Subsidies, Information, and the Timing of Children’s Health Care in Mali

Sustained progress in reducing child mortality requires better care for children who are acutely ill. This paper studies how health care subsidies and health workers providing information on symptoms affect the overuse and underuse of primary care,...

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Main Authors:	Sautmann, Anja, Brown, Samuel, Dean, Mark
Format:	Working Paper
Language:	English
Published:	World Bank, Washington, DC 2020
Subjects:	CHILD HEALTH ACUTE HEALTHCARE HEALTHCARE SUBSIDY COMMUNITY HEALTH WORKERS ACUTE ILLNESS
Online Access:	http://documents.worldbank.org/curated/en/880531606763203323/Subsidies-Information-and-the-Timing-of-Children-s-Health-Care-in-Mali http://hdl.handle.net/10986/34841

id	okr-10986-34841
recordtype	oai_dc
spelling	okr-10986-348412022-09-20T00:11:37Z Subsidies, Information, and the Timing of Children’s Health Care in Mali Sautmann, Anja Brown, Samuel Dean, Mark CHILD HEALTH ACUTE HEALTHCARE HEALTHCARE SUBSIDY COMMUNITY HEALTH WORKERS ACUTE ILLNESS Sustained progress in reducing child mortality requires better care for children who are acutely ill. This paper studies how health care subsidies and health workers providing information on symptoms affect the overuse and underuse of primary care, which depend not just on absolute levels of demand, but also on whether care is received when the child is actually sick. In a randomized controlled trial of 1,768 children in Mali, the study collected a unique panel of nine weeks of daily symptom and health care use data to study the impact of each policy on demand conditional on need for care, as defined by World Health Organization standards. Subsidies substantially increase care when it is medically indicated, while overuse remains rare. Health worker visits have no aggregate effect on demand, but they may help the youngest children take advantage of the subsidy. 2020-11-30T22:28:42Z 2020-11-30T22:28:42Z 2020-11 Working Paper http://documents.worldbank.org/curated/en/880531606763203323/Subsidies-Information-and-the-Timing-of-Children-s-Health-Care-in-Mali http://hdl.handle.net/10986/34841 English Policy Research Working Paper;No. 9486 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Policy Research Working Paper Africa Africa Western and Central (AFW) Mali
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English
topic	CHILD HEALTH ACUTE HEALTHCARE HEALTHCARE SUBSIDY COMMUNITY HEALTH WORKERS ACUTE ILLNESS
spellingShingle	CHILD HEALTH ACUTE HEALTHCARE HEALTHCARE SUBSIDY COMMUNITY HEALTH WORKERS ACUTE ILLNESS Sautmann, Anja Brown, Samuel Dean, Mark Subsidies, Information, and the Timing of Children’s Health Care in Mali
geographic_facet	Africa Africa Western and Central (AFW) Mali
relation	Policy Research Working Paper;No. 9486
description	Sustained progress in reducing child mortality requires better care for children who are acutely ill. This paper studies how health care subsidies and health workers providing information on symptoms affect the overuse and underuse of primary care, which depend not just on absolute levels of demand, but also on whether care is received when the child is actually sick. In a randomized controlled trial of 1,768 children in Mali, the study collected a unique panel of nine weeks of daily symptom and health care use data to study the impact of each policy on demand conditional on need for care, as defined by World Health Organization standards. Subsidies substantially increase care when it is medically indicated, while overuse remains rare. Health worker visits have no aggregate effect on demand, but they may help the youngest children take advantage of the subsidy.
format	Working Paper
author	Sautmann, Anja Brown, Samuel Dean, Mark
author_facet	Sautmann, Anja Brown, Samuel Dean, Mark
author_sort	Sautmann, Anja
title	Subsidies, Information, and the Timing of Children’s Health Care in Mali
title_short	Subsidies, Information, and the Timing of Children’s Health Care in Mali
title_full	Subsidies, Information, and the Timing of Children’s Health Care in Mali
title_fullStr	Subsidies, Information, and the Timing of Children’s Health Care in Mali
title_full_unstemmed	Subsidies, Information, and the Timing of Children’s Health Care in Mali
title_sort	subsidies, information, and the timing of children’s health care in mali
publisher	World Bank, Washington, DC
publishDate	2020
url	http://documents.worldbank.org/curated/en/880531606763203323/Subsidies-Information-and-the-Timing-of-Children-s-Health-Care-in-Mali http://hdl.handle.net/10986/34841
_version_	1764481768307556352

Subsidies, Information, and the Timing of Children’s Health Care in Mali

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