A spatial-based explanation for institutional trust in Georgia: Evidence from the maternal healthcare system

Medea Badashvili; Anastasiya Byelousova; Parth Gupta; Amy H Liu; Elise Pizzi; Michael Sanchez; Lela Shengelia; Mariana Unapkoshvili; Lyndsey Wang; Katherina Wierschke

doi:10.1177/18793665221079344

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A spatial-based explanation for institutional trust in Georgia: Evidence from the maternal healthcare system

Journal article

Open access

Peer reviewed

A spatial-based explanation for institutional trust in Georgia: Evidence from the maternal healthcare system

Medea Badashvili, Anastasiya Byelousova, Parth Gupta, Amy H Liu, Elise Pizzi, Michael Sanchez, Lela Shengelia, Mariana Unapkoshvili, Lyndsey Wang and Katherina Wierschke

Journal of Eurasian studies, Vol.13(1), pp.82-96

01/2022

DOI: 10.1177/18793665221079344

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Abstract

When an institution is not easily accessible—for example, it is geographically far—it can be hard for institutional trust to develop. The institution is not only unavailable, but it can also be seen as inappropriate, non-affordable, unapproachable, and unacceptable. In this paper, we examine whether reducing distance to medical facilities and professionals can improve trust in the maternal healthcare system. We do so by focusing on developments in Georgia. Since 2013, the government has aggressively closed the distance to service access not by building more facilities or hiring more staff per se, but by upgrading and funding existing facilities and professionals in a national network to better coordinate service provisions at the local levels. Employing an original survey, we match GPS coordinates to measure distance and use regression analysis to demonstrate how ensuring every woman has access to maternal healthcare at the right place at the right time has improved institutional trust in the system. The implications highlight results that are generalizable beyond both the country and maternal healthcare.

Georgia

GIS

trust

maternal health

spatial analysis

Details

Title: Subtitle: A spatial-based explanation for institutional trust in Georgia: Evidence from the maternal healthcare system
Creators: Medea Badashvili - Tbilisi State University
Anastasiya Byelousova - The University of Texas at Austin
Parth Gupta - The University of Texas at Austin
Amy H Liu - The University of Texas at Austin
Elise Pizzi - University of Iowa
Michael Sanchez - The University of Texas at Austin
Lela Shengelia - , Tbilisi, Georgia
Mariana Unapkoshvili - , Tbilisi, Georgia
Lyndsey Wang - The University of Texas at Austin
Katherina Wierschke - The University of Texas at Austin
Resource Type: Journal article
Publication Details: Journal of Eurasian studies, Vol.13(1), pp.82-96
DOI: 10.1177/18793665221079344
ISSN: 1879-3665
eISSN: 1879-3673
Publisher: SAGE Publications
Grant note: President's Award for Global Learning / University of Texas at Austin (https://doi.org/10.13039/100008562)
Language: English
Date published: 01/2022
Academic Unit: Center for Social Science Innovation; Public Policy Center (Archive); Political Science
Record Identifier: 9984222805902771

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