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The Impact of Contracting in and Contracting out Basic Health Services: The Guatemalan Experience

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  • Cristia, Julian
  • Prado, Ariadna García
  • Peluffo, Cecilia

Abstract

This paper uses a difference-in-difference strategy to evaluate a program in Guatemala that expanded access to health services through two contracting modalities. In the contracting-out model NGOs were responsible for all administrative and clinical procedures, while in the contracting-in model NGOs focused on administrative tasks and employed public employees to provide services. The evaluation design allows comparing results across both contracting models as well as with an area that did not receive additional services. Both models achieved modest results regarding immunization coverage and prenatal care, though contracting in performed slightly better. We also compare program phases and discuss policy implications.

Suggested Citation

  • Cristia, Julian & Prado, Ariadna García & Peluffo, Cecilia, 2015. "The Impact of Contracting in and Contracting out Basic Health Services: The Guatemalan Experience," World Development, Elsevier, vol. 70(C), pages 215-227.
    • Handle: RePEc:eee:wdevel:v:70:y:2015:i:c:p:215-227
    DOI: 10.1016/j.worlddev.2015.02.003
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    1. Dara N. Lee, 2012. "The Impact of Childhood Health on Adult Educational Attainment: Evidence from Modern Mandatory School Vaccination Laws," Working Papers 1202, Department of Economics, University of Missouri, revised 29 Oct 2012.
    2. John Strauss & Duncan Thomas, 1998. "Health, Nutrition, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 36(2), pages 766-817, June.
    3. Gary S. Becker & Tomas J. Philipson & Rodrigo R. Soares, 2005. "The Quantity and Quality of Life and the Evolution of World Inequality," American Economic Review, American Economic Association, vol. 95(1), pages 277-291, March.
    4. David Mayer, 2001. "The long-term impact of health on economic growth in Mexico, 1950-1995," Journal of International Development, John Wiley & Sons, Ltd., vol. 13(1), pages 123-126.
    5. Elizabeth M. King & Jere R. Behrman, 2009. "Timing and Duration of Exposure in Evaluations of Social Programs," The World Bank Research Observer, World Bank, vol. 24(1), pages 55-82, February.
    6. World Bank, 2007. "Key Issues in Central America Health Reforms : Diagnosis and Strategic Implications, Volume 2. Main Report," World Bank Publications - Reports 7995, The World Bank Group.
    7. Casabonne, Ursula & Kenny, Charles, 2012. "The Best Things in Life are (Nearly) Free: Technology, Knowledge, and Global Health," World Development, Elsevier, vol. 40(1), pages 21-35.
    8. Leonard, David K. & Bloom, Gerald & Hanson, Kara & O’Farrell, Juan & Spicer, Neil, 2013. "Institutional Solutions to the Asymmetric Information Problem in Health and Development Services for the Poor," World Development, Elsevier, vol. 48(C), pages 71-87.
    9. Mayer, David, 2001. "The Long-Term Impact of Health on Economic Growth in Latin America," World Development, Elsevier, vol. 29(6), pages 1025-1033, June.
    10. Cristia, Julian P. & Evans, William N. & Beomsoo, Kim, 2011. "Does Contracting-Out Primary Care Services Work?: The Case of Rural Guatemala," IDB Publications (Working Papers) 3803, Inter-American Development Bank.
    11. David E. Bloom & David Canning & Mark Weston, 2005. "The Value of Vaccination," World Economics, World Economics, 1 Ivory Square, Plantation Wharf, London, United Kingdom, SW11 3UE, vol. 6(3), pages 15-39, July.
    12. Julian Cristia & William Evans & Beomsoo Kim, 2011. "Does Contracting-Out Primary Care Services Work? The Case of Rural Guatemala," Research Department Publications 4728, Inter-American Development Bank, Research Department.
    13. Gragnolati, Michele & Marini, Alessandra, 2003. "Health and poverty in Guatemala," Policy Research Working Paper Series 2966, The World Bank.
    14. Goldman, Noreen & Glei, Dana A., 2003. "Evaluation of midwifery care: results from a survey in rural Guatemala," Social Science & Medicine, Elsevier, vol. 56(4), pages 685-700, February.
    15. World Bank, 2014. "World Development Indicators 2014," World Bank Publications - Books, The World Bank Group, number 18237.
    16. Basinga, Paulin & Gertler, Paul J. & Binagwaho, Agnes & Soucat, Agnes L.B. & Sturdy, Jennifer R. & Vermeersch, Christel M.J., 2010. "Paying primary health care centers for performance in Rwanda," Policy Research Working Paper Series 5190, The World Bank.
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