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Reducing Child Mortality in the Last Mile: Experimental Evidence on Community Health Promoters in Uganda

Martina Björkman Nyqvist, Andrea Guariso, Jakob Svensson and David Yanagizawa-Drott ()

American Economic Journal: Applied Economics, 2019, vol. 11, issue 3, 155-92

Abstract: The delivery of basic health products and services remains abysmal in many parts of the world where child mortality is high. This paper shows the results from a large-scale randomized evaluation of a novel approach to health care delivery. In randomly selected villages, a sales agent was locally recruited and incentivized to conduct home visits, educate households on essential health behaviors, provide medical advice and referrals, and sell preventive and curative health products. Results after 3 years show substantial health impact: under 5-years child mortality was reduced by 27 percent at an estimated average cost of $68 per life-year saved.

JEL-codes: I12 I18 J13 O15 O18 (search for similar items in EconPapers)
Date: 2019
Note: DOI: 10.1257/app.20170201
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