학술논문

Can Small Incentives Have Large Payoffs? Health Impacts of a Cash Transfer Program in Bolivia.
Document Type
Article
Source
Economic Development & Cultural Change. Jan2021, Vol. 69 Issue 2, p591-621. 31p. 8 Charts, 6 Graphs.
Subject
*Monetary incentives
Conditional cash transfer programs
Preventive health services
Children's health
Language
ISSN
0013-0079
Abstract
We study the effects of a conditional cash transfer for health care utilization, equivalent to 1% of monthly household consumption, on child survival in Bolivia. Using census data and an instrument for program take-up, we show that the intervention increased the survival rates of birth cohorts exposed to the program by 3.8% to 14.7%. A pathways analysis shows higher rates of early antenatal care and skilled birth attendance for women and a higher number of growth monitoring checkups and immunization for children. The intervention is highly cost-effective, at $746 per disability-adjusted life year averted, making the program's design a promising policy alternative. [ABSTRACT FROM AUTHOR]