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Effect of a micro entrepreneur-based community health delivery program on under-five mortality in Uganda: a cluster-randomized

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Listed:
  • Björkman Nyqvist, Martina
  • Svensson, Jakob
  • Guariso, Andrea
  • Yanagizawa-Drott, David

Abstract

Systematic reviews of existing evidence show promising effects of community health worker (CHW) programs as a strategy to improve child survival, but also highlight challenges faced by CHW programs, including insufficient incentives to deliver timely and appropriate services. We assessed the effect of an incentivized community health delivery program in Uganda on all-cause under-five mortality. A cluster-randomized controlled trial, embedded within the scale-up of a new community health delivery program, was undertaken in 214 clusters in 10 districts in Uganda. In the intervention clusters micro entrepreneur-based community health promoters (CHPs) were deployed over a three-year period (2011-2013). On average 38 households were surveyed in each cluster at the end of 2013, for a total sample size of 8,119 households. The primary study outcome was all-cause under-five mortality (U5MR). U5MR was reduced by 27% (adjusted RR 0.73, 95% CI 0.58-0.93).

Suggested Citation

  • Björkman Nyqvist, Martina & Svensson, Jakob & Guariso, Andrea & Yanagizawa-Drott, David, 2016. "Effect of a micro entrepreneur-based community health delivery program on under-five mortality in Uganda: a cluster-randomized," CEPR Discussion Papers 11515, C.E.P.R. Discussion Papers.
    • Handle: RePEc:cpr:ceprdp:11515
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    References listed on IDEAS

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    1. Nyqvist, Martina Bjorkman & de Walque, Damien & Svensson, Jakob, 2014. "Information is power : experimental evidence on the long-run impact of community based monitoring," Policy Research Working Paper Series 7015, The World Bank.
    2. Edward C. Norton & Morgen M. Miller & Lawrence C. Kleinman, 2013. "Computing adjusted risk ratios and risk differences in Stata," Stata Journal, StataCorp LP, vol. 13(3), pages 492-509, September.
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    More about this item

    Keywords

    Child mortality; Social entrepreneurship; Living goods; Community health worker; Infant mortality;
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