Publication:
The Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behavior and Health Outcomes for Children in Urban Mali

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dc.contributor.authorDean, Mark
dc.contributor.authorSautmann, Anja
dc.date.accessioned2022-03-31T15:57:50Z
dc.date.available2022-03-31T15:57:50Z
dc.date.issued2022-03
dc.description.abstractSubsidized primary care and community health worker (CHW) visits are important demand side policies in the effort to achieve universal health care for children under five. Causal evidence on the effects of these policies, alone and in interaction, is still sparse. This paper reports the effects on diarrhea prevention, curative care, and incidence as well as anthropometrics for 1649 children from a randomized control trial in Bamako that cross-randomized CHW visits and access to free health care. CHW visits improve prevention and subsidies increase the use of curative care for acute illness, with some indication of positive interaction effects. There is no evidence of moral hazard, such as reduced preventive care among families receiving the subsidy. Although there are no significant improvements in malnutrition, diarrhea incidence is reduced by over 70% in the group that receives both subsidies and CHW. Positive effects are concentrated among children ages 0 to 2.en
dc.identifierhttp://documents.worldbank.org/curated/en/099242403252213210/IDU01359dc10004d604271093a0014dea8c6313c
dc.identifier.doi10.1596/1813-9450-9986
dc.identifier.urihttps://hdl.handle.net/10986/37245
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesPolicy Research Report;9986
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectCHILD HEATH CARE
dc.subjectCOMMUNITY HEALTH WORKER (CHW) VISITS
dc.subjectHEALTHCARE SUBSIDY EFFECTIVENESS
dc.subjectPEDIATRIC ACCUTE MEDICAL INTERVENTION
dc.subjectPEDIATRIC HEALTH OUTCOMES 0-2
dc.subjectINFANT AND CHILD MORTALITY
dc.subjectHOME HEALTH VISIT
dc.subjectVISITING NURSE
dc.titleThe Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behavior and Health Outcomes for Children in Urban Malien
dc.typeWorking Paperen
dc.typeDocument de travailfr
dc.typeDocumento de trabajoes
dspace.entity.typePublication
okr.date.disclosure2022-03-25
okr.date.lastmodified2022-03-25T00:00:00Zen
okr.doctypePolicy Research Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/099242403252213210/IDU01359dc10004d604271093a0014dea8c6313c
okr.guid099242403252213210
okr.identifier.doi10.1596/1813-9450-9986
okr.identifier.externaldocumentum33768124
okr.identifier.internaldocumentum33768124
okr.identifier.reportWPS9986
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/099242403252213210/pdf/IDU01359dc10004d604271093a0014dea8c6313c.pdfen
okr.region.administrativeAfrica Western and Central (AFW)
okr.region.administrativeAfrica
okr.region.countryMali
okr.topicHealth, Nutrition and Population::Early Child and Children's Health
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
okr.topicHealth, Nutrition and Population::Health and Poverty
okr.topicPoverty Reduction::Poverty and Health
okr.topicPoverty Reduction::Services & Transfers to Poor
relation.isAuthorOfPublicatione78c8f7a-8cec-528a-a1ce-40884734b05e
relation.isAuthorOfPublication.latestForDiscoverye78c8f7a-8cec-528a-a1ce-40884734b05e
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
relation.isSeriesOfPublication.latestForDiscovery26e071dc-b0bf-409c-b982-df2970295c87
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