Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/88975
Authors: 
Cristia, Julian
Evans, William
Kim, Beomsoo
Year of Publication: 
2011
Series/Report no.: 
IDB Working Paper Series IDB-WP-273
Abstract: 
This paper estimates the impact of a large-scale contracting-out program in Guatemala, using two waves of living standard measurement surveys which collected data before and after the expansion of the program and exploiting variation in the timing of the program to estimate treatment effects. Results indicate large program impacts on immunization rates for children and prenatal care provider choices. The program increases substantially the role of physician and nurses as prenatal care providers at the expense of traditional midwives. There is no evidence of effects in family planning outcomes. Taken together these results suggest a potential effective role of contracting-out in the provision of health care.
JEL: 
I12
I18
Document Type: 
Working Paper

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