Rewarding Provider Performance to Enable a Healthy Start to Life : Evidence from Argentina's Plan Nacer
Argentina's Plan Nacer provides insurance for maternal and child health care to uninsured families. The program allocates funding to provinces based on enrollment of beneficiaries and adds performance incentives based on indicators of the use...
| Main Authors: | , , |
|---|---|
| Format: | Policy Research Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2014
|
| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2014/05/19546892/rewarding-provider-performance-enable-healthy-start-life-evidence-argentinas-plan-nacer http://hdl.handle.net/10986/18801 |
| id |
okr-10986-18801 |
|---|---|
| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ABORTION ACCESS TO HEALTH SERVICES ANAEMIA ANEMIA BABIES BABY BABY CARE BIRTH OUTCOMES BIRTH-WEIGHT BULLETIN BURDEN OF DISEASE CAPITATION CARE DURING PREGNANCY CENSUSES CERTIFICATION CESAREAN SECTION CESAREAN SECTIONS CHILD HEALTH CHILD HEALTH CARE CHILD HEALTH SERVICES CHILD MEDICAL CARE CHILD MORTALITY CITIES CLINICAL GUIDELINES CLINICAL PROTOCOLS CLINICAL SERVICES CLINICS COGNITIVE DEVELOPMENT COUNSELING DEATH CERTIFICATES DEATH RATE DEFECATION DELIVERY CARE DENTAL CARE DEVELOPING COUNTRIES DEVELOPMENT POLICY DIAGNOSIS DIAGNOSTIC TESTS DISABILITY DISEASE DISEASE RESEARCH DISEASES EARLY DETECTION ECONOMIC GROWTH EXPENDITURES FAMILIES FETUS FIRST BIRTH FIXED COSTS GROSS DOMESTIC PRODUCT HEALTH CARE HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CLINICS HEALTH EDUCATION HEALTH FACILITIES HEALTH FINANCING HEALTH IMPACTS HEALTH INDICATORS HEALTH INSURANCE HEALTH OFFICIALS HEALTH OUTCOMES HEALTH POLICY HEALTH PROBLEMS HEALTH PROGRAMS HEALTH PROMOTION HEALTH PROVIDERS HEALTH RESULTS HEALTH SECTOR HEALTH STATUS HEALTH TARGETS HEALTH-CARE PROVIDERS HIGH-RISK HIV HOSPITAL HOSPITAL MEDICAL STAFF HOSPITALS HUMAN CAPITAL HUMAN IMMUNODEFICIENCY VIRUS IMMUNIZATION IMMUNIZATION COVERAGE IMMUNIZATION STATUS IMMUNODEFICIENCY IMPROVEMENTS IN QUALITY OF CARE INCOME INDIVIDUAL CHARACTERISTICS INFANT INFANT HEALTH INFANT HEALTH SERVICES INFANT MORTALITY INFORMATION SYSTEM INTERVENTION LABOR MARKET LIFE EXPECTANCY LIVE BIRTHS LOCAL GOVERNMENTS LOW BIRTH WEIGHT LOW-INCOME COUNTRIES MATERNAL AGE MATERNAL AND CHILD HEALTH MATERNAL CARE MATERNAL DEATHS MATERNAL HEALTH MATERNAL HEALTH SERVICES MATERNITY HOSPITALS MEAN BIRTH WEIGHT MEASLES MEASLES IMMUNIZATION MEDICAID MEDICAL CARE MEDICAL EQUIPMENT MEDICAL FACILITIES MEDICAL RECORDS MEDICAL SERVICES MEDICAL STAFF MEDICINE MINISTRY OF HEALTH MORALITY MORTALITY MORTALITY RATE MOTHER NATIONAL GOVERNMENT NATIONAL LEVEL NEONATAL DEATH NEONATAL MORTALITY NEONATAL SERVICES NEWBORN NEWBORNS NUMBER OF BIRTHS NUTRITION OBSTETRIC CARE PATIENT PATIENTS POLICY CONCERN POLICY DISCUSSIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POPULATION CENSUS POPULATION GROUPS POSTNATAL CARE PREGNANCIES PREGNANCY PREGNANCY STATUS PREGNANCY TEST PREGNANT WOMEN PRENATAL CARE PRENATAL CARE UTILIZATION PRIMARY HEALTH CARE PRIMARY HEALTH-CARE PRIVATE PROVIDERS PROBABILITY PROGRESS PROVIDER INCENTIVES PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH SERVICES PUBLIC SERVICES QUALITY CARE QUALITY OF HEALTH QUALITY OF SERVICES REPRODUCTIVE HEALTH RESPECT RISK FACTORS SANITATION SCHOOLS SECRETARY OF HEALTH SERVICE PROVIDER SERVICE PROVIDERS SOCIAL SECURITY SPILLOVER TETANUS TRANSPORTATION TREATMENT USE OF RESOURCES VACCINATION VACCINE VACCINES WOMEN DURING PREGNANCY WORLD HEALTH ORGANIZATION |
