在缅甸提供母亲现金转移的不同模式之间的比较
Elisa M Maffioli1, Nicholus Tint Zaw2, Erica Field3
1Department of Health Management and Policy, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109, United States.
Health policy and planning
|June 28, 2024
概括
政府卫生工作者在缅甸提供母亲现金转账,与非政府组织贷款代理商相比,改善了计划绩效和儿童营养. 关键的成功因素包括值得信赖的存在和一致的激励措施.
科学领域:
- 公共卫生 公共卫生
- 发展经济学 发展经济学
- 孕产妇和儿童的健康
背景情况:
- 母亲现金转移计划旨在改善儿童营养和福祉.
- 交付模式可以显著影响计划的有效性和覆盖范围.
- 了解影响成功的因素对于优化干预至关重要.
研究的目的:
- 根据交付模式 (政府卫生工作者与非政府组织贷款代理人) 评估母亲现金转移计划的绩效.
- 确定对母亲现金转账计划成功贡献的关键因素.
- 评估对儿童营养结果的影响.
主要方法:
- 在缅甸 (2016-2019) 进行的随机对照试验.
- 政府卫生工作者与非政府组织贷款代理商的方案交付比较.
- 分析注册错误,付款交付失败和节目保留情况.
- 评估儿童营养不良率作为主要健康结果.
主要成果:
- 政府卫生工作人员的交付导致了更多的转移,更高的按时/全额支付,以及更低的长期保留.
- 通过卫生工作者获得现金的母亲的孩子的慢性营养不良率降低.
- 政府卫生工作者在缅甸农村提供母亲现金转账方面表现优于贷款代理人.
结论:
- 政府卫生工作人员的分娩是缅甸农村母亲现金转移计划的一个更有效的模式.
- 值得信赖的存在,过去的互动和计划的互补性提高了成功.
- 与健康目标相关的激励措施和强有力的监测是关键的成功因素.
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