Reducing Child Mortality in the Last Mile: Experimental Evidence on Community Health Promoters in Uganda

• 成果类型: Article
• 署名作者: Nyqvist, Martina Bjorkman; Guariso, Andrea; Svensson, Jakob; Yanagizawa-Drott, David
• 署名单位: Stockholm School of Economics; Centre for Economic Policy Research - UK; Trinity College Dublin; Stockholm University; University of Zurich
• 刊物名称: AMERICAN ECONOMIC JOURNAL-APPLIED ECONOMICS
• ISSN/ISSBN: 1945-7782
• DOI: 10.1257/app.20170201
• 发表日期: 2019
• 页码: 155-192
• 关键词: neonatal-mortality; cost-effectiveness; illness strategy; performance pay; home-visits; intervention; incentives; management; workers; bangladesh

摘要

The delivery of basic health products and services remains abysmal in many parts of the world where child mortality is high. This paper shows the results from a large-scale randomized evaluation of a novel approach to health care delivery In randomly selected villages, a sales agent was locally recruited and incentivized to conduct home visits, educate households on essential health behaviors, provide medical advice and referrals, and sell preventive and curative health products. Results after 3 years show substantial health impact: under 5-years child mortality was reduced by 27 percent at an estimated average cost of $68 per life-year saved.