Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/173875
Authors: 
Celhay, Pablo
Johannsen, Julia
Martinez, Sebastian
Vidal, Cecilia
Year of Publication: 
2017
Series/Report no.: 
IDB Working Paper Series IDB-WP-817
Abstract: 
We study the effects of conditional cash transfers to pregnant women on stillbirths and child survival in Bolivia. Payments are conditional on compliance with medically recommended prenatal care and skilled birth attendance. At a value equivalent to just 1% of monthly household consumption, the payments are the smallest amongst national cash transfer programs in Latin America. Using multiple data sources and empirical methods, we show that the intervention reduced the average rate of stillbirths by 9.5% to 22.3%, and increased the survival rates of birth cohorts exposed to the program by 3.5% to 16.8%. The causal pathways of these effects are consistent with evidence of increased utilization of recommended health care services, including early initiation of prenatal care (17%), at least four prenatal visits (16%), and skilled birth attendance (15%). Given the modest transfer amounts and considerable effects on health care utilization, we posit that final health outcomes are likely driven by the health care conditionality, rather than an income effect. The intervention is highly cost-effective, at $184.54 per DALY averted, making the program's pay-per-compliance design a promising policy alternative.
Subjects: 
Conditional Cash Transfer
Demand Incentives
Stillbirths
Child Survival
Health Care Utilization
Impact Evaluation
JEL: 
H51
I12
I38
J18
O15
Persistent Identifier of the first edition: 
Creative Commons License: 
http://creativecommons.org/licenses/by-nc-nd/3.0/igo/legalcode
Document Type: 
Working Paper

Files in This Item:
File
Size
403.77 kB





Items in EconStor are protected by copyright, with all rights reserved, unless otherwise indicated.