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Evaluation of the Impact of the Mother and Infant Health Project in Ukraine

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  • Olena Nizalova

    (Kyiv School of Economics and Kyiv Economics Institute)

  • Maria Vyshnya

    (Kyiv Economics Institute and Kyiv Mohyla Academy)

Abstract

This paper exploits a unique opportunity to evaluate the impact of the quality change in the labor and delivery services on maternal and infant health. Since basic medical care has been universally available in Ukraine, implementation of the Mother and Infant Health Project allows addressing quality rather than quantity effect of medical care. Employing program evaluation methods we find that the administrative units participating in the Project have exhibited greater improvements in both maternal and infant health compared to the control rayons. Among the infant health outcomes, the MIHP impact is most pronounced for infant mortality resulted from deviations in perinatal period and respiratory system failures. As for the maternal health, the MIHP is the most effective at addressing anemia, blood circulation, and urinary-genital system complications, as well as late toxicosis. The analysis suggests that the effects are due to early attendance of antenatal clinics, lower share of C-sections, and greater share of normal deliveries, and these effects are causal. Preliminary cost-effectiveness analysis shows enormous benefit per dollar spent on the project: the cost to benefit ratio is one to 122 taking into account both maternal and infant lives saved as well as cost savings due to changes in labor and delivery practices.

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File URL: http://repec.kse.org.ua/pdf/KSE_dp18.pdf
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Bibliographic Info

Paper provided by Kyiv School of Economics in its series Discussion Papers with number 18.

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Date of creation: May 2009
Date of revision: Nov 2009
Handle: RePEc:kse:dpaper:18

Note: Forthcoming in Health Economics
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Keywords: Maternal health; maternal mortality; infant health; infant mortality; prenatal care;

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  1. Conway, Karen Smith & Deb, Partha, 2005. "Is prenatal care really ineffective? Or, is the 'devil' in the distribution?," Journal of Health Economics, Elsevier, Elsevier, vol. 24(3), pages 489-513, May.
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  11. Cynthia Buckley, 2003. "Children at Risk: Infant and Child Health in Central Asia," William Davidson Institute Working Papers Series, William Davidson Institute at the University of Michigan 523, William Davidson Institute at the University of Michigan.
  12. McGuire, James W., 2006. "Basic health care provision and under-5 mortality: A Cross-National study of developing Countries," World Development, Elsevier, Elsevier, vol. 34(3), pages 405-425, March.
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Cited by:
  1. Thomas, Ranjeeta & Jones, Andrew M & Squire, Lyn, 2010. "Methods for Evaluating Innovative Health Programs (EIHP): A Multi-Country Study," MPRA Paper 29402, University Library of Munich, Germany.
  2. Squire, Lyn & Jones, Andrew M & Thomas, Ranjeeta, 2010. "Evaluating Innovative Health Programs: Lessons for Health Policy," MPRA Paper 29205, University Library of Munich, Germany.

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