Does Contracting-Out Primary Care Services Work? The Case of Rural Guatemala
AbstractThis paper estimates the impact of a large-scale contracting-out program in Guatemala, using two waves of living standard measurement surveys which collected data before and after the expansion of the program and exploiting variation in the timing of the program to estimate treatment effects. Results indicate large program impacts on immunization rates for children and prenatal care provider choices. The program increases substantially the role of physician and nurses as prenatal care providers at the expense of traditional midwives. There is no evidence of effects in family planning outcomes. Taken together these results suggest a potential effective role of contracting-out in the provision of health care.
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Bibliographic InfoPaper provided by Inter-American Development Bank, Research Department in its series Research Department Publications with number 4728.
Date of creation: Nov 2011
Date of revision:
Find related papers by JEL classification:
- I12 - Health, Education, and Welfare - - Health - - - Health Production
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
This paper has been announced in the following NEP Reports:
- NEP-AGR-2011-12-19 (Agricultural Economics)
- NEP-ALL-2011-12-19 (All new papers)
- NEP-DEV-2011-12-19 (Development)
- NEP-HEA-2011-12-19 (Health Economics)
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