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

Author

Listed:
  • 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.

Suggested Citation

  • Olena Nizalova & Maria Vyshnya, 2009. "Evaluation of the Impact of the Mother and Infant Health Project in Ukraine," Discussion Papers 18, Kyiv School of Economics, revised Nov 2009.
  • Handle: RePEc:kse:dpaper:18
    Note: Forthcoming in Health Economics
    as

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    File URL: http://repec.kse.org.ua/pdf/KSE_dp18.pdf
    File Function: Revised version, November 2009
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    References listed on IDEAS

    as
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    Cited by:

    1. Dzhamilya Nigmatulina & Charles Becker, 2016. "Is high-tech care in a middle-income country worth it?," The Economics of Transition, The European Bank for Reconstruction and Development, vol. 24(4), pages 585-620, October.
    2. 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.
    3. Squire, Lyn & Jones, Andrew M & Thomas, Ranjeeta, 2010. "Evaluating Innovative Health Programs: Lessons for Health Policy," MPRA Paper 29205, University Library of Munich, Germany.

    More about this item

    Keywords

    Maternal health; maternal mortality; infant health; infant mortality; prenatal care;

    JEL classification:

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

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