Supplementary webappendix

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Supplementary webappendix"

Transcription

1 Supplementary webappendix This webappendix formed part of the original submission and has been peer reviewed. We post it as supplied by the authors. Supplement to: Basinga P, Gertler PJ, Binagwaho A, Soucat ALB, Sturdy J, Vermeersch CMJ. Effect on maternal and child health services in Rwanda of payment to primary health-care providers for performance: an impact evaluation. Lancet 2011; 377:

2 Web Appendix 1: Outcome Measures, Covariates and Statistical Power Outcome Measures Maternal health services utilization: The outcome measures include an indicator for any prenatal care utilization, an indicator for completing 4+ prenatal care visits, and an indicator for institutional delivery for women who gave birth in the 18 months prior to the survey. Quality of prenatal care: We use two measures of prenatal care quality. First, we measure whether women reported receiving the tetanus vaccine during a prenatal care visit. Note that this corresponds to one of the payment indicators listed in Box 1. Second, we construct an index of the process quality of prenatal care by computing the share of actual clinical content items delivered during a prenatal care consultation to the items that should compose a typical prenatal consultation as recommended in the Rwandan clinical practice guidelines. i This measure has been used extensively in the literature to measure quality. ii,iii,iv,v,vi,vii,viii The items in the measure cover medical history questions, physical examinations, lab tests and follow-up procedures (Box 3). The Cronbach alpha scale of reliability for the 38 item score is 0.78, indicating satisfactory internal consistency. In the impact analysis, we standardize the score by subtracting out the baseline mean and dividing by the baseline standard deviation. The unit of measurement is interpreted as standard deviations in quality. The prenatal quality score was computed at the individual patient level using two samples. First, enumerators conducted exit interviews with women who visited the facility for prenatal care on the day of the facility survey. Second, the same information was collected in the household survey from women who gave birth in the last 18 months and received prenatal care from the facility. In the analysis, we combined the exit interview and household survey data for first prenatal care visits to assess the impact of P4P on prenatal care quality. Child Preventive Care: Following common practice and recommendations in the Living Standards Measurement Surveys, ix we use an indicator of whether the mother reported taking her child for a preventive care visit in the four weeks prior to the household survey to measure preventive child utilization. Child preventive services cover immunization, vitamin A, distribution of mosquito nets and child growth monitoring with referral of malnourished children to higher levels of care for treatment. We analyze preventive visits separately for children 0-23 and months old as the younger group is expected to have more visits than the older group. We also examine the impact of P4P on whether full immunization was achieved on time, measured by an indicator variable for month olds, coded 1 if the child received all vaccines required by the national protocol and 0 otherwise. Vaccination status was assessed based on the vaccination card. Less than 4 percent of the mothers could not produce the child s vaccination card and those observations were dropped from the analysis. Covariates In the maternal care utilization models, we control for individual-level characteristics (age, education, partner lives in household, number of pregnancies) and household characteristics (health insurance, number of household members, distance from the health facility, land ownership and assets value quartile). Assets are measured as the value of owned houses, durables in the house, farm animals, farm equipment and microenterprise equipment. In the prenatal care quality analysis, we control for patient-level characteristics (age, education, partner lives in household, and insurance enrollment) and include a variable indicating whether the observation was from the facility exit interview or household survey in order to control for potential recall bias from the household sample. In the children s utilization analyses, we include controls for individual-level characteristics (age, gender), parentallevel characteristics (height, age and education of mother, father lives in household) and household characteristics (health insurance, number of household members, number of household members under age 6, land ownership, assets value quartile). Statistical Power and Methods Using data from the baseline survey, we conducted ex-post power calculations to determine the minimum effect sizes that we would be able to observe with the obtained sample sizes. Using a significance level of 5% and power of 0.9, observed correlations at baseline within the district clusters, and observed sub-sample sizes (women and children), we determined that the available sample would allow us to detect the following: an increase in the likelihood of making 4 or more prenatal care visits from 0.18 to 0.318; an increase in the likelihood of institutional delivery from 0.35 to 0.473; an increase in the likelihood of a preventive care visit by a 0-23 month old child from 1

3 0.21 to 0.319; and an increase in the likelihood of a preventive care visit by a month old child from 0.08 to As a result of the reassignment of districts between the treatment and comparison groups, we view the evaluation design as quasi-experimental and use difference-in-differences to estimate program impact. This method compares the change in outcomes in the treatment group to the change in outcomes in the comparison group. By comparing changes, we control for observed and unobserved time-invariant characteristics as well as for timevarying factors that are common to the treatment and comparison groups. The change in the comparison group is an estimate of the true counterfactual i.e. what would have happened to the treatment group if the additional financing was not tied to performance. 2

