Seminario: "Paying Patients for Prenatal Care: The Effect of a Small Cash Transfer on Stillbirths and Survival"

Autores: Pablo Celhay, Julia Johannsen, Sebastian Martinez y Cecilia Vidal Presenta: Pablo Celhay Lugar y hora: Miércoles 21 de Junio de 2017, 13:00 hrs. Sala P 302, Edificio Placa (Diagonal Paraguay 257)

We study the effects of conditional cash transfers to pregnant women on stillbirths and child survival in Bolivia. Payments are conditional on compliance with medically recommended prenatal care and skilled birth attendance. At a value equivalent to just 1% of monthly household consumption, the payments are the smallest amongst national cash transfer programs in Latin America. Using multiple data sources and empirical methods, we show that the intervention reduced the average rate of stillbirths by 9.5% to 22.3%, and increased the survival rates of birth cohorts exposed to the program by 3.5% to 16.8%. The causal pathways of these effects are consistent with evidence of increased utilization of recommended health care services, including early initiation of prenatal care (17%), at least four prenatal visits (16%), and skilled birth attendance (15%). Given the modest transfer amounts and considerable effects on health care utilization, we posit that final health outcomes are likely driven by the health care conditionality, rather than an income effect. The intervention is highly cost-effective, at $184.54 per DALY averted, making the program’s pay-per-compliance design a promising policy alternative. 

(JEL H51, I12, I38, J18, O15). 

Datos del Evento

Fecha de inicio:
21 de Junio, 2017 | 13:00 hrs.

Fecha de término
21 de Junio, 2017 | 14:00 hrs.