The Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behavior and Health Outcomes for Children in Urban Mali

Subsidized primary care and community health worker (CHW) visits are important demand side policies in the effort to achieve universal health care for children under five. Causal evidence on the effects of these policies, alone and in interaction,...

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Main Authors:	Dean, Mark, Sautmann, Anja
Format:	Working Paper
Language:	English
Published:	World Bank, Washington, DC 2022
Subjects:	CHILD HEATH CARE COMMUNITY HEALTH WORKER (CHW) VISITS HEALTHCARE SUBSIDY EFFECTIVENESS PEDIATRIC ACCUTE MEDICAL INTERVENTION PEDIATRIC HEALTH OUTCOMES 0-2 INFANT AND CHILD MORTALITY HOME HEALTH VISIT VISITING NURSE
Online Access:	http://documents.worldbank.org/curated/en/099242403252213210/IDU01359dc10004d604271093a0014dea8c6313c http://hdl.handle.net/10986/37245

id	okr-10986-37245
recordtype	oai_dc
spelling	okr-10986-372452022-04-01T05:10:47Z The Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behavior and Health Outcomes for Children in Urban Mali Dean, Mark Sautmann, Anja CHILD HEATH CARE COMMUNITY HEALTH WORKER (CHW) VISITS HEALTHCARE SUBSIDY EFFECTIVENESS PEDIATRIC ACCUTE MEDICAL INTERVENTION PEDIATRIC HEALTH OUTCOMES 0-2 INFANT AND CHILD MORTALITY HOME HEALTH VISIT VISITING NURSE Subsidized primary care and community health worker (CHW) visits are important demand side policies in the effort to achieve universal health care for children under five. Causal evidence on the effects of these policies, alone and in interaction, is still sparse. This paper reports the effects on diarrhea prevention, curative care, and incidence as well as anthropometrics for 1649 children from a randomized control trial in Bamako that cross-randomized CHW visits and access to free health care. CHW visits improve prevention and subsidies increase the use of curative care for acute illness, with some indication of positive interaction effects. There is no evidence of moral hazard, such as reduced preventive care among families receiving the subsidy. Although there are no significant improvements in malnutrition, diarrhea incidence is reduced by over 70% in the group that receives both subsidies and CHW. Positive effects are concentrated among children ages 0 to 2. 2022-03-31T15:57:50Z 2022-03-31T15:57:50Z 2022-03 Working Paper http://documents.worldbank.org/curated/en/099242403252213210/IDU01359dc10004d604271093a0014dea8c6313c http://hdl.handle.net/10986/37245 English Policy Research Report;9986 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Policy Research Working Paper Publications & Research Africa Western and Central (AFW) Africa 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 HEATH CARE COMMUNITY HEALTH WORKER (CHW) VISITS HEALTHCARE SUBSIDY EFFECTIVENESS PEDIATRIC ACCUTE MEDICAL INTERVENTION PEDIATRIC HEALTH OUTCOMES 0-2 INFANT AND CHILD MORTALITY HOME HEALTH VISIT VISITING NURSE
spellingShingle	CHILD HEATH CARE COMMUNITY HEALTH WORKER (CHW) VISITS HEALTHCARE SUBSIDY EFFECTIVENESS PEDIATRIC ACCUTE MEDICAL INTERVENTION PEDIATRIC HEALTH OUTCOMES 0-2 INFANT AND CHILD MORTALITY HOME HEALTH VISIT VISITING NURSE Dean, Mark Sautmann, Anja The Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behavior and Health Outcomes for Children in Urban Mali
geographic_facet	Africa Western and Central (AFW) Africa Mali
relation	Policy Research Report;9986
description	Subsidized primary care and community health worker (CHW) visits are important demand side policies in the effort to achieve universal health care for children under five. Causal evidence on the effects of these policies, alone and in interaction, is still sparse. This paper reports the effects on diarrhea prevention, curative care, and incidence as well as anthropometrics for 1649 children from a randomized control trial in Bamako that cross-randomized CHW visits and access to free health care. CHW visits improve prevention and subsidies increase the use of curative care for acute illness, with some indication of positive interaction effects. There is no evidence of moral hazard, such as reduced preventive care among families receiving the subsidy. Although there are no significant improvements in malnutrition, diarrhea incidence is reduced by over 70% in the group that receives both subsidies and CHW. Positive effects are concentrated among children ages 0 to 2.
format	Working Paper
author	Dean, Mark Sautmann, Anja
author_facet	Dean, Mark Sautmann, Anja
author_sort	Dean, Mark
title	The Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behavior and Health Outcomes for Children in Urban Mali
title_short	The Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behavior and Health Outcomes for Children in Urban Mali
title_full	The Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behavior and Health Outcomes for Children in Urban Mali
title_fullStr	The Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behavior and Health Outcomes for Children in Urban Mali
title_full_unstemmed	The Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behavior and Health Outcomes for Children in Urban Mali
title_sort	effects of community health worker visits and primary care subsidies on health behavior and health outcomes for children in urban mali
publisher	World Bank, Washington, DC
publishDate	2022
url	http://documents.worldbank.org/curated/en/099242403252213210/IDU01359dc10004d604271093a0014dea8c6313c http://hdl.handle.net/10986/37245
_version_	1764486795486035968

The Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behavior and Health Outcomes for Children in Urban Mali

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