IDEAS home Printed from https://ideas.repec.org/p/cpr/ceprdp/11515.html
   My bibliography  Save this paper

Effect of a micro entrepreneur-based community health delivery program on under-five mortality in Uganda: a cluster-randomized

Author

Listed:
  • Björkman Nyqvist, Martina
  • Svensson, Jakob
  • Guariso, Andrea
  • Yanagizawa-Drott, David

Abstract

Systematic reviews of existing evidence show promising effects of community health worker (CHW) programs as a strategy to improve child survival, but also highlight challenges faced by CHW programs, including insufficient incentives to deliver timely and appropriate services. We assessed the effect of an incentivized community health delivery program in Uganda on all-cause under-five mortality. A cluster-randomized controlled trial, embedded within the scale-up of a new community health delivery program, was undertaken in 214 clusters in 10 districts in Uganda. In the intervention clusters micro entrepreneur-based community health promoters (CHPs) were deployed over a three-year period (2011-2013). On average 38 households were surveyed in each cluster at the end of 2013, for a total sample size of 8,119 households. The primary study outcome was all-cause under-five mortality (U5MR). U5MR was reduced by 27% (adjusted RR 0.73, 95% CI 0.58-0.93).

Suggested Citation

  • Björkman Nyqvist, Martina & Svensson, Jakob & Guariso, Andrea & Yanagizawa-Drott, David, 2016. "Effect of a micro entrepreneur-based community health delivery program on under-five mortality in Uganda: a cluster-randomized," CEPR Discussion Papers 11515, C.E.P.R. Discussion Papers.
    • Handle: RePEc:cpr:ceprdp:11515
    as

    Download full text from publisher

    File URL: https://cepr.org/publications/DP11515
    Download Restriction: CEPR Discussion Papers are free to download for our researchers, subscribers and members. If you fall into one of these categories but have trouble downloading our papers, please contact us at subscribers@cepr.org
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Nyqvist, Martina Bjorkman & de Walque, Damien & Svensson, Jakob, 2014. "Information is power : experimental evidence on the long-run impact of community based monitoring," Policy Research Working Paper Series 7015, The World Bank.
    2. Edward C. Norton & Morgen M. Miller & Lawrence C. Kleinman, 2013. "Computing adjusted risk ratios and risk differences in Stata," Stata Journal, StataCorp LP, vol. 13(3), pages 492-509, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. World Bank Group, 2014. "Strategic Framework for Mainstreaming Citizen Engagement in World Bank Group Operations," World Bank Publications - Books, The World Bank Group, number 21113, December.
    2. David William Walker, 2016. "How Systemic Inquiry Releases Citizen Knowledge to Reform Schools: Community Scorecard Case Studies," Systemic Practice and Action Research, Springer, vol. 29(4), pages 313-334, August.
    3. Nyqvist,Martina Björkman & Corno,Lucia & De Walque,Damien B. C. M. & Svensson,Jakob, 2015. "Using lotteries to incentivize safer sexual behavior : evidence from a randomized controlled trial on HIV prevention," Policy Research Working Paper Series 7215, The World Bank.
    4. J. Scott Long & Sarah A. Mustillo, 2021. "Using Predictions and Marginal Effects to Compare Groups in Regression Models for Binary Outcomes," Sociological Methods & Research, , vol. 50(3), pages 1284-1320, August.
    5. John Nunley & Nabamita Dutta, 2023. "The gender gap in schooling outcomes: A cohort study of young men and women in India," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 48(33), pages 931-944.
    6. Jose R. Rubio-Valverde & Wilma J. Nusselder & Johan P. Mackenbach, 2019. "Educational inequalities in Global Activity Limitation Indicator disability in 28 European Countries: Does the choice of survey matter?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(3), pages 461-474, April.
    7. Alawattage, Chandana & Azure, John De-Clerk, 2021. "Behind the World Bank’s ringing declarations of “social accountability”: Ghana’s public financial management reform," CRITICAL PERSPECTIVES ON ACCOUNTING, Elsevier, vol. 78(C).
    8. Muhammad Haseeb & Kate Vyborny, 2016. "Imposing institutions: Evidence from cash transfer reform in Pakistan," CSAE Working Paper Series 2016-36, Centre for the Study of African Economies, University of Oxford.
    9. Fox, Jonathan A., 2015. "Social Accountability: What Does the Evidence Really Say?," World Development, Elsevier, vol. 72(C), pages 346-361.
    10. HwaJung Choi & Robert F Schoeni & Linda G Martin, 2016. "Are Functional and Activity Limitations Becoming More Prevalent among 55 to 69-Year-Olds in the United States?," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-14, October.

    More about this item

    Keywords

    Child mortality; Social entrepreneurship; Living goods; Community health worker; Infant mortality;
    All these keywords.

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:cpr:ceprdp:11515. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: the person in charge (email available below). General contact details of provider: https://www.cepr.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.