TY - JOUR
T1 - Improving the Health Coverage of the Rural Poor
T2 - Does Contracting-Out Mobile Medical Teams Work?
AU - Cristia, Julian
AU - Evans, William N.
AU - Kim, Beomsoo
N1 - Funding Information:
The authors wish to thank Nohora Alvarado, Hedi Deman, Ariadna Garcia Prado, Gerard La Forgia, Roberto Iunes, Cristina Maldonado, Olga Namen, Isabel Nieves, Silvia Raw, Jose Rodas, Tomas Rosada, Guilherme Sedlacek, Yuri Soares, Rita Sorio and Federico Volpino, as well as seminar participants at the Inter-American Development Bank, the 2009 Population Association of America Annual Conference and the 2009 Latin American and Caribbean Economic Association Annual Conference, for invaluable comments and suggestions. Nicolas Bottan and Ted Enamorado provided excellent research assistance throughout this project. Beomsoo Kim was supported by the National Research Foundation of Korea Grant funded by the korean Government [NRF-2013S1A5A2A01018028]. The opinions expressed herein are those of the authors and do not necessarily reflect those of the Inter-American Development Bank.
PY - 2015/3/4
Y1 - 2015/3/4
N2 - 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.
AB - 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.
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U2 - 10.1080/00220388.2014.976617
DO - 10.1080/00220388.2014.976617
M3 - Article
AN - SCOPUS:84928825399
SN - 0022-0388
VL - 51
SP - 247
EP - 261
JO - Journal of Development Studies
JF - Journal of Development Studies
IS - 3
ER -