IDEAS home Printed from https://ideas.repec.org/a/taf/jdevef/v1y2009i4p430-449.html
   My bibliography  Save this article

Impact evaluation of the Ethiopian Health Services Extension Programme

Author

Listed:
  • Assefa Admassie
  • Degnet Abebaw
  • Andinet Woldemichael

Abstract

Ethiopia has launched a pro-poor health services extension programme since 2003 to deliver preventive and basic curative health services to its inhabitants. Despite the massive support and recognition the programme has received, there has not been proper evaluation of its impact. This study has applied propensity score matching and regression adjustment techniques to evaluate the short-term and intermediate-term impacts of the programme on child and maternal health indicators in the programme villages. Empirical data for the study were collected from 3095 households from both programme and non-programme villages in rural Ethiopia. The estimated results indicate that the programme has significantly increased the proportion of children fully and individually vaccinated against tuberculosis, polio, diphtheria-pertussis-tetanus, and measles. The study finds heterogeneity in childhood immunisation coverage as a result of differences in terms of the number of health extension workers, in the quality of health posts and in terms of the educational achievement of mothers across programme villages. The proportions of children and women using insecticide-treated bednets for malaria protection are significantly larger in programme villages than in non-programme villages. The effect on preventive maternal care is rather limited. Whereas women in the programme villages appeared to make their first contact with a skilled health service provider significantly earlier during pregnancy, very little effect is detected on other prenatal and postnatal care services. Moreover, the programme has not reduced the incidence and duration of diarrhoea and cough diseases among under-five children.

Suggested Citation

  • Assefa Admassie & Degnet Abebaw & Andinet Woldemichael, 2009. "Impact evaluation of the Ethiopian Health Services Extension Programme," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 1(4), pages 430-449.
    • Handle: RePEc:taf:jdevef:v:1:y:2009:i:4:p:430-449
    DOI: 10.1080/19439340903375724
    as

