Tafesse, Wiktoria orcid.org/0000-0002-0076-8285, Manthalu, Gerald and Chalkley, Martin John orcid.org/0000-0002-1091-8259 (2019) The effect of government contracting with faith-based health care providers in Malawi. Discussion Paper. CHE Research Paper . Centre for Health Economics, University of York , York, UK.
Abstract
We study the impact of contracting-out of maternal health care by the government of Malawi to providers from the Christian Health Association of Malawi (CHAM) in the form of Service Level Agreements (SLAs). Under a SLA, a CHAM facility provides agreed maternal and newborn services free-of-charge to patients, and is reimbursed on a fixed price per service. We merge data on health facilities in Malawi with pregnancy histories from the 2010 Malawi Demographic and Health Survey, and exploit the staggered implementation of SLAs across facilities. Using difference-in-differences, we estimate the differential effects on pregnancy- related health care utilisation to mothers residing near and far from facilities with a SLA over time. Our findings show that SLAs reduced home births and increased skilled deliveries at CHAM hospitals. We observe greater provision of prenatal care services at CHAM health centres but no overall increase in the number of prenatal care visits. We find evidence of a reduction in certain components of prenatal care.
Metadata
Item Type: | Monograph |
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Authors/Creators: |
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Keywords: | Healthcare,Least Developed Country,Contracting Out,Nonprofit |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) > CHE Research Papers (York) |
Depositing User: | Pure (York) |
Date Deposited: | 23 Jul 2019 13:00 |
Last Modified: | 06 Dec 2024 00:26 |
Status: | Published |
Publisher: | Centre for Health Economics, University of York |
Series Name: | CHE Research Paper |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:148883 |
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