Does%20Contracting%2DOut%20Primary%20Care%20Services%20Work%3F%20The%20Case%20of%20Rural%20Guatemala

Working Papers

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


CODE: IDB-WP-273
AUTHOR(s): Cristia, Julian , Evans, William , Kim, Beomsoo
PUBLISHED: November 2011
LANGUAGE: English
RELATED TOPICS: Poverty Reduction and Labor
DOWNLOAD FILE IN: English

Abstract:

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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