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dc.titleRacial Concordance and Childbirth: A Deep Dive into Medical Delivery Practices
dc.contributor.authorCarrillo, Bladimir
dc.contributor.authorBranco, Danyelle
dc.contributor.authorRatcher, Laísa
dc.contributor.authorNunes, Leticia
dc.contributor.authorFontes, Luiz Felipe
dc.contributor.authorParfitt, Rafaela
dc.contributor.authorBauhoff, Sebastian
dc.contributor.authorDuryea, Suzanne
dc.contributor.orgunitGender and Diversity Division
dc.coverageBrazil
dc.date.available2025-09-03T00:09:00
dc.date.issue2025-09-03T00:09:00
dc.description.abstractThis paper examines the impact of racial concordance between mothers and healthcare providers on childbirth practices and health outcomes in Brazilian public hospitals. Using a novel dataset linking patients and providers across 15 million births, we compare deliveries where providers and patients share the same race to those where they do not. We find that racial concordance slightly increases vaginal delivery anesthesia use, emergency medication and modestly reduces cesarean section rates, tubal ligation, hospital stay length, and medical exams performed. We also find evidence that these effects are especially pronounced among Black mothers attended by Black providers. Lastly, our results indicate no significant impacts on maternal or infant health outcomes. Our findings contribute to the literature on healthcare disparities by highlighting how racial concordance may improve care delivery patterns without necessarily translating into immediate health outcome differences.
dc.format.extent43
dc.identifier.doihttp://dx.doi.org/10.18235/0013680
dc.identifier.urlhttps://publications.iadb.org/publications/english/document/Racial-Concordance-and-Childbirth-A-Deep-Dive-into-Medical-Delivery-Practices.pdf
dc.language.isoen
dc.publisherInter-American Development Bank
dc.subjectHealth Facility
dc.subjectRacial Discrimination
dc.subjectBreastfeeding
dc.subjectRace
dc.subjectPublic Health Care
dc.subjectHealth
dc.subjectPopulation Aging
dc.subjectPublic Health
dc.subjectEmergency Management
dc.subjectHealthcare Access
dc.subjectHealth Care
dc.subject.jelcodeI12 - Health Behavior
dc.subject.jelcodeJ13 - Fertility • Family Planning • Child Care • Children • Youth
dc.subject.jelcodeJ15 - Economics of Minorities, Races, Indigenous Peoples, and Immigrants • Non-labor Discrimination
dc.subject.jelcodeI18 - Government Policy • Regulation • Public Health
dc.subject.keywordsRacial concordance;Healthcare disparities;Obstetric care;Public Health
idb.identifier.pubnumberIDB-WP-01745
idb.operationRG-T3729
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