miércoles, 22 de mayo de 2019

Promoting the competition: A randomized trial of cash incentives for postnatal care referrals by Traditional Birth Attendants - BMC Series blog

Promoting the competition: A randomized trial of cash incentives for postnatal care referrals by Traditional Birth Attendants - BMC Series blog

Adanna Chukwuma, Chinyere Mbachu, Margaret McConnell, Thomas Bossert & Jessica Cohen

Adanna Chukwuma, Chinyere Mbachu, Margaret McConnell, Thomas Bossert & Jessica Cohen

Adanna Chukwuma (pictured) is a Health Specialist at the World Bank Group, where she leads the health team in Armenia, and supports the design, implementation, and evaluation of projects in Romania, Tajikistan, and India. Her research primarily examines the determinants of the quality and use of health services in low-and-middle income countries. She obtained a Bachelor of Medicine, Bachelor of Surgery with Distinctions from the University of Nigeria, a Master of Science in Global Health with Distinction from the University of Oxford, and a Doctor of Science in Health Systems from Harvard University.

Chinyere Mbachu is a Senior Lecturer in the Department of Community Medicine, College of Medicine, University of Nigeria, Nsukka. Her research examines health systems governance and accountability, political economy analysis of health reforms, and translation of research evidence into policy and practice. She is a Fellow of the West African College of Physicians. 

Margaret McConnell is Associate Professor of Global Health Economics at the Harvard School of Public Health. Her current research combines behavioral economics with field and laboratory experiments to design and evaluate policies to change health and financial behaviors. She is currently working on field trials related to messaging and behavior change, the formation of price expectations for health goods and the design of savings products and their impacts on health and health spending.

Thomas Bossert is a Senior Lecturer and the Director of the International Health Systems Program of the Harvard T. H. Chan School of Public Health. He has many years of experience in international health in Latin America and the Caribbean, Africa, Asia, and Central and Eastern Europe. His specialties include health reform, decentralization, sustainability and transition, implementation science, social capital, human resources strategic planning and political feasibility analysis.

Jessica Cohen isBruce A. Beal, Robert L. Beal, and Alexander S. Beal Associate Professor of Global Health at the Harvard T. H. Chan School of Public Health. Her research interests include the evaluation of maternal and child health programs and policies in sub-Saharan Africa. She has conducted field trials in Africa on malaria, exploring issues related to technology adoption, messaging and behavior change, pharmaceutical supply chains, and sustainable financing. Her current work explores the role of (mis)perceptions of malaria risk on behavior and policy-making and methods to improve the quality of care received at childbirth and in the early postnatal period.


Promoting the competition: A randomized trial of cash incentives for postnatal care referrals by Traditional Birth Attendants

Postnatal care in a formal health facility can be critical in preventing complications and even death of new mothers and babies. Use of postnatal care, however, is low in places like Nigeria where many women give birth supported by a Traditional Birth Attendant rather than a formally trained, skilled provider. BMC Pregnancy and Chilbirth has just published the results of a trial using monetary incentives to encourage Traditional Birth Attendants to refer clients to postnatal care in the local healthcare facility. In this blog post, the authors discuss and provide context for their findings.
Juliana[1] was lost in thought. Like her mother, she had learned to support women through pregnancy and childbirth over several years of apprenticeship, delivering at least 400 healthy babies. The women she helped paid her whatever they could afford. But her greatest reward was the satisfaction of successful delivery of a healthy mother and newborn. As a reflection of her track record of success as a service provider and her standing in the community, Juliana had recently been appointed the head of the community women’s association.

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