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The Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behaviorand Health Outcomes for Children in Urban Mali
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The Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behaviorand Health Outcomes for Children in Urban Mali
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Paper
The Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behaviorand Health Outcomes for Children in Urban Mali
2022
Overview
Subsidized primary care and community health worker (CHW) visits are important demand sidepolicies in the effort to achieve universal health care forchildren under five. Causal evidence on the effects of these policies, alone and in interaction, is still sparse. Thispaper reports the effects on diarrhea prevention, curative care, and incidence as well as anthropometrics for 1649children 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 ofpositive interaction effects. There is no evidence of moral hazard, such as reduced preventive care among familiesreceiving the subsidy. Although there are no significant improvements in malnutrition, diarrhea incidence is reducedby over 70% in the group that receives both subsidies and CHW. Positive effects are concentrated among children ages 0to 2.
Publisher
Federal Reserve Bank of St. Louis
Subject
