| 来源类型 | Working Paper
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| 规范类型 | 报告
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| DOI | 10.3386/w14406
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| 来源ID | Working Paper 14406
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| Free Distribution or Cost-Sharing? Evidence from a Malaria Prevention Experiment |
| Jessica Cohen; Pascaline Dupas
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| 发表日期 | 2008-10-16
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| 出版年 | 2008
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| 语种 | 英语
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| 摘要 | It is often argued that cost-sharing -- charging a subsidized, positive price -- or a health product is necessary to avoid wasting resources on those who will not use or do not need the product. We explore this argument through a field experiment in Kenya, in which we randomized the price at which prenatal clinics could sell long lasting anti-malarial insecticide-treated nets (ITNs) to pregnant women. We find no evidence that cost-sharing reduces wastage on those that will not use the product: women who received free ITNs are not less likely to use them than those who paid subsidized positive prices. We also find no evidence that cost-sharing induces selection of women who need the net more: those who pay higher prices appear no sicker than the average prenatal client in the area in terms of measured anemia (an important indicator of malaria). Cost-sharing does, however, considerably dampen demand. We find that uptake drops by 75 percent when the price of ITNs increases from zero to $0.75 (i.e. from 100 to 87.5 percent subsidy), the price at which ITNs are currently sold to pregnant women in Kenya. We combine our estimates in a cost-effectiveness analysis of ITN prices on child mortality that incorporates both private and social returns to ITN usage. Overall, our results suggest that free distribution of ITNs could save many more lives than cost-sharing programs have achieved so far, and, given the large positive externality associated with widespread usage of ITNs, it would likely do so at a lesser cost per life saved. |
| 主题 | Econometrics
; Experimental Design
; Microeconomics
; Households and Firms
; Public Economics
; Taxation
; Public Goods
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| URL | https://www.nber.org/papers/w14406
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| 来源智库 | National Bureau of Economic Research (United States)
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| 引用统计 |
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| 资源类型 | 智库出版物
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| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/572081
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推荐引用方式
GB/T 7714 |
Jessica Cohen,Pascaline Dupas. Free Distribution or Cost-Sharing? Evidence from a Malaria Prevention Experiment. 2008.
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文件名：
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w14406.pdf
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格式：
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Adobe PDF
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