Pay for Performance in Rwanda – evidence from DHS data

Sherry, Tisamarie B., Sebastian Bauhoff, and Manoj Mohanan. 2017. Multitasking and Heterogeneous Treatment Effects in Pay-for-Performance in Health Care: Evidence from Rwanda. American Journal of Health Economics, 3, 192-226. Although performance-based contracting in health is becoming much more widespread in developing countries, there is limited evidence on the unintended impacts of these types of contracts, as predicted by contract theory.   In our recent paper in the American Journal of Health Economics, we focus…

(No) Impact of large-scale social franchising and telemedicine intervention in India

Mohanan, M., Giardili, S., Das, V., Rabin, T.L., Raj, S.S., Schwartz, J.I., Seth, A., Goldhaber-Fiebert, J.D., Miller, G. and Vera-Hernández, M., 2017. Evaluation of a social franchising and telemedicine programme and the care provided for childhood diarrhoea and pneumonia, Bihar, India. Bulletin of the World Health Organization, 95(5), p.343 Social franchising is considered to be a potential solution to the problem of low quality of care available in rural areas in developing…

What do we think we are doing? Can a clinical information network improve pediatric care practices in Kenya?

English, Mike, et al. “What do we think we are doing? How might a clinical information network be promoting implementation of recommended paediatric care practices in Kenyan hospitals?” Health research policy and systems 15.1 (2017): 4 In a recently published paper titled “What do we think we are doing? How might a clinical information network be promoting implementation of recommended pediatric care practices in Kenyan hospitals?” Mike English and colleagues describe a…

What’s the problem? Understanding the double burden of utilization and quality for poor women in Tanzania

Larson E, Vail D, Mbaruku G, Mbatia R, Kruk ME. Beyond utilization: measuring effective coverage of obstetric care along the quality cascade. Intl J for Quality in Health Care 2016. doi: 10.1093/intqhc/mzw141. Coverage of maternal health services is on the rise in many LMIC. However measures of utilization alone do not reflect population benefit when high quality care is not ubiquitous. Effective coverage metrics consider population need, utilization, and quality…

Does poor quality of delivery facilities contribute to avertable neonatal deaths in Malawi?

Leslie HH, Fink G, Nsona H, Kruk M. (2016) Obstetric Facility Quality and Newborn Mortality in Malawi: A Cross-Sectional Study. PLoS Medicine, 13(10). Despite dramatic increases in women’s access to skilled birth attendants in the past two decades, neonatal mortality has declined slowly – deaths within 28 days of birth are now the largest share of global child mortality. Malawi, one of the poorest countries in the world, achieved dramatic…

What % of Haiti’s population has access to good quality primary care?

Gage, A.D., Leslie, H.H., Bitton, A., Jerome, J.G., Thermidor, R., Joseph, J.P. and Kruk, M.E., 2017. Assessing the quality of primary care in Haiti. Bulletin of the World Health Organization, 95(3), p.182. High quality primary health care systems are critical to improving health systems worldwide, yet there are few measures for assessing the quality of the primary care. We adopted the Primary Health Care Performance Initiative’s framework on primary care to define…

Work in progress – Health care coverage for sick children is both low and ineffective in low and middle income countries

By Hannah Leslie   Effective coverage – the fraction of health gain actually delivered by the health system to the population in need – is emerging as a critical indicator of progress towards universal health coverage. Estimates of effective coverage can be calculated based on the population in need, utilization of health services, and quality of the care delivered. Limited research has addressed effective coverage of care for children under…

Does maternal health care quality vary with poverty level in Kenya?

Sharma, J., Leslie, H.H., Kundu, F. and Kruk, M.E., 2017. Poor Quality for Poor Women? Inequities in the Quality of Antenatal and Delivery Care in Kenya. PloS One, 12(1), p.e0171236. We investigated the distributional aspects of quality of maternal healthcare, an important determinant of future progress in global health, but one that has received inadequate attention. We mapped the quality of maternal care in facilities located in poorer versus wealthier areas of…