| spellingShingle |
ABORTION ACCESS TO HEALTH SERVICES ANAEMIA ANEMIA BABIES BABY BABY CARE BIRTH OUTCOMES BIRTH-WEIGHT BULLETIN BURDEN OF DISEASE CAPITATION CARE DURING PREGNANCY CENSUSES CERTIFICATION CESAREAN SECTION CESAREAN SECTIONS CHILD HEALTH CHILD HEALTH CARE CHILD HEALTH SERVICES CHILD MEDICAL CARE CHILD MORTALITY CITIES CLINICAL GUIDELINES CLINICAL PROTOCOLS CLINICAL SERVICES CLINICS COGNITIVE DEVELOPMENT COUNSELING DEATH CERTIFICATES DEATH RATE DEFECATION DELIVERY CARE DENTAL CARE DEVELOPING COUNTRIES DEVELOPMENT POLICY DIAGNOSIS DIAGNOSTIC TESTS DISABILITY DISEASE DISEASE RESEARCH DISEASES EARLY DETECTION ECONOMIC GROWTH EXPENDITURES FAMILIES FETUS FIRST BIRTH FIXED COSTS GROSS DOMESTIC PRODUCT HEALTH CARE HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CLINICS HEALTH EDUCATION HEALTH FACILITIES HEALTH FINANCING HEALTH IMPACTS HEALTH INDICATORS HEALTH INSURANCE HEALTH OFFICIALS HEALTH OUTCOMES HEALTH POLICY HEALTH PROBLEMS HEALTH PROGRAMS HEALTH PROMOTION HEALTH PROVIDERS HEALTH RESULTS HEALTH SECTOR HEALTH STATUS HEALTH TARGETS HEALTH-CARE PROVIDERS HIGH-RISK HIV HOSPITAL HOSPITAL MEDICAL STAFF HOSPITALS HUMAN CAPITAL HUMAN IMMUNODEFICIENCY VIRUS IMMUNIZATION IMMUNIZATION COVERAGE IMMUNIZATION STATUS IMMUNODEFICIENCY IMPROVEMENTS IN QUALITY OF CARE INCOME INDIVIDUAL CHARACTERISTICS INFANT INFANT HEALTH INFANT HEALTH SERVICES INFANT MORTALITY INFORMATION SYSTEM INTERVENTION LABOR MARKET LIFE EXPECTANCY LIVE BIRTHS LOCAL GOVERNMENTS LOW BIRTH WEIGHT LOW-INCOME COUNTRIES MATERNAL AGE MATERNAL AND CHILD HEALTH MATERNAL CARE MATERNAL DEATHS MATERNAL HEALTH MATERNAL HEALTH SERVICES MATERNITY HOSPITALS MEAN BIRTH WEIGHT MEASLES MEASLES IMMUNIZATION MEDICAID MEDICAL CARE MEDICAL EQUIPMENT MEDICAL FACILITIES MEDICAL RECORDS MEDICAL SERVICES MEDICAL STAFF MEDICINE MINISTRY OF HEALTH MORALITY MORTALITY MORTALITY RATE MOTHER NATIONAL GOVERNMENT NATIONAL LEVEL NEONATAL DEATH NEONATAL MORTALITY NEONATAL SERVICES NEWBORN NEWBORNS NUMBER OF BIRTHS NUTRITION OBSTETRIC CARE PATIENT PATIENTS POLICY CONCERN POLICY DISCUSSIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POPULATION CENSUS POPULATION GROUPS POSTNATAL CARE PREGNANCIES PREGNANCY PREGNANCY STATUS PREGNANCY TEST PREGNANT WOMEN PRENATAL CARE PRENATAL CARE UTILIZATION PRIMARY HEALTH CARE PRIMARY HEALTH-CARE PRIVATE PROVIDERS PROBABILITY PROGRESS PROVIDER INCENTIVES PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH SERVICES PUBLIC SERVICES QUALITY CARE QUALITY OF HEALTH QUALITY OF SERVICES REPRODUCTIVE HEALTH RESPECT RISK FACTORS SANITATION SCHOOLS SECRETARY OF HEALTH SERVICE PROVIDER SERVICE PROVIDERS SOCIAL SECURITY SPILLOVER TETANUS TRANSPORTATION TREATMENT USE OF RESOURCES VACCINATION VACCINE VACCINES WOMEN DURING PREGNANCY WORLD HEALTH ORGANIZATION Gertler, Paul Giovagnoli, Paula Martinez, Sebastian Rewarding Provider Performance to Enable a Healthy Start to Life : Evidence from Argentina's Plan Nacer |
| geographic_facet |
Latin America & Caribbean ARGENTINA |
| relation |
Policy Research Working Paper;No. 6884 |
| description |
Argentina's Plan Nacer provides
insurance for maternal and child health care to uninsured
families. The program allocates funding to provinces based
on enrollment of beneficiaries and adds performance
incentives based on indicators of the use and quality of
maternal and child health care services and health outcomes.