    Download full text from publisher

    File URL: http://www.tandfonline.com/doi/abs/10.1080/19439340903375724
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1080/19439340903375724?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Marco Caliendo & Sabine Kopeinig, 2008. "Some Practical Guidance For The Implementation Of Propensity Score Matching," Journal of Economic Surveys, Wiley Blackwell, vol. 22(1), pages 31-72, February.
    2. Alejandro Gaviria & Carlos Medina & Carolina Mejía, 2006. "Evaluating The Impact Of Health Care Reform In Colombia: From Theory To Practice," Documentos CEDE 2647, Universidad de los Andes, Facultad de Economía, CEDE.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Bethlehem A. Argaw, 2017. "Regional inequality of economic outcomes and opportunities in Ethiopia: A tale of two periods," WIDER Working Paper Series 118, World Institute for Development Economic Research (UNU-WIDER).
    2. Thomas, Ranjeeta & Jones, Andrew M & Squire, Lyn, 2010. "Methods for Evaluating Innovative Health Programs (EIHP): A Multi-Country Study," MPRA Paper 29402, University Library of Munich, Germany.
    3. Squire, Lyn & Jones, Andrew M & Thomas, Ranjeeta, 2010. "Evaluating Innovative Health Programs: Lessons for Health Policy," MPRA Paper 29205, University Library of Munich, Germany.
    4. Lelisa Fekadu Assebe & Wondesen Nigatu Belete & Senait Alemayehu & Elias Asfaw & Kora Tushune Godana & Yibeltal Kiflie Alemayehu & Alula M Teklu & Amanuel Yigezu, 2021. "Economic evaluation of Health Extension Program packages in Ethiopia," PLOS ONE, Public Library of Science, vol. 16(2), pages 1-16, February.
    5. Zelalem Yilma & Anagaw Mebratie & Robert Sparrow & Marleen Dekker & Getnet Alemu & Arjun S. Bedi, 2015. "Impact of Ethiopia's Community Based Health Insurance on Household Economic Welfare," The World Bank Economic Review, World Bank, vol. 29(suppl_1), pages 164-173.
    6. Eirin Krüger Skaftun & Merima Ali & Ole Frithjof Norheim, 2014. "Understanding Inequalities in Child Health in Ethiopia: Health Achievements Are Improving in the Period 2000–2011," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-10, August.
    7. Monica Jain & Shannon Shisler & Charlotte Lane & Avantika Bagai & Elizabeth Brown & Mark Engelbert & Yoav Vardy & John Eyers & Daniela Anda Leon & Shradha S. Parsekar, 2022. "Use of community engagement interventions to improve child immunisation in low‐ and middle‐income countries: A systematic review and meta‐analysis," Campbell Systematic Reviews, John Wiley & Sons, vol. 18(3), September.
    8. Mebratie, A.D. & Van de Poel, E. & Debebe, Z.Y. & Abebaw, D. & Alemu, G. & Bedi, A.S., 2013. "Self-reported health care seeking behavior in rural Ethiopia: Evidence from clinical vignettes," ISS Working Papers - General Series 551, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
    9. Yohannes Dibaba Wado & Eshetu Gurmu & Tizta Tilahun & Martin Bangha, 2019. "Contextual influences on the choice of long-acting reversible and permanent contraception in Ethiopia: A multilevel analysis," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-17, January.
    10. UN Economic Commission for Africa & United Nations Development Programme Regional Bureau for Africa & African Union & African Development Bank, 2016. "MDGs to Agenda 2063/SDGs Transition Report 2016: 2016Towards an integrated and coherent approach to sustainable development in Africa," UNDP Africa Reports 267640, United Nations Development Programme (UNDP).
    11. Bethlehem A. Argaw, 2017. "Regional inequality of economic outcomes and opportunities in Ethiopia: A tale of two periods," WIDER Working Paper Series wp-2017-118, World Institute for Development Economic Research (UNU-WIDER).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Wagstaff, Adam & Lindelow, Magnus & Jun, Gao & Ling, Xu & Juncheng, Qian, 2009. "Extending health insurance to the rural population: An impact evaluation of China's new cooperative medical scheme," Journal of Health Economics, Elsevier, vol. 28(1), pages 1-19, January.
    2. Wagstaff, Adam, 2007. "Health insurance for the poor : initial impacts of Vietnam's health care fund for the poor," Policy Research Working Paper Series 4134, The World Bank.
    3. Seow Eng Ong & Davin Wang & Calvin Chua, 2023. "Disruptive Innovation and Real Estate Agency: The Disruptee Strikes Back," The Journal of Real Estate Finance and Economics, Springer, vol. 67(2), pages 287-317, August.
    4. Raymundo M. Campos-Vázquez, 2013. "Efectos de los ingresos no reportados en el nivel y tendencia de la pobreza laboral en México," Ensayos Revista de Economia, Universidad Autonoma de Nuevo Leon, Facultad de Economia, vol. 0(2), pages 23-54, November.
    5. Andrea Pufahl & Christoph R. Weiss, 2009. "Evaluating the effects of farm programmes: results from propensity score matching," European Review of Agricultural Economics, Oxford University Press and the European Agricultural and Applied Economics Publications Foundation, vol. 36(1), pages 79-101, March.
    6. Paolo Naticchioni & Silvia Loriga, 2011. "Short and Long Term Evaluations of Public Employment Services in Italy," Applied Economics Quarterly (formerly: Konjunkturpolitik), Duncker & Humblot, Berlin, vol. 57(3), pages 201-229.
    7. Jean-Louis Combes & Alexandru Minea & Pegdéwendé Nestor Sawadogo, 2019. "Assessing the effects of combating illicit financial flows on domestic tax revenue mobilization in developing countries," Post-Print halshs-02315734, HAL.
    8. Morgane Innocent & Agnès François-Lecompte & Nolwenn Roudaut, 2020. "Comparison of human versus technological support to reduce domestic electricity consumption in France," Post-Print hal-02450849, HAL.
    9. Jörg Prokop & Dandan Wang, 2022. "Is there a gender gap in equity-based crowdfunding?," Small Business Economics, Springer, vol. 59(3), pages 1219-1244, October.
    10. Dettmann, E. & Becker, C. & Schmeißer, C., 2011. "Distance functions for matching in small samples," Computational Statistics & Data Analysis, Elsevier, vol. 55(5), pages 1942-1960, May.
    11. Irene Bertschek & Joern Block & Alexander S. Kritikos & Caroline Stiel, 2024. "German financial state aid during Covid-19 pandemic: Higher impact among digitalized self-employed," Entrepreneurship & Regional Development, Taylor & Francis Journals, vol. 36(1-2), pages 76-97, January.
    12. Febi Jensen & Hans Lööf & Andreas Stephan, 2020. "New ventures in Cleantech: Opportunities, capabilities and innovation outcomes," Business Strategy and the Environment, Wiley Blackwell, vol. 29(3), pages 902-917, March.
    13. Jan Fałkowski & Maciej Jakubowski & Paweł Strawiński, 2014. "Returns from income strategies in rural Poland," The Economics of Transition, The European Bank for Reconstruction and Development, vol. 22(1), pages 139-178, January.
    14. Bemile, Esther & Anders, Sven M., 2014. "Linking Diet-Health Behaviour and Obesity using Propensity Score Matching," 2014 International Congress, August 26-29, 2014, Ljubljana, Slovenia 182832, European Association of Agricultural Economists.
    15. Nikolova, Milena & Roman, Monica & Zimmermann, Klaus F., 2017. "Left behind but doing good? Civic engagement in two post-socialist countries," Journal of Comparative Economics, Elsevier, vol. 45(3), pages 658-684.
    16. Balima, Wenéyam Hippolyte & Combes, Jean-Louis & Minea, Alexandru, 2017. "Sovereign debt risk in emerging market economies: Does inflation targeting adoption make any difference?," Journal of International Money and Finance, Elsevier, vol. 70(C), pages 360-377.
    17. Brunie, Aurélie & Fumagalli, Laura & Martin, Thomas & Field, Samuel & Rutherford, Diana, 2014. "Can village savings and loan groups be a potential tool in the malnutrition fight? Mixed method findings from Mozambique," Children and Youth Services Review, Elsevier, vol. 47(P2), pages 113-120.
    18. Federico Biagi & Daniele Bondonio & Alberto Martini, 2015. "Counterfactual Impact Evaluation of Enterprise Support Programmes. Evidence from a Decade of Subsidies to Italian Firm," ERSA conference papers ersa15p1619, European Regional Science Association.
    19. Annette Bergemann & Marco Caliendo & Gerard J. van den Berg & Klaus F. Zimmermann, 2011. "The threat effect of participation in active labor market programs on job search behavior of migrants in Germany," International Journal of Manpower, Emerald Group Publishing Limited, vol. 32(7), pages 777-795, October.
    20. Peter Grajzl & Stjepan Srhoj & Jaka Cepec & Barbara Mörec, 2024. "A by-product of big government: the attenuating role of public procurement for the effectiveness of grants-based entrepreneurship policy," Small Business Economics, Springer, vol. 62(3), pages 895-916, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:taf:jdevef:v:1:y:2009:i:4:p:430-449. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Chris Longhurst (email available below). General contact details of provider: http://www.tandfonline.com/RJDE20 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.