4 Web appendix Table 1: Prenatal care utilization and quality : full regression results (1) (2) (3) (4) (5) Dependent variable Any prenatal care (=1) 4 + prenatal care visits (=1) Institutional Delivery (=1) Tetanus Vaccine (=1) Standardized Quality Score Treatment (=1) ** 0.051* 0.157** (0.011) (0.035) (0.032) (0.026) (0.065) 2008 (=1) 0.021** 0.105*** 0.138*** *** (0.010) (0.021) (0.023) (0.030) (0.057) Age < 20 years (=1) *** (0.043) (0.052) (0.092) (0.028) (0.049) Age > 35 years (=1) * *** (0.009) (0.022) (0.030) (0.026) (0.023) Primary education or more (=1) * * (0.013) (0.031) (0.040) (0.034) (0.044) Partner lives in household (=1) 0.039* ** (0.022) (0.031) (0.055) (0.031) (0.038) Number of pregnancies ** (0.003) (0.005) (0.007) Health insurance (=1) * 0.068** * (0.007) (0.020) (0.028) (0.022) (0.025) Number of household members (0.004) (0.006) (0.009) Household-Facility distance (in Km) ** (0.002) (0.005) (0.008) Household owns land (=1) (0.010) (0.031) (0.038) Assets value quartile 2 (=1) 0.032** (0.016) (0.022) (0.032) Assets value quartile 3 (=1) 0.032** (0.015) (0.022) (0.027) Assets value quartile 4 (=1) 0.032** ** (0.015) (0.021) (0.031) Exit interview (=1) * *** (0.071) (0.053) Observations Facility fixed effects Yes Yes Yes Yes Yes Number of health facilities Notes: The coefficient on Treatment (=1) is the estimated treatment effect controlling for the listed covariates. We use a linear model with fixed effects at the facility level. Standard errors were adjusted for clustering at the district-year level. In columns (1), (2) and (3), the sample consists of women who gave birth within 18 months prior to the household survey. In columns (4) and (5), the sample consists of pregnant women who exited the health facility at the time of the exit interview and had obtained prenatal care, as well as women who gave birth within 18 months prior to the household survey; the corresponding models include a variable indicating whether the observation was from the facility exit interview or household survey. Standard errors are reported in parentheses. The number of observations in the tetanus model is less than in the quality score model because tetanus is only given to women with 5 pregnancies or less. *** p<0.01, ** p<0.05, * p<0.1 3

5 Web appendix Table 2: Child preventive care and immunization: full regression results (1) (2) (3) Dependent variable Preventive visit in last 4 weeks Fully immunized Sample 0-23 months months months Treatment (=1) 0.119*** 0.111*** (0.039) (0.025) (0.064) 2008 (=1) ** (0.033) (0.020) (0.028) Female (=1) * (0.020) (0.009) (0.034) Maternal height (cms) (0.001) (0.001) (0.003) Mother's age (0.002) (0.001) (0.003) Mother completed primary education (=1) (0.038) (0.024) (0.071) Father lives in household (=1) * (0.037) (0.026) (0.058) Health insurance (=1) (0.023) (0.013) (0.039) Nr of household members (0.007) (0.004) (0.010) Nr of household members 0-5 years old * (0.014) (0.011) (0.027) Household owns land (=1) (0.030) (0.032) (0.074) Assets value quartile 2 (=1) *** (0.028) (0.018) (0.033) Assets value quartile 3 (=1) (0.026) (0.019) (0.049) Assets value quartile 4 (=1) *** (0.031) (0.020) (0.044) 3-5 months old (=1) *** (0.047) 6-8 months old (=1) *** (0.066) 9-11 months old (=1) *** (0.051) months old (=1) *** (0.052) months old (=1) ***

6 (0.054) (0.047) months old (=1) *** (0.059) (0.054) months old (=1) *** (0.053) (0.056) months old (=1) (0.026) months old (=1) *** (0.030) months old (=1) (0.036) months old (=1) (0.024) months old (=1) *** (0.027) months old (=1) *** (0.028) months old (=1) *** (0.031) months old (=1) *** (0.028) months old (=1) *** (0.030) months old (=1) *** (0.029) months old (=1) ** (0.037) Observations Facility fixed effects Yes Yes Yes Number of health facilities Notes: The coefficient on Treatment (=1) is the estimated treatment effect controlling for the listed covariates. The omitted age category is 0-2 months (column 1), months (column 2), and months (column 3). In each of the columns, the sample consists of children that belonged to households interviewed in the household survey and who were within the indicated age range. We use a linear model with fixed effects at the facility level. Standard errors were adjusted for clustering at the district-year level. Standard errors are reported in parentheses. *** p<0.01, ** p<0.05, * p<0.1 5