The provinces use these resources to pay health facilities
to provide maternal and child health care services to
beneficiaries. This paper analyzes the impact of Plan Nacer
on birth outcomes. The analysis uses data from the universe
of birth records in seven Argentine provinces for 2004 to
2008 and exploits the geographic phasing in of Plan Nacer
over time. The paper finds that the program increases the
use and quality of prenatal care as measured by the number
of visits and the probability of receiving a tetanus
vaccine. Beneficiaries' probability of low birth-weight
is estimated to be reduced by 19 percent. Beneficiaries have
a 74 percent lower chance of in-hospital neonatal mortality
in larger facilities and approximately half this reduction
comes from preventing low birth weight and half from better
postnatal care. The analysis finds that the cost of saving a
disability-adjusted life year through the program was $814,
which is highly cost-effective compared with
Argentina's $6,075 gross domestic product per capita
over this period. Although there are small negative
spillover effects on prenatal care utilization of
non-beneficiary populations in clinics covered by Plan
Nacer, no spillover is found on their birth outcomes. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Gertler, Paul Giovagnoli, Paula Martinez, Sebastian |
| author_facet |
Gertler, Paul Giovagnoli, Paula Martinez, Sebastian |
| author_sort |
Gertler, Paul |
| title |
Rewarding Provider Performance to Enable a Healthy Start to Life : Evidence from Argentina's Plan Nacer |
| title_short |
Rewarding Provider Performance to Enable a Healthy Start to Life : Evidence from Argentina's Plan Nacer |
| title_full |
Rewarding Provider Performance to Enable a Healthy Start to Life : Evidence from Argentina's Plan Nacer |
| title_fullStr |
Rewarding Provider Performance to Enable a Healthy Start to Life : Evidence from Argentina's Plan Nacer |
| title_full_unstemmed |
Rewarding Provider Performance to Enable a Healthy Start to Life : Evidence from Argentina's Plan Nacer |
| title_sort |
rewarding provider performance to enable a healthy start to life : evidence from argentina's plan nacer |
| publisher |
World Bank, Washington, DC |
| publishDate |
2014 |
| url |
http://documents.worldbank.org/curated/en/2014/05/19546892/rewarding-provider-performance-enable-healthy-start-life-evidence-argentinas-plan-nacer http://hdl.handle.net/10986/18801 |
| _version_ |
1764442725540691968 |
| spelling |
okr-10986-188012021-04-23T14:03:49Z Rewarding Provider Performance to Enable a Healthy Start to Life : Evidence from Argentina's Plan Nacer Gertler, Paul Giovagnoli, Paula Martinez, Sebastian ABORTION ACCESS TO HEALTH SERVICES ANAEMIA ANEMIA BABIES BABY BABY CARE BIRTH OUTCOMES BIRTH-WEIGHT BULLETIN BURDEN OF DISEASE CAPITATION CARE DURING PREGNANCY CENSUSES CERTIFICATION CESAREAN SECTION CESAREAN SECTIONS CHILD HEALTH CHILD HEALTH CARE CHILD HEALTH SERVICES CHILD MEDICAL CARE CHILD MORTALITY CITIES CLINICAL GUIDELINES CLINICAL PROTOCOLS CLINICAL SERVICES CLINICS COGNITIVE DEVELOPMENT COUNSELING DEATH CERTIFICATES DEATH RATE DEFECATION DELIVERY CARE DENTAL CARE DEVELOPING COUNTRIES DEVELOPMENT POLICY DIAGNOSIS DIAGNOSTIC TESTS DISABILITY DISEASE DISEASE RESEARCH DISEASES EARLY DETECTION ECONOMIC GROWTH EXPENDITURES FAMILIES FETUS FIRST BIRTH FIXED COSTS GROSS DOMESTIC PRODUCT HEALTH CARE HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CLINICS HEALTH EDUCATION HEALTH FACILITIES HEALTH FINANCING HEALTH IMPACTS HEALTH INDICATORS HEALTH INSURANCE HEALTH OFFICIALS HEALTH OUTCOMES HEALTH POLICY HEALTH PROBLEMS HEALTH PROGRAMS HEALTH PROMOTION HEALTH PROVIDERS HEALTH RESULTS HEALTH