Quality of health care has received recent attention as a determinant of child health. Barber and Gertler (2001) conclude that in Indonesia children who live in communities with high quality care are healthier compared with children who live in areas with poor quality. Peabody et al (1998) showed that Jamaican women with access to high quality prenatal care have higher birth weights than women with access to poor quality care. It is clear, however, that to establish causal relationships between access and/or quality care and child health is extremely difficult. Better doctors might prefer to stay in towns with higher.