IDEAS home Printed from https://ideas.repec.org/p/iek/wpaper/1203.html
   My bibliography  Save this paper

Improving the Health Coverage of the Rural Poor:Does Contracting Out Medical Mobile Teams Work?

Author

Listed:
  • Julian P. Cristia

    (Inter-American Development Bank, NW, Washington, DC 20577)

  • William N. Evans

    (Department of Economics and Econometrics, University of Notre Dame and NBER, Notre Dame, IN, 46556)

  • Beomsoo Kim

    (Department of Economics, Korea University, Seoul, Republic of Korea)

Abstract

Low population density in rural developing country coupled with deficient infrastructure, weak state capacity and limited budgets makes increasing health care coverage difficult.Contracting-out mobile medical teams can be an adequate solution in this context. This paper examines the impact of a large-scale program of this type in Guatemala. Results indicate large impacts on immunization rates for children and prenatal care provider choices. The program increased substantially the role of physician and nurses at the expense of traditional midwives. These results suggest that mobile medical teams can increase coverage of health care services substantially in rural areas in developing countries.

Suggested Citation

  • Julian P. Cristia & William N. Evans & Beomsoo Kim, 2012. "Improving the Health Coverage of the Rural Poor:Does Contracting Out Medical Mobile Teams Work?," Discussion Paper Series 1203, Institute of Economic Research, Korea University.
    • Handle: RePEc:iek:wpaper:1203
    as

    Download full text from publisher

    File URL: http://econ.korea.ac.kr/~ri/WorkingPapers/w1203.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. World Bank, 2003. "Poverty in Guatemala," World Bank Publications - Reports 14862, The World Bank Group.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Matias Busso & Sebastian Galiani, 2019. "The Causal Effect of Competition on Prices and Quality: Evidence from a Field Experiment," American Economic Journal: Applied Economics, American Economic Association, vol. 11(1), pages 33-56, January.

    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. Reitschuler, Gerhard & Loening, Josef L., 2005. "Modeling the Defense-Growth Nexus in Guatemala," World Development, Elsevier, vol. 33(3), pages 513-526, March.
    2. Asad Alam & Mamta Murthi & Ruslan Yemtsov & Edmundo Murrugarra & Nora Dudwick & Ellen Hamilton & Erwin Tiongson, 2005. "Growth, Poverty and Inequality : Eastern Europe and the Former Soviet Union," World Bank Publications - Books, The World Bank Group, number 7287, December.
    3. John A. Maluccio & John Hoddinott & Jere R. Behrman & Reynaldo Martorell & Agnes R. Quisumbing & Aryeh D. Stein, 2009. "The Impact of Improving Nutrition During Early Childhood on Education among Guatemalan Adults," Economic Journal, Royal Economic Society, vol. 119(537), pages 734-763, April.
    4. Yamada, Gustavo & Beltrán, Arlette & Castro, Juan Francisco & Vásquez, Enrique, 2005. "Alcanzando los Objetivos de Desarrollo del Milenio en Guatemala: Modelos de Predicción y Costeo del Cumplimiento de los Objetimos del Milenio en Guatemala," MPRA Paper 15270, University Library of Munich, Germany.
    5. World Bank, 2005. "Guatemala : Country Economic Memorandum, Challenges to Higher Economic Growth," World Bank Publications - Reports 8544, The World Bank Group.
    6. Loening, Josef & Rao, B. Bhaskara & Singh, Rup, 2010. "Effects of education on economic growth:Evidence from Guatemala," MPRA Paper 23665, University Library of Munich, Germany.
    7. Skoufias, Emmanuel & Lindert, Kathy & Shapiro, Joseph, 2010. "Globalization and the Role of Public Transfers in Redistributing Income in Latin America and the Caribbean," World Development, Elsevier, vol. 38(6), pages 895-907, June.
    8. Andrew Nelson & Kenneth Chomitz, 2007. "The Forest–Hydrology–Poverty Nexus In Central America: An Heuristic Analysis," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 9(4), pages 369-385, November.
    9. World Bank, 2009. "Guatemala - Poverty assessment : good performance at low levels," World Bank Publications - Reports 3063, The World Bank Group.
    10. Roman Krznaric, 2005. "The Limits on Pro-Poor Agricultural Trade in Guatemala: Land, Labour and Political Power," Human Development Occasional Papers (1992-2007) HDOCPA-2005-17, Human Development Report Office (HDRO), United Nations Development Programme (UNDP).
    11. Grootaert Grootaert & Deepa Narayan & Veronica Nyhan Jones & Michael Woolcock, 2004. "Measuring Social Capital : An Integrated Questionnaire," World Bank Publications - Books, The World Bank Group, number 15033, December.
    12. Hoddinott, John & Maluccio, John & Behrman, Jere R. & Martorell, Reynaldo & Melgar, Paul & Quisumbing, Agnes R. & Ramirez-Zea, Manuel & Stein, Aryeh D. & Yount, Kathryn M., 2011. "The consequences of early childhood growth failure over the life course:," IFPRI discussion papers 1073, International Food Policy Research Institute (IFPRI).
    13. Carletto, Calogero & Covarrubias, Katia & Maluccio, John A., 2011. "Migration and child growth in rural Guatemala," Food Policy, Elsevier, vol. 36(1), pages 16-27, February.
    14. Loening, Josef & Rao, B. Bhaskara & Singh, Rup, 2010. "Effects of schooling levels on economic growth: time-series evidence from Guatemala," MPRA Paper 25105, University Library of Munich, Germany, revised 16 Sep 2010.
    15. Stefan Dercon (QEH), Tessa Bold, Cesar Calvo, "undated". "Insurance for the Poor?," QEH Working Papers qehwps125, Queen Elizabeth House, University of Oxford.
    16. Hela Cheikhrouhou & Rodrigo Jarque & Raúl Hernández-Coss & Radwa El-Swaify, 2006. "The U.S.-Guatemala Remittance Corridor : Understanding Better the Drivers of Remittances Intermediation," World Bank Publications - Books, The World Bank Group, number 7172, December.
    17. Gerhard Reitschuler & Ludger J. Löning, 2004. "Modeling the Defense-Growth Nexus in a Post-Conflict Country - A Piecewise Linear Approach," Ibero America Institute for Econ. Research (IAI) Discussion Papers 097, Ibero-America Institute for Economic Research.
    18. David De Ferranti & Guillermo E. Perry & Francisco H.G. Ferreira & Michael Walton, 2004. "Inequality in Latin America : Breaking with History?," World Bank Publications - Books, The World Bank Group, number 15009, December.
    19. Josef L. Loening, 2004. "Time series evidence on education and growth: the case of Guatemala, 1951-2002," Revista de Analisis Economico – Economic Analysis Review, Universidad Alberto Hurtado/School of Economics and Business, vol. 19(2), pages 3-40, December.
    20. -, 2010. "Evaluation of Development Account Project 06/07 H. Implications of macroeconomic policy, external shocks and social protection systems for poverty, inequality and social vulnerability in Latin America," Sede de la CEPAL en Santiago (Estudios e Investigaciones) 39564, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).

    More about this item

    Keywords

    Health coverage; rural; contracting-out; medical mobile;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

    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:iek:wpaper:1203. 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: Kim, Jisoo (email available below). General contact details of provider: https://edirc.repec.org/data/ierkukr.html .

    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.