To assess the impact of the BRAC’s Community Health Promoters (CHPs) Program, this experimental study followed 7,018 households and 11,563 children under-five from 214 village clusters in 10 districts of Uganda from 2011 to 2013. After three years, the findings from this large-scale evaluation of a novel approach to health care delivery demonstrated substantial impact. The risk of under-five mortality was reduced by 27%, infant deaths by 33% and neonatal mortality by 28% – at an estimated average cost of $68 per life-year saved. The researchers estimated the cost-effectiveness of the program and found the estimated cost per averted death under five years old during the study period to be approximately $4,000. This study is the first impact evaluation of a community health delivery intervention based on an incentivized approach. The findings should encourage government and nongovernment organizations to continue improving their facility based care, but also points to the importance of integrating the program into the existing health service provision strategy.
Authors: Nyqvist, Martina Björkman; Guariso, Andrea; Svensson, Jakob; Yanagizawa-Drott, David
Type: Journal Article
Year: 2019
