disparities
dc.type article
dc.type.genre dissertation
dspace.entity.type Publication
relation.isOrgUnitOfPublication 84d83d09-42ff-424d-80f2-a35244368443
thesis.degree.discipline Sociology
thesis.degree.level dissertation
thesis.degree.name Doctor of Philosophy
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