The delivery of basic health products and services remains abysmal in many parts of the world where child mortality is high. This paper shows the results from a large-scale randomized evaluation of a novel approach to health care delivery. In randomly selected villages, a sales agent was locally recruited and incentivized to conduct home visits, educate households on essential health behaviors, provide medical advice and referrals, and sell preventive and curative health products. Results after 3 years show substantial health impact: under 5-years child mortality was reduced by 27 percent at an estimated average cost of $68 per life-year saved.

中文翻译：

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降低最后一英里的儿童死亡率：乌干达社区健康促进者的实验证据

在儿童死亡率高的世界许多地区，基本卫生产品和服务的提供仍然很糟糕。本文展示了对一种新的医疗保健方法进行大规模随机评估的结果。在随机选择的村庄，当地招募和激励销售代理进行家访，对家庭进行基本健康行为教育，提供医疗建议和转诊，并销售预防和治疗保健产品。3 年后的结果显示出显着的健康影响：5 岁以下儿童死亡率降低了 27%，估计每挽救生命年的平均成本为 68 美元。