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Field
Trial End Date
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Before
December 01, 2019
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After
December 01, 2022
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Field
Last Published
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Before
November 14, 2018 03:15 PM
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After
November 14, 2018 03:20 PM
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Field
Intervention (Public)
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Before
The program consists on the delivery of cash incentives to different agents with the objective to increase the demand and use for maternal and infant health services. More specifically, the program seek to improve the number of quality prenatal controls in the first trimester, the number of quality prenatal controls, the number of institutional deliveries, the immediate care for women and infants after delivery (first 48 hours) and timely care of obstetric and neonatal emergencies.
The incentives are provided to three different agents within the communities:
1) Incentives to pregnant women to promote early controls (during the first trimester), attendance at quality quarterly prenatal controls, and attendance at institutional delivery and the first puerperal and neonatal control.
2) Incentives to the volunteer health promoters of the community to promote the early capture of pregnant women (first control within the first trimester), the performance of quality quarterly prenatal controls, and the attendance to institutional birth and care of puerperal and neonates of the first 48 hours.
3) Incentives to the Community to promote the institutional delivery and the attention to obstetric and neonatal emergencies.
The evaluation will be conducted in the indigenous province of Ngabe Bugle as well as the neighboring provinces of Bocas del Toro, Chiriqui and Veraguas. The intervention in these areas will start in early 2017. The Ministry of Health of Panama, along with its partnering agency USGAF will be the implementing agencies.
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After
The program consists on the delivery of cash incentives to different agents with the objective to increase the demand and use for maternal and infant health services. More specifically, the program seek to improve the number of quality prenatal controls in the first trimester, the number of quality prenatal controls, the number of institutional deliveries, the immediate care for women and infants after delivery (first 48 hours) and timely care of obstetric and neonatal emergencies.
The incentives are provided to two different agents within the communities:
1) Incentives to pregnant women to promote early controls (during the first trimester), attendance at quality quarterly prenatal controls, and attendance at institutional delivery and the first puerperal and neonatal control.
2) Incentives to the volunteer health promoters of the community to promote the early capture of pregnant women (first control within the first trimester), the performance of quality quarterly prenatal controls, and the attendance to institutional birth and care of puerperal and neonates of the first 48 hours.
The evaluation will be conducted in the indigenous province of Ngabe Bugle. The intervention in these areas will start in early 2019. The Ministry of Health of Panama, along with its partnering agency USGAF will be the implementing agencies.
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Field
Intervention Start Date
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Before
February 01, 2017
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After
February 01, 2019
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Field
Intervention End Date
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Before
February 01, 2019
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After
October 01, 2021
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Field
Experimental Design (Public)
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Before
The study is designed as a randomized controlled trial and will test two different schemes of community incentives: (i) the first incentive scheme consists of the combination of three incentives: direct incentives to pregnant women, incentives to health promoters and incentives to the community; and (ii) the second incentive scheme only includes the incentive to pregnant women. By doing this, the study aims to measure the impact of the two incentive schemes separately as well as to disentangle the marginal effect of the incentive to promoters and to the community board, on the outcomes of interest.
The unit of assignment is the Centric Community (CC hereafter) that comprises a single community or clusters of communities that are served by the same health services providers. Based on power calculations, 450 CC will participate in the study assigning 150 CC to each of the two treatment groups and 150 to the control group (that won't receive any incentive at all). Within each community, all the houses with children under 2 years old.
The main source of data for the evaluation will be household surveys, although administrative data from the health facilities are also being exploited as potential supplementary data.
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After
The study is designed as a randomized controlled trial and will test two different schemes of community incentives: (i) the first incentive scheme consists of the combination of two incentives: direct incentives to pregnant women and incentives to health promoters; and (ii) the second incentive scheme only includes the incentive to pregnant women. By doing this, the study aims to measure the impact of the two incentive schemes separately as well as to disentangle the marginal effect of the incentive to promoters on the outcomes of interest.
The unit of assignment is the Centric Community (CC hereafter) that comprises a single community or clusters of communities that are served by the same health services providers. Based on power calculations, 300 CC will participate in the study assigning 100 CC to each of the two treatment groups and 100 to the control group (that won't receive any incentive at all). Within each community, all the houses with children under 2 years old.
The main source of data for the evaluation will be household surveys, although administrative data from the health facilities are also being exploited as potential supplementary data.
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Field
Planned Number of Clusters
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Before
450 Centric Communities
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After
300 Centric Communities
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Field
Planned Number of Observations
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Before
4,500 mothers with children below 2 years old.
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After
3,000 mothers with children below 2 years old.
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Field
Sample size (or number of clusters) by treatment arms
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Before
4,500 households from 450 Centric Communities, being 150 CC assigned to one treatment (incentives to pregnant women, health promoters, and community board), 150 CC assigned to the second treatment (incentives to pregnant women), and 150 CC assigned to control (no incentives).
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After
3,000 households from 300 Centric Communities, being 100 CC assigned to one treatment (incentives to pregnant women and health promoters), 100 CC assigned to the second treatment (incentives to pregnant women), and 100 CC assigned to control (no incentives).
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