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The Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behaviorand Health Outcomes for Children in Urban Mali

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  • Kline,Dean Mark
  • Sautmann,Anja

Abstract

Subsidized primary care and community health worker (CHW) visits are important demand sidepolicies in the effort to achieve universal health care forchildren under five. Causal evidence on the effects of these policies, alone and in interaction, is still sparse. Thispaper reports the effects on diarrhea prevention, curative care, and incidence as well as anthropometrics for 1649children from a randomized control trial in Bamako that cross-randomized CHW visits and access to free health care.CHW visits improve prevention and subsidies increase the use of curative care for acute illness, with some indication ofpositive interaction effects. There is no evidence of moral hazard, such as reduced preventive care among familiesreceiving the subsidy. Although there are no significant improvements in malnutrition, diarrhea incidence is reducedby over 70% in the group that receives both subsidies and CHW. Positive effects are concentrated among children ages 0to 2.

Suggested Citation

  • Kline,Dean Mark & Sautmann,Anja, 2022. "The Effects of Community Health Worker Visits and Primary Care Subsidies on Health Behaviorand Health Outcomes for Children in Urban Mali," Policy Research Working Paper Series 9986, The World Bank.
    • Handle: RePEc:wbk:wbrwps:9986
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    References listed on IDEAS

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    1. Sautmann,Anja & Brown,Samuel & Kline,Dean Mark, 2020. "Subsidies, Information, and the Timing of Children’s Health Care in Mali," Policy Research Working Paper Series 9486, The World Bank.
    2. Carolina Lopez & Anja Sautmann & Simone Schaner, 2022. "Does Patient Demand Contribute to the Overuse of Prescription Drugs?," American Economic Journal: Applied Economics, American Economic Association, vol. 14(1), pages 225-260, January.
    3. Johannes Haushofer & Michael Kremer & Ricardo Maertens & Brandon Joel Tan, 2021. "Water Treatment and Child Mortality: Evidence from Kenya," NBER Working Papers 29447, National Bureau of Economic Research, Inc.
    4. Shinsuke Tanaka, 2014. "Does Abolishing User Fees Lead to Improved Health Status? Evidence from Post-apartheid South Africa," American Economic Journal: Economic Policy, American Economic Association, vol. 6(3), pages 282-312, August.
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