财政激励和分娩护理:尼泊尔安全分娩激励计划的证据
1Western Illinois University, Macomb, Illinois, USA.
Health economics
|July 8, 2023
概括
尼泊尔的安全分娩激励计划在高HDI地区增加了设施分娩,但在低HDI地区没有增加,而家庭分娩则上升. 该计划的有效性受到基础设施和宣传障碍的限制.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 发展中国家的卫生系统
背景情况:
- 尼泊尔的安全分娩激励计划旨在通过现金转移降低分娩成本.
- 资格是分阶段的,女性出生次数较少 (限值以下) 首先有资格,其次是出生次数较多 (限值以上) 的女性.
研究的目的:
- 评估尼泊尔安全分娩激励计划对分娩地点和分娩援助的影响.
- 根据地区的人类发展指数 (HDI) 水平,调查差异化计划效应.
主要方法:
- 采用差异差异研究设计.
- 分析了计划对设施交付和熟练家庭交付率的影响.
- 在高和低的人口发展指数 (HDI) 地区,对限值以下和限值以上妇女的结果进行比较.
主要成果:
- 高 HDI 地区的妇女在设施交付方面增加了 8.8 个百分点.
- 人口发达指数较低的地区的妇女没有增加设施交付,但提高了4.8个百分点的熟练家庭交付.
- 该计划没有显著影响超标女性.
结论:
- 根据地区的HDI,该计划的有效性各不相同,这表明单独的财政激励措施是不够的.
- 之前存在的障碍,包括基础设施,海关,流动性限制和计划意识,阻碍了低HDI地区的采用.
- 解决这些障碍的有针对性的干预措施对于改善资源有限的环境中的孕产妇健康结果至关重要.
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