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: 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
Issue number3
Publication statusPublished - 2015 Mar 4


ASJC Scopus subject areas

  • Development

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