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.

中文翻译：

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小激励能带来大回报吗？玻利维亚现金转移计划对健康的影响

我们研究了用于医疗保健的有条件现金转移支付（相当于每月家庭消费的 1%）对玻利维亚儿童存活率的影响。使用人口普查数据和计划实施工具，我们表明干预使接触该计划的出生队列的存活率提高了 3.8% 至 14.7%。一项途径分析显示，妇女的早期产前护理和熟练的助产士比例更高，儿童的生长监测检查和免疫接种次数也更多。该干预措施具有很高的成本效益，每避免一个残疾调整生命年为 746 美元，使该计划的设计成为一个有前途的政策替代方案。