为卫生设施的使用提供财政激励:越南农村地区的随机对照试验
Cuong Viet Nguyen1, Tung Duc Phung2
1International School, Vietnam National University, Hanoi, Viet Nam; Mekong Development Research Institute, Hanoi, Viet Nam.
财政激励措施在越南的低收入家庭中显著提高了卫生所的所有权. 与公社级奖励不同,直接的家庭折扣被证明是有效的,这表明有针对性的财政支持是改善卫生条件的关键.
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:
- 发展中国家的低收入家庭往往无法获得卫生卫生设施.
- 财政障碍是改善所采用的重要障碍.
研究的目的:
- 评估不同金融激励结构在促进卫生卫生所所有权方面的有效性.
- 确定改善越南农村家庭卫生状况的最具影响力的金融机制.
主要方法:
- 随机对照试验设计,使用对照组和三个治疗臂.
- 干预措施包括家庭折扣,社区级奖励以及两者的组合.
- 分析的重点是家庭拥有化池所和卫生知识.
主要成果:
- 家庭折扣 (在T1和T3) 显示出对污水池和所所有权有显著的积极影响.
- 社区级奖励 (在T2) 对所采用没有显著影响.
- 有证据表明,小额信贷可能通过折扣促进所的安装.
- 综合激励措施 (T3) 改善了卫生知识和洗手实践.
结论:
- 对家庭的直接财政激励比增加卫生所所有权的公社级奖励更有效.
- 获得小额信贷可以成为改善卫生设施的关键促进因素.
- 干预措施可以积极影响基础设施采用和与健康相关的行为.
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