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

Martina Björkman Nyqvist | Zendy; Andrea Guariso | Zendy; Jakob Svensson | Zendy; David Yanagizawa-Drott | Zendy

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

Author(s) -

Martina Björkman Nyqvist,

Andrea Guariso,

Jakob Svensson,

David Yanagizawa-Drott

Publication year - 2019

Publication title -

american economic journal applied economics

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 12.996

H-Index - 82

eISSN - 1945-7782

pISSN - 1945-7790

DOI - 10.1257/app.20170201

Subject(s) - mile , child health , medicine , environmental health , health care , community health , child mortality , scale (ratio) , business , family medicine , nursing , public health , economic growth , geography , population , economics , geodesy , cartography

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.

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