Entrepreneurial community health delivery in Uganda: a cluster-randomized controlled trial

Last registered on October 21, 2014


Trial Information

General Information

Entrepreneurial community health delivery in Uganda: a cluster-randomized controlled trial
Initial registration date
October 21, 2014

Initial registration date is when the trial was registered.

It corresponds to when the registration was submitted to the Registry to be reviewed for publication.

First published
October 21, 2014, 7:36 AM EDT

First published corresponds to when the trial was first made public on the Registry after being reviewed.



Primary Investigator

Stockholm School of Economics

Other Primary Investigator(s)

PI Affiliation
KU Leuven
PI Affiliation
John F. Kennedy School of Government, Harvard University
PI Affiliation
Institute for international Economic Studies, Stockholm University

Additional Trial Information

Start date
End date
Secondary IDs
Despite improvements in under-five child mortality, an estimated 6.9 million children die from preventable diseases worldwide every year. A majority of these deaths occur in the poorest countries in the world, in areas within countries of underserved populations with inadequate access to basic health services. An increasingly common approach to reach these populations has been Community Health Worker (CHW) programs. However, a systematic review of the evidence indicates mixed results of this approach in reducing child mortality. Whether alternative, financially sustainable, delivery models where CHWs earn a margin on product sales and small performance-based incentives can provide a solution is an open question. In this project, we study a community health worker program in Uganda – the community health promoter (CHP) program – where, in contrast to traditional volunteer-based community health workers, community health promoters operate as micro-entrepreneurs earning an income on the sale of preventive and curative products to keep them motivated and active in the community.
External Link(s)

Registration Citation

Björkman Nyqvist, Martina et al. 2014. "Entrepreneurial community health delivery in Uganda: a cluster-randomized controlled trial ." AEA RCT Registry. October 21. https://doi.org/10.1257/rct.530-1.0
Former Citation
Björkman Nyqvist, Martina et al. 2014. "Entrepreneurial community health delivery in Uganda: a cluster-randomized controlled trial ." AEA RCT Registry. October 21. https://www.socialscienceregistry.org/trials/530/history/2958
Experimental Details


Intervention Start Date
Intervention End Date

Primary Outcomes

Primary Outcomes (end points)
Primary study outcome is under-five child mortality rate. Secondary study outcomes include community-health worker visits, percentage of children sleeping under a treated mosquito bed net, percentage of households that treat water before drinking it, malaria and diarrhea morbidity among children under 5, malaria diarrhea cases promptly treated, percentage of children under 5 receiving Vitamin A supplementation, percentage of deliveries in health facilities, follow up visits after malaria or diarrhea cases, antenatal care visits, follow up visits and delivery, health knowledge.
Primary Outcomes (explanation)

Secondary Outcomes

Secondary Outcomes (end points)
Secondary Outcomes (explanation)

Experimental Design

Experimental Design
A cluster-randomized controlled trial from 214 rural villages in 10 districts in Uganda. In treatment villages, Living Goods and BRAC Community Health Promoters conducted home visits, educated households on essential health behaviors and sold preventive and curative health products at 5-30% below prevailing retail prices over a three-year period (2011- 2013). On average, around 38 households were surveyed per village at the end of 2013, for a total sample size of roughly 8100 households.
Experimental Design Details
Randomization Method
Randomization done in office by computer
Randomization Unit
Community Health Worker potential catchment area (essentially village)
Was the treatment clustered?

Experiment Characteristics

Sample size: planned number of clusters
214 Community Health Worker (CHW) potential catchment areas (roughly villages)
Sample size: planned number of observations
Sample size (or number of clusters) by treatment arms
115 Intervention clusters (roughly 4400 Households surveyed), 99 Control clusters (roughly 3700 Households surveyed)
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)

Institutional Review Boards (IRBs)

IRB Name
Uganda National Council for Science and Technology (UNCST) IRB
IRB Approval Date
IRB Approval Number
SS 3195
IRB Name
IRB of the Harvard School of Public Health
IRB Approval Date
IRB Approval Number


Post Trial Information

Study Withdrawal

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Is the intervention completed?
Data Collection Complete
Data Publication

Data Publication

Is public data available?

Program Files

Program Files
Reports, Papers & Other Materials

Relevant Paper(s)

Reports & Other Materials