SECTOR HEALTH STATUS HEALTH TARGETS HEALTH-CARE PROVIDERS HIGH-RISK HIV HOSPITAL HOSPITAL MEDICAL STAFF HOSPITALS HUMAN CAPITAL HUMAN IMMUNODEFICIENCY VIRUS IMMUNIZATION IMMUNIZATION COVERAGE IMMUNIZATION STATUS IMMUNODEFICIENCY IMPROVEMENTS IN QUALITY OF CARE INCOME INDIVIDUAL CHARACTERISTICS INFANT INFANT HEALTH INFANT HEALTH SERVICES INFANT MORTALITY INFORMATION SYSTEM INTERVENTION LABOR MARKET LIFE EXPECTANCY LIVE BIRTHS LOCAL GOVERNMENTS LOW BIRTH WEIGHT LOW-INCOME COUNTRIES MATERNAL AGE MATERNAL AND CHILD HEALTH MATERNAL CARE MATERNAL DEATHS MATERNAL HEALTH MATERNAL HEALTH SERVICES MATERNITY HOSPITALS MEAN BIRTH WEIGHT MEASLES MEASLES IMMUNIZATION MEDICAID MEDICAL CARE MEDICAL EQUIPMENT MEDICAL FACILITIES MEDICAL RECORDS MEDICAL SERVICES MEDICAL STAFF MEDICINE MINISTRY OF HEALTH MORALITY MORTALITY MORTALITY RATE MOTHER NATIONAL GOVERNMENT NATIONAL LEVEL NEONATAL DEATH NEONATAL MORTALITY NEONATAL SERVICES NEWBORN NEWBORNS NUMBER OF BIRTHS NUTRITION OBSTETRIC CARE PATIENT PATIENTS POLICY CONCERN POLICY DISCUSSIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POPULATION CENSUS POPULATION GROUPS POSTNATAL CARE PREGNANCIES PREGNANCY PREGNANCY STATUS PREGNANCY TEST PREGNANT WOMEN PRENATAL CARE PRENATAL CARE UTILIZATION PRIMARY HEALTH CARE PRIMARY HEALTH-CARE PRIVATE PROVIDERS PROBABILITY PROGRESS PROVIDER INCENTIVES PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH SERVICES PUBLIC SERVICES QUALITY CARE QUALITY OF HEALTH QUALITY OF SERVICES REPRODUCTIVE HEALTH RESPECT RISK FACTORS SANITATION SCHOOLS SECRETARY OF HEALTH SERVICE PROVIDER SERVICE PROVIDERS SOCIAL SECURITY SPILLOVER TETANUS TRANSPORTATION TREATMENT USE OF RESOURCES VACCINATION VACCINE VACCINES WOMEN DURING PREGNANCY WORLD HEALTH ORGANIZATION Argentina's Plan Nacer provides insurance for maternal and child health care to uninsured families. The program allocates funding to provinces based on enrollment of beneficiaries and adds performance incentives based on indicators of the use and quality of maternal and child health care services and health outcomes. The provinces use these resources to pay health facilities to provide maternal and child health care services to beneficiaries. This paper analyzes the impact of Plan Nacer on birth outcomes. The analysis uses data from the universe of birth records in seven Argentine provinces for 2004 to 2008 and exploits the geographic phasing in of Plan Nacer over time. The paper finds that the program increases the use and quality of prenatal care as measured by the number of visits and the probability of receiving a tetanus vaccine. Beneficiaries' probability of low birth-weight is estimated to be reduced by 19 percent. Beneficiaries have a 74 percent lower chance of in-hospital neonatal mortality in larger facilities and approximately half this reduction comes from preventing low birth weight and half from better postnatal care. The analysis finds that the cost of saving a disability-adjusted life year through the program was $814, which is highly cost-effective compared with Argentina's $6,075 gross domestic product per capita over this period. Although there are small negative spillover effects on prenatal care utilization of non-beneficiary populations in clinics covered by Plan Nacer, no spillover is found on their birth outcomes. 2014-06-26T21:47:03Z 2014-06-26T21:47:03Z 2014-05 http://documents.worldbank.org/curated/en/2014/05/19546892/rewarding-provider-performance-enable-healthy-start-life-evidence-argentinas-plan-nacer http://hdl.handle.net/10986/18801 English en_US Policy Research Working Paper;No. 6884 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research Latin America & Caribbean ARGENTINA |