Pay for performance for prenatal care and newborn health: evidence from a developing country

Empirical literature analyzing the effect of pay-for-performance programs (P4P) for healthcare providers on maternal care and newborn health outcomes is scarce. In 2008, Uruguay’s Ministry of Public Health implemented a P4P called Metas Asistenciales (Healthcare Goals), a country-wide program that g...

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Autores principales: Alzúa, María Laura, Katzkowicz Junio, Noemí Dafnah
Formato: Articulo Documento de trabajo
Lenguaje:Inglés
Publicado: 2020
Materias:
Acceso en línea:http://sedici.unlp.edu.ar/handle/10915/110370
https://www.cedlas.econo.unlp.edu.ar/wp/wp-content/uploads/doc_cedlas272.pdf?dl=0
Aporte de:
id I19-R120-10915-110370
record_format dspace
institution Universidad Nacional de La Plata
institution_str I-19
repository_str R-120
collection SEDICI (UNLP)
language Inglés
topic Ciencias Económicas
Prenatal care
Pay-for-performance programs
Metas Asistenciales
Newborn health
spellingShingle Ciencias Económicas
Prenatal care
Pay-for-performance programs
Metas Asistenciales
Newborn health
Alzúa, María Laura
Katzkowicz Junio, Noemí Dafnah
Pay for performance for prenatal care and newborn health: evidence from a developing country
topic_facet Ciencias Económicas
Prenatal care
Pay-for-performance programs
Metas Asistenciales
Newborn health
description Empirical literature analyzing the effect of pay-for-performance programs (P4P) for healthcare providers on maternal care and newborn health outcomes is scarce. In 2008, Uruguay’s Ministry of Public Health implemented a P4P called Metas Asistenciales (Healthcare Goals), a country-wide program that grants healthcare providers an economic incentive for complying with certain maternal and newborn healthcare goals. Health organizations use these funds to provide maternal and child health services. Using administrative records and a difference-in-difference methodology, we evaluate the effect of the Metas Asistenciales program on maternal and newborn health outcomes. We find that in the institutions affected by the program, 10 percentage points more women received an adequate number of prenatal checkups and pregnancy detection in the first trimester improved by 5 percentage points. We also found better results among newborns for indicators related to birth weight, premature births, and stillbirths. In sum, the program had a positive, significant impact on the rate of pregnant women’s utilization of health services and on newborn health outcomes. This study thus provides evidence supporting the idea that economic incentives are a promising tool for incentivizing healthcare providers to achieve better health services in developing countries.
format Articulo
Documento de trabajo
author Alzúa, María Laura
Katzkowicz Junio, Noemí Dafnah
author_facet Alzúa, María Laura
Katzkowicz Junio, Noemí Dafnah
author_sort Alzúa, María Laura
title Pay for performance for prenatal care and newborn health: evidence from a developing country
title_short Pay for performance for prenatal care and newborn health: evidence from a developing country
title_full Pay for performance for prenatal care and newborn health: evidence from a developing country
title_fullStr Pay for performance for prenatal care and newborn health: evidence from a developing country
title_full_unstemmed Pay for performance for prenatal care and newborn health: evidence from a developing country
title_sort pay for performance for prenatal care and newborn health: evidence from a developing country
publishDate 2020
url http://sedici.unlp.edu.ar/handle/10915/110370
https://www.cedlas.econo.unlp.edu.ar/wp/wp-content/uploads/doc_cedlas272.pdf?dl=0
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