| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w27364 |
| 来源ID | Working Paper 27364 |
| Building Resilient Health Systems: Experimental Evidence from Sierra Leone and the 2014 Ebola Outbreak | |
| Darin Christensen; Oeindrila Dube; Johannes Haushofer; Bilal Siddiqi; Maarten J. Voors | |
| 发表日期 | 2020-06-15 |
| 出版年 | 2020 |
| 语种 | 英语 |
| 摘要 | Underuse of health systems and a lack of confidence in their quality contribute to high rates of mortality in the developing world. How individuals perceive health systems may be especially critical during epidemics, when they choose whether to cooperate with response efforts and frontline health workers. Can improving the perceived quality of healthcare promote community health and ultimately, help to contain epidemics? We leverage a field experiment to answer this question in the context of Sierra Leone and the 2014 West Africa Ebola crisis. Two years before the outbreak, we randomly assigned two accountability interventions to government-run health clinics – one focused on community monitoring and the other conferred non-financial awards to clinic staff. These interventions delivered immediate benefits under "normal" conditions. Even prior to the Ebola crisis, both interventions increased clinic utilization and satisfaction with healthcare, and community monitoring additionally improved child health, leading to 38 percent fewer deaths of children under five. Later, during the crisis, the interventions also increased reporting of Ebola cases by 62 percent, and significantly reduced Ebola-related deaths. Evidence on mechanisms suggests that the interventions improved confidence in the health system, encouraging patients to report Ebola symptoms and receive medical care. These results indicate that promoting accountability not only has the power to improve health systems during normal times, but can also make them more resilient to crises that emerge over the longer run. |
| 主题 | Health, Education, and Welfare ; Health ; Labor Economics ; Labor Compensation ; Other ; Accounting, Marketing, and Personnel ; Development and Growth ; Development |
| URL | https://www.nber.org/papers/w27364 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/585036 |
| 推荐引用方式 GB/T 7714 | Darin Christensen,Oeindrila Dube,Johannes Haushofer,et al. Building Resilient Health Systems: Experimental Evidence from Sierra Leone and the 2014 Ebola Outbreak. 2020. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w27364.pdf（1440KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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