卫生补贴.卫生补贴. 鼓励发展中国家的卫生设施投资:一个集群随机试验
Raymond Guiteras1, James Levinsohn2, Ahmed Mushfiq Mobarak3
1Department of Economics, University of Maryland, College Park, MD 20742, USA.
概括
补贴显著增加了孟加拉国农村的卫生所所有权,证明了成功的政策干预. 这一发现凸显了金融激励措施对改善卫生覆盖率和减少露天排便的影响.
科学领域:
- 公共卫生 公共卫生
- 发展经济学 发展经济学
- 环境健康 环境健康
背景情况:
- 卫生条件差是全球疾病和死亡的主要原因之一,特别是在发展中国家.
- 提高卫生覆盖率的有效政策仍然是争论的主题.
- 了解不同干预措施的影响对于公共卫生战略至关重要.
研究的目的:
- 评估各种政策干预措施在增加对卫生所投资方面的有效性.
- 为了比较社区动机,信息,补贴和供给侧干预措施对卫生设施覆盖率的影响.
- 分析这些政策在孟加拉农村的影响.
主要方法:
- 一个集群随机试验,涉及孟加拉农村380个社区.
- 干预措施包括社区动机和信息,补贴和供给侧市场准入方法.
- 对照组没有接受任何干预措施进行比较.
主要成果:
- 社区动机和供给侧干预措施没有显示卫生所所有权的显著增加.
- 补贴导致目标家庭 (+22.0个百分点) 和邻居 (+8.5个百分点) 的所有权大幅增加.
- 补贴有效地将露天排便减少了14个百分点.
结论:
- 财政补贴是提高卫生所所有权的高效政策.
- 卫生设施投资决策似乎受到社交网络的影响,对邻居产生积极的溢出效应.
- 有针对性的补贴是改善卫生和公共卫生成果的有希望的策略.
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