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Improving the Health Coverage of the Rural Poor: Does Contracting-Out Mobile Medical Teams Work?

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  • Julian Cristia
  • William N. Evans
  • Beomsoo Kim

Abstract

Low population density in rural developing countries coupled with deficient infrastructure, weak state capacity and limited budgets makes increasing health care coverage difficult. Contracting-out mobile medical teams may be a helpful solution in this context. This article examines the impact of a large-scale programme of this type in Guatemala. We document large impacts on immunisation rates for children and prenatal care provider choices. The programme increased substantially the role of physician and nurses at the expense of traditional midwives. The results indicate that mobile medical teams substantially increased coverage of health care services in Guatemala, and could be effective in other developing countries.

Suggested Citation

  • Julian Cristia & William N. Evans & Beomsoo Kim, 2015. "Improving the Health Coverage of the Rural Poor: Does Contracting-Out Mobile Medical Teams Work?," Journal of Development Studies, Taylor & Francis Journals, vol. 51(3), pages 247-261, March.
    • Handle: RePEc:taf:jdevst:v:51:y:2015:i:3:p:247-261
    DOI: 10.1080/00220388.2014.976617
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    References listed on IDEAS

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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. World Bank, 2014. "World Development Indicators 2014," World Bank Publications - Books, The World Bank Group, number 18237.
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    Cited by:

    1. Galárraga, Omar & Quijano-Ruiz, Alonso & Faytong-Haro, Marco, 2024. "The effects of mobile primary health teams: Evidence from the Médico del Barrio strategy in Ecuador," World Development, Elsevier, vol. 181(C).
    2. Chicoine, Luke & Guzman, Juan Carlos, 2017. "Increasing Rural Health Clinic Utilization with SMS Updates: Evidence from a Randomized Evaluation in Uganda," World Development, Elsevier, vol. 99(C), pages 419-430.
    3. Matias Busso & Sebastian Galiani, 2019. "The Causal Effect of Competition on Prices and Quality: Evidence from a Field Experiment," American Economic Journal: Applied Economics, American Economic Association, vol. 11(1), pages 33-56, January.

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