Improving the Health Coverage of the Rural Poor: Does Contracting-Out Mobile Medical Teams Work?

Julian Cristia, William N. Evans, Beomsoo Kim

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Abstract: Low population density in rural developing countries coupled with deficient infrastructure, weak state capacity and limited budgets makes increasing health care coverage difficult. Contracting-out mobile medical teams may be a helpful solution in this context. This article examines the impact of a large-scale programme of this type in Guatemala. We document large impacts on immunisation rates for children and prenatal care provider choices. The programme increased substantially the role of physician and nurses at the expense of traditional midwives. The results indicate that mobile medical teams substantially increased coverage of health care services in Guatemala, and could be effective in other developing countries.

Original languageEnglish
Pages (from-to)247-261
Number of pages15
JournalJournal of Development Studies
Volume51
Issue number3
DOIs
Publication statusPublished - 2015 Mar 4

Fingerprint

Guatemala
health care
coverage
developing world
developing country
immunization
midwife
health care services
population density
health
budget
nurse
physician
infrastructure
programme
document
rate
services

ASJC Scopus subject areas

  • Development

Cite this

Improving the Health Coverage of the Rural Poor : Does Contracting-Out Mobile Medical Teams Work? / Cristia, Julian; Evans, William N.; Kim, Beomsoo.

In: Journal of Development Studies, Vol. 51, No. 3, 04.03.2015, p. 247-261.

Research output: Contribution to journalArticle

@article{98e2852dda264c398246aae9237c8a2b,
title = "Improving the Health Coverage of the Rural Poor: Does Contracting-Out Mobile Medical Teams Work?",
abstract = "Abstract: Low population density in rural developing countries coupled with deficient infrastructure, weak state capacity and limited budgets makes increasing health care coverage difficult. Contracting-out mobile medical teams may be a helpful solution in this context. This article examines the impact of a large-scale programme of this type in Guatemala. We document large impacts on immunisation rates for children and prenatal care provider choices. The programme increased substantially the role of physician and nurses at the expense of traditional midwives. The results indicate that mobile medical teams substantially increased coverage of health care services in Guatemala, and could be effective in other developing countries.",
author = "Julian Cristia and Evans, {William N.} and Beomsoo Kim",
year = "2015",
month = "3",
day = "4",
doi = "10.1080/00220388.2014.976617",
language = "English",
volume = "51",
pages = "247--261",
journal = "Journal of Development Studies",
issn = "0022-0388",
publisher = "Routledge",
number = "3",

}

TY - JOUR

T1 - Improving the Health Coverage of the Rural Poor

T2 - Does Contracting-Out Mobile Medical Teams Work?

AU - Cristia, Julian

AU - Evans, William N.

AU - Kim, Beomsoo

PY - 2015/3/4

Y1 - 2015/3/4

N2 - Abstract: Low population density in rural developing countries coupled with deficient infrastructure, weak state capacity and limited budgets makes increasing health care coverage difficult. Contracting-out mobile medical teams may be a helpful solution in this context. This article examines the impact of a large-scale programme of this type in Guatemala. We document large impacts on immunisation rates for children and prenatal care provider choices. The programme increased substantially the role of physician and nurses at the expense of traditional midwives. The results indicate that mobile medical teams substantially increased coverage of health care services in Guatemala, and could be effective in other developing countries.

AB - Abstract: Low population density in rural developing countries coupled with deficient infrastructure, weak state capacity and limited budgets makes increasing health care coverage difficult. Contracting-out mobile medical teams may be a helpful solution in this context. This article examines the impact of a large-scale programme of this type in Guatemala. We document large impacts on immunisation rates for children and prenatal care provider choices. The programme increased substantially the role of physician and nurses at the expense of traditional midwives. The results indicate that mobile medical teams substantially increased coverage of health care services in Guatemala, and could be effective in other developing countries.

UR - http://www.scopus.com/inward/record.url?scp=84928825399&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84928825399&partnerID=8YFLogxK

U2 - 10.1080/00220388.2014.976617

DO - 10.1080/00220388.2014.976617

M3 - Article

AN - SCOPUS:84928825399

VL - 51

SP - 247

EP - 261

JO - Journal of Development Studies

JF - Journal of Development Studies

SN - 0022-0388

IS - 3

ER -