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Reducing Bias Among Health Care Providers: Experimental Evidence From Tanzania, Burkina Faso, and Pakistan

Author

Listed:
  • Zachary Wagner
  • Corrina Moucheraud
  • Manisha Shah
  • Alexandra Wollum
  • Willa H. Friedman
  • William H. Dow

Abstract

Bias among health care providers can lead to poor-quality care and poor health outcomes, and it can exacerbate disparities. We use a randomized controlled trial to evaluate an intervention to reduce family planning provider bias towards young women in 227 clinics in Tanzania, Burkina Faso, and Pakistan. The intervention educated providers about bias towards young women, facilitated communication about bias with other providers, and offered non-financial public awards to clinics with the least biased care. After 12 months, the intervention led to less-biased attitudes and beliefs among providers and more comprehensive counseling. Clients also perceived better treatment at intervention clinics compared to control clinics. Despite reductions in reported bias, we find mixed evidence regarding changes in method dispensing.

Suggested Citation

  • Zachary Wagner & Corrina Moucheraud & Manisha Shah & Alexandra Wollum & Willa H. Friedman & William H. Dow, 2023. "Reducing Bias Among Health Care Providers: Experimental Evidence From Tanzania, Burkina Faso, and Pakistan," NBER Working Papers 31269, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:31269
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    Cited by:

    1. Wollum, Alexandra & Moucheraud, Corrina & Gipson, Jessica D & Friedman, Willa & Shah, Manisha & Wagner, Zachary, 2024. "Characterizing provider bias in contraceptive care in Tanzania and Burkina Faso: A mixed-methods study," Social Science & Medicine, Elsevier, vol. 348(C).

    More about this item

    JEL classification:

    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development

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