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Reducing child mortality in the last mile: experimental evidence on community health promoters in Uganda


Nyqvist, Martina Björkman; Guariso, Andrea; Svensson, Jakob; Yanagizawa-Drott, David (2019). Reducing child mortality in the last mile: experimental evidence on community health promoters in Uganda. American Economic Journal: Applied Economics, 11(3):155-192.

Abstract

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.

Abstract

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.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:03 Faculty of Economics > Department of Economics
Dewey Decimal Classification:330 Economics
Scopus Subject Areas:Social Sciences & Humanities > General Economics, Econometrics and Finance
Uncontrolled Keywords:Child mortality; infant mortality; community health worker; Uganda
Language:English
Date:1 July 2019
Deposited On:02 Jul 2019 09:39
Last Modified:29 Jul 2020 10:56
Publisher:American Economic Association
ISSN:1945-7790
OA Status:Hybrid
Publisher DOI:https://doi.org/10.1257/app.20170201
Official URL:https://www.aeaweb.org/articles?id=10.1257/app.20170201

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