Reducing Child Mortality in the Last Mile: Experimental Evidence on Community Health Promoters in Uganda
通过大规模随机实验，评估在乌干达村庄招募销售代理进行家访、健康教育、医疗转诊和产品销售对降低5岁以下儿童死亡率的效果，发现死亡率降低27%，每生命年节省成本约68美元。
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.