Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Evaluating program effects on institutional delivery in Peru.

Michael J McQuestion1, Anibal Velasquez

  • 1Johns Hopkins Bloomberg School of Public Health, Population and Family Health Sciences, 615 N Wolfe Street, E-4142, Baltimore, MD 21205, USA. mmcquest@jhsph.edu

Health Policy (Amsterdam, Netherlands)
|August 18, 2005
PubMed
Summary

Peru's national maternal and child health insurance (SMI Program) increased public EmOC facility use. However, Proyecto 2000, aimed at improving EmOC quality, did not significantly impact delivery location choices. The programs' effects were independent.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Health research policy and systems for management based on evidences].

Revista peruana de medicina experimental y salud publica·2018
Same author

[Health in Peru: towards universal coverage and effective responses to health risks].

Revista peruana de medicina experimental y salud publica·2016
Same author

[The national agreement as a space of consensus for defining the objectives of health care reform and establishing Peruvian health policies].

Revista peruana de medicina experimental y salud publica·2016
Same author

[Health sector reform in Peru: Law, governance, universal coverage, and responses to health risks].

Revista peruana de medicina experimental y salud publica·2016
Same author

[Contribution of Peru in initiatives to promote global health security].

Revista peruana de medicina experimental y salud publica·2016
Same author

[Why do effective interventions to improve childhood survival not reach those who most need them?].

Revista peruana de medicina experimental y salud publica·2011

Area of Science:

  • Public Health
  • Health Services Research
  • Maternal Health

Background:

  • Peru implemented two key health programs: the national maternal and child health insurance (SMI Program) for the poorest households and Proyecto 2000 to enhance emergency obstetric care (EmOC) quality and utilization in high-mortality areas.
  • Understanding the independent and joint effects of these interventions on facility delivery choices is crucial for optimizing maternal healthcare strategies.

Purpose of the Study:

  • To evaluate the combined impact of the SMI Program and Proyecto 2000 on women's decisions to deliver in public emergency obstetric care (EmOC) facilities in Peru.
  • To assess the influence of improved EmOC quality and insurance coverage on maternal healthcare utilization.

Main Methods:

  • Utilized data from the Proyecto 2000 endline evaluation, surveying 5335 mothers near 29 treatment and 29 matched control EmOC facilities.

Related Experiment Videos

  • Employed propensity scoring and quality of care indices to analyze the impact of Proyecto 2000.
  • Applied variance components logistic models to determine the effect of SMI Program enrollment and Proyecto 2000 treatment area residence on delivery location choice.

    • Main Results:

    • Proyecto 2000 treatment facilities demonstrated significantly higher quality of care.
    • Mothers enrolled in the SMI Program were more likely to deliver in public EmOC facilities, independent of household constraints.
    • Residence in a Proyecto 2000 treatment area did not significantly influence the choice of delivery facility.

    Conclusions:

    • The SMI Program effectively increased the utilization of public EmOC facilities among eligible populations.
    • While Proyecto 2000 improved EmOC quality, it did not significantly alter mothers' decisions regarding delivery location.
    • The independent effects of the SMI Program and Proyecto 2000 suggest distinct mechanisms of influence on maternal healthcare choices.