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Saving Babies: The Impact of Public Education Programs on Infant Mortality

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  • Carolyn Moehling
  • Melissa Thomasson

Abstract

We take advantage of unique data on specific activities conducted under the Sheppard-Towner Act from 1924 through 1929 to focus on how public health interventions affected infant mortality. Interventions that provided one-on-one contact and opportunities for follow-up care, such as home visits by nurses and the establishment of health clinics, reduced infant deaths more than did classes and conferences. These interventions were particularly effective for nonwhites, a population with limited access to physicians and medical care. Although limited data on costs prevent us from making systematic cost-benefit calculations, we estimate that one infant death could be avoided for every $1,600 (about $20,400 in 2010 dollars) spent on home nurse visits. Copyright Population Association of America 2014

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  • Carolyn Moehling & Melissa Thomasson, 2014. "Saving Babies: The Impact of Public Education Programs on Infant Mortality," Demography, Springer;Population Association of America (PAA), vol. 51(2), pages 367-386, April.
    • Handle: RePEc:spr:demogr:v:51:y:2014:i:2:p:367-386
    DOI: 10.1007/s13524-013-0274-5
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    Cited by:

    1. Bhalotra, Sonia & Karlsson, Martin & Nilsson, Therese, 2014. "Life Expectancy and Mother-Baby Interventions. Evidence from A Historical Trial," Ruhr Economic Papers 504, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    2. Alex Hollingsworth & Krzysztof Karbownik & Melissa A. Thomasson & Anthony Wray, 2024. "The Gift of a Lifetime: The Hospital, Modern Medicine, and Mortality," American Economic Review, American Economic Association, vol. 114(7), pages 2201-2238, July.
    3. James J. Feigenbaum & Christopher Muller & Elizabeth Wrigley-Field, 2019. "Regional and Racial Inequality in Infectious Disease Mortality in U.S. Cities, 1900–1948," Demography, Springer;Population Association of America (PAA), vol. 56(4), pages 1371-1388, August.
    4. Salvanes, Kjell G & Løken, Katrine, 2018. "Infant Health Care and Long-Term," CEPR Discussion Papers 13064, C.E.P.R. Discussion Papers.
    5. Aline Bütikofer & Katrine V. Løken & Kjell G. Salvanes, 2019. "Infant Health Care and Long-Term Outcomes," The Review of Economics and Statistics, MIT Press, vol. 101(2), pages 341-354, May.
    6. Bütikofer, Aline & Loken, Katrine Vellesen & Salvanes, Kjell G., 2015. "Long-Term Consequences of Access to Well-Child Visits," IZA Discussion Papers 9546, Institute of Labor Economics (IZA).
    7. Katherine Eriksson & Gregory T. Niemesh & Melissa Thomasson, 2017. "Revising Infant Mortality Rates for the Early 20th Century United States," NBER Working Papers 23263, National Bureau of Economic Research, Inc.
    8. Katherine Eriksson & Gregory T. Niemesh & Melissa Thomasson, 2018. "Revising Infant Mortality Rates for the Early Twentieth Century United States," Demography, Springer;Population Association of America (PAA), vol. 55(6), pages 2001-2024, December.
    9. Philipp Ager & Casper Worm Hansen & Peter Z. Lin, 2023. "Medical Technology and Life Expectancy: Evidence from the Antitoxin Treatment of Diphtheria," Working Papers 0241, European Historical Economics Society (EHES).
    10. Marein, Brian, 2023. "Public health departments and the mortality transition in Latin America: Evidence from Puerto Rico," Journal of Development Economics, Elsevier, vol. 160(C).
    11. Aline Bütikofer & René Karadakic & Kjell G. Salvanes, 2021. "Income Inequality and Mortality: A Norwegian Perspective," Fiscal Studies, John Wiley & Sons, vol. 42(1), pages 193-221, March.
    12. Sonia Bhalotra & Martin Karlsson & Therese Nilsson, 2014. "Life Expectancy and Mother-Baby Interventions," CINCH Working Paper Series 1404, Universitaet Duisburg-Essen, Competent in Competition and Health.
    13. Sonia Bhalotra & Martin Karlsson & Therese Nilsson, 2014. "Life Expectancy and Mother-Baby Interventions. Evidence from A Historical Trial," Ruhr Economic Papers 0504, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen.
    14. Bhalotra, Sonia R. & Karlsson, Martin & Nilsson, Therese, 2015. "Infant Health and Longevity: Evidence from a Historical Trial in Sweden," IZA Discussion Papers 8969, Institute of Labor Economics (IZA).
    15. Onur Altındağ & Jane Greve & Erdal Tekin, 2024. "Public Health Policy at Scale: Impact of a Government-Sponsored Information Campaign on Infant Mortality in Denmark," The Review of Economics and Statistics, MIT Press, vol. 106(3), pages 882-893, May.
    16. Hoehn-Velasco, Lauren, 2018. "Explaining declines in US rural mortality, 1910–1933: The role of county health departments," Explorations in Economic History, Elsevier, vol. 70(C), pages 42-72.
    17. Andreas Kotsadam & Jo Thori Lind & Jørgen Modalsli, 2022. "Call the midwife. Health personnel and mortality in Norway 1887–1920," Cliometrica, Springer;Cliometric Society (Association Francaise de Cliométrie), vol. 16(2), pages 243-276, May.
    18. Galofré Vilà, Gregori, 2020. "Quantifying the impact of aid to dependent children: An epidemiological framework⁎," Explorations in Economic History, Elsevier, vol. 77(C).
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    20. Yinhe Liang & Xiaobo Peng & Meiping Aggie Sun, 2024. "Long-Term Impacts of Growth and Development Monitoring: Evidence from Routine Health Examinations in Early Childhood," CESifo Working Paper Series 10912, CESifo.
    21. Bernet, Patrick M. & Gumus, Gulcin & Vishwasrao, Sharmila, 2018. "Effectiveness of public health spending on infant mortality in Florida, 2001–2014," Social Science & Medicine, Elsevier, vol. 211(C), pages 31-38.
    22. Ogasawara, Kota & Matsushita, Yukitoshi, 2018. "Public health and multiple-phase mortality decline: Evidence from industrializing Japan," Economics & Human Biology, Elsevier, vol. 29(C), pages 198-210.
    23. Lauren Hoehn‐Velasco & Elizabeth Wrigley‐Field, 2022. "City health departments, public health expenditures, and urban mortality over 1910–1940," Economic Inquiry, Western Economic Association International, vol. 60(2), pages 929-953, April.

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