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

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 rec...

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Bibliographic Details
Published in:American economic journal. Applied economics 2019-07, Vol.11 (3), p.155-192
Main Authors: Nyqvist, Martina Björkman, Guariso, Andrea, Svensson, Jakob, Yanagizawa-Drott, David
Format: Article
Language:English
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Summary: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.
ISSN:1945-7782
1945-7790
1945-7790
DOI:10.1257/app.20170201