Improving Coverage and Utilization of Maternal and Child Health Services in Lao PDR

Tanner, Jeffery; Hayashi, Ryotaro; Li, Yunsun

Improving Coverage and Utilization of Maternal and Child Health Services in Lao PDR

Autores

Tanner, Jeffery

Hayashi, Ryotaro

Li, Yunsun

Editor

Washington, DC: Independent Evaluation Group

Descripción

The World Bank supported the community nutrition project (CNP) in the Lao People’s Democratic Republic (PDR) from 2009 to 2013, ostensibly to respond to the global food crisis of 2007-08. The evaluation finds an attributable effect on only one of the six formal project indicators: children in intervention areas were more likely to receive full diphtheria, pertussis, and tetanus (DPT) vaccines. This impact evaluation seeks to address whether the CNP can make causal claims to improving indicators related to its six stated project development objective measurements for mothers and children under two years old: antenatal care visits, institutional delivery, well-child checkups, breastfeeding, immunization, and diarrhea oral rehydration solutions. The results of quasi-experimental impact evaluation methods indicate that although general effects for these outcomes are mixed, the project shows improvements for the poorest 40 percent of the population.

Palabras clave

CHILD HEALTH, BIRTH, RISKS, TREATMENT, REPRODUCTIVE HEALTH, VILLAGES, PEOPLE, VACCINATION, FINANCING, FINANCIAL MANAGEMENT, ANTENATAL CARE, INCOME, HEALTH EXPENDITURES, HEALTH ECONOMICS, PEDIATRICS, SERVICES, HEALTH INSURANCE, HEALTH CARE, EFFECTS, INCENTIVES, HEALTH, HUMAN RESOURCES DEVELOPMENT, PROJECTS, PROJECT, NUTRITIONAL DEFICIENCY, HEALTH FACILITIES, PUBLIC HEALTH, HEALTH SECTOR, KNOWLEDGE, HEALTH STATUS, HEALTH INSTITUTIONS, COSTS, TRAINING, IMMUNIZATION, PATIENT, DWELLING, INTERVENTION, ORAL REHYDRATION, PROBABILITY, HEALTH SYSTEMS, HEALTH CENTERS, IMPACT EVALUATIONS, HEALTH CARE SERVICES, TETANUS, USE OF HEALTH SERVICES, HEALTH ORGANIZATION, INTERVIEW, MORTALITY, HEALTH PROMOTION, DESIGN, NUTRITIONAL STATUS, EQUITY, CHILDBIRTH, INFANT MORTALITY, DIPHTHERIA, WORKERS, AGED, INFLUENZA, HEALTH CARE PROVISION, RESETTLEMENT, POSTNATAL CARE, PARTICIPATION, DESCRIPTION, CARE, RURAL AREA, GENDER, HEALTH POLICY, HOMES, BUDGETS, SOCIAL POLICY, DEMAND, HEALTH OUTCOMES, DIARRHEA, HYGIENE, HEPATITIS B, INCOME DISTRIBUTION, PUBLIC HEALTH WORKERS, HOUSEHOLD, FAMILY PLANNING, NUTRITION EDUCATION, PREVENTIVE HEALTH SERVICES, PERTUSSIS, EXPENDITURES, INDEXES, CHILD NUTRITION, MEASUREMENT, NUTRITION, HEALTH SERVICE USE, HEALTH SYSTEM, INSURANCE, DEMANDS, WEIGHT, COMMUNICABLE DISEASES, PREGNANT WOMEN, NUTRITION PROGRAMS, CHILDREN, PUBLIC HEALTH SERVICES, VILLAGE LEVEL, CLINICS, EVALUATION, HUMAN RESOURCES, HOUSEHOLDS, HEALTH PROVIDERS, RURAL AREAS, POVERTY, ILLNESS, COOPERATION, INCIDENCE, POPULATION, FACILITIES, MATERNAL AND CHILD HEALTH, INTERVENTIONS, COMMUNITY, STRATEGY, NEWBORN HEALTH, FEES, FAMILIES, CHILD HEALTH SERVICES, HEALTH FINANCING, HOSPITALS, HEALTH INTERVENTIONS, HEALTH INEQUITIES, BIRTH ATTENDANT, HEALTH SERVICE, FEMALE, NUTRITION COMPONENTS, HEALTH SERVICES, IMPLEMENTATION, PREGNANCY, SERVICE, DISTRICTS, BREASTFEEDING, NURSING