ABSTRACT

In July 2005, Nepal introduced the ‘Safe Delivery Incentive Programme’, which included free delivery care and supply-side incentives for women in the poorest districts. Using a difference-in-differences model and microdata from the Demographic and Health Surveys, we find the policy increased the probability of prenatal care and neonatal tetanus vaccinations, offsetting disparities between women in the poorest districts and rest of Nepal. Moreover, it was associated with a change in the source of prenatal care, from ‘other’ providers to nurses/midwives. Finally, we find that health investment decisions are interconnected across pregnancy stages; free delivery and supply-side incentives affected prenatal care.

抽象的

尼泊尔于2005年7月推出了“安全分娩激励计划”，其中包括为最贫困地区的妇女提供免费分娩护理和供应方激励措施。使用人口差异调查模型和来自人口与健康调查的微观数据，我们发现该政策增加了产前保健和新生儿破伤风疫苗接种的可能性，从而抵消了尼泊尔最贫困地区和尼泊尔其他地区妇女之间的差异。此外，它与产前护理来源的变化有关，从“其他”提供者到护士/助产士。最后，我们发现卫生投资决策在整个怀孕阶段是相互关联的。免费分娩和供应方激励措施影响了产前保健。