Working Papers

Does Contracting-Out Primary Care Services Work? The Case of Rural Guatemala

AUTHOR(s): Cristia, Julian , Evans, William , Kim, Beomsoo
PUBLISHED: November 2011
RELATED TOPICS: Poverty Reduction and Labor


This paper estimates the impact of a large-scale contracting-out program in Guatemala, using two waves of living standard measurement surveys that collected data before and after the expansion of the program. Results indicate large program impacts on immunization rates for children and prenatal care provider choices. The program increases substantially the role of physicians and nurses as prenatal care providers at the expense of traditional midwives.

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