The Effects of the Mexico City Policy on Antenatal Care and Skilled Birth Attendance in Developing Countries

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Carroll, Lisa
- Affiliation: Gillings School of Global Public Health, Public Health Leadership Program

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The Mexico City Policy is a contentious policy regulating financial aid for international non-governmental organizations involved in family planning and reproductive health, and over the last thirty years, it has been the object of significant political tug-of-war. Since its inception in 1984, the arguments for and against this policy have been based primarily in ideological arguments about abortion and partisan rhetoric. There have been few efforts to assess the actual effects of the policy on aid beneficiaries. In this study, I used Demographic and Health Survey (DHS) data to determine if women in countries with a high degree of exposure to the Mexico City Policy have diminished odds of having effective antenatal care and skilled birth attendance at delivery compared to women in countries with a lower degree of exposure to the policy. The results of this analysis suggest that the maternal health outcomes improved in most parts of the world between 1993 – 2000 and 2001 – 2008 regardless of exposure to the policy. The results also indicate that countries that received a higher degree of financial support for reproductive health between 1995 and 2000 made faster progress on maternal health outcomes in many parts of the world. Countries in sub-Saharan Africa, however, did not make comparable progress on maternal health outcomes.

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