7 References i Ministry of Health Contractual Approach Unit, Rwanda. Quarterly quality assessment grid for health centers. Kigali: Ministry of Health, ii Barber S. Does the quality of prenatal care matter in promoting skilled institutional delivery? A study in rural Mexico. Matern.Child Health J. 2006;10(5): iii Barber SL, Bertozzi SM, Gertler PJ. Variations in prenatal care quality for the rural poor in Mexico. Health.Aff.(Millwood) 2007;26(3):w iv Barber SL, Gertler PJ. Empowering women to obtain high quality care: evidence from an evaluation of Mexico's conditional cash transfer programme. Health Policy Plan. 2009;24(1): v Peabody JW, Gertler PJ. Are clinical criteria just proxies for socioeconomic status? A study of low birth weight in Jamaica. J.Epidemiol.Community Health 1997;51(1): vi Peabody JW, Luck J, Glassman P, Jain S, Hansen J, Spell M, et al. Measuring the quality of physician practice by using clinical vignettes: a prospective validation study. Ann.Intern.Med. 2004;141(10): vii Peabody JW, Rahman O, Fox K, Gertler P. Quality of care in public and private primary health care facilities: structural comparisons in Jamaica. Bull.Pan Am.Health Organ. 1994;28(2): viii Das J, Hammer J. Which Doctor? Combining vignettes and item response to measure doctor quality. Policy Research Working Paper Series 2004; Nr Washington DC: The World Bank. ix Grosch, Margaret and Paul Glewwe, Eds. Designing Household Survey Questionnaires for Developing Countries: Lessons from 15 years of the Living Standards Measurement Surveys. Washington DC: World Bank,

Paying Primary Health Care Centers for Performance in Rwanda

Paying Primary Health Care Centers for Performance in Rwanda WPS5190 Policy Research Working Paper 5190 Paying Primary Health Care Centers for Performance in Rwanda Paulin Basinga Paul J. Gertler Agnes Binagwaho Agnes L.B. Soucat Jennifer R. Sturdy Christel M.J.

More information

June 25, 2004 Meeting Assignment

June 25, 2004 Meeting Assignment Appendix A.1 June 25, 2004 Meeting Assignment Please review the attached indicator worksheet and fill in what you believe to be the five most important and five least important indicators. As you are determining

More information

THE TRILLION DOLLAR CONUNDRUM: COMPLEMENTARITIES AND HEALTH INFORMATION TECHNOLOGY

THE TRILLION DOLLAR CONUNDRUM: COMPLEMENTARITIES AND HEALTH INFORMATION TECHNOLOGY ONLINE APPENDIX TO THE TRILLION DOLLAR CONUNDRUM: COMPLEMENTARITIES AND HEALTH INFORMATION TECHNOLOGY By David Dranove, Chris Forman, Avi Goldfarb, and Shane Greenstein NOT FOR PUBLICATION Appendix Table

More information

Online Appendix The Earnings Returns to Graduating with Honors - Evidence from Law Graduates

Online Appendix The Earnings Returns to Graduating with Honors - Evidence from Law Graduates Online Appendix The Earnings Returns to Graduating with Honors - Evidence from Law Graduates Ronny Freier Mathias Schumann Thomas Siedler February 13, 2015 DIW Berlin and Free University Berlin. Universität

More information

Rethinking the Cultural Context of Schooling Decisions in Disadvantaged Neighborhoods: From Deviant Subculture to Cultural Heterogeneity

Rethinking the Cultural Context of Schooling Decisions in Disadvantaged Neighborhoods: From Deviant Subculture to Cultural Heterogeneity Rethinking the Cultural Context of Schooling Decisions in Disadvantaged Neighborhoods: From Deviant Subculture to Cultural Heterogeneity Sociology of Education David J. Harding, University of Michigan

More information

Using the National Longitudinal Survey

Using the National Longitudinal Survey Who goes to college? Evidence from the NLSY97 s from the National Longitudinal Survey of Youth 997 show that sex, race, and ethnicity are unrelated to the student s decision to complete the first year

More information

Conditional Cash Transfer PATH - Jamaica World Bank s s Human Development Forum

Conditional Cash Transfer PATH - Jamaica World Bank s s Human Development Forum Conditional Cash Transfer PATH - Jamaica World Bank s s Human Development Forum Dr. Sheila Campbell-Forrester Chief Medical Officer Ministry of Health, Jamaica 2006 October 30 Jamaica Objectives for PATH

More information

The reach and impact of Child Support Grants: evidence from KwaZulu-Natal

The reach and impact of Child Support Grants: evidence from KwaZulu-Natal Development Southern Africa Vol. 22, No. 4, October 2005 The reach and impact of Child Support Grants: evidence from KwaZulu-Natal Anne Case, Victoria Hosegood & Frances Lund 1 This paper examines the

More information

The Effect of Parents Insurance Enrollment on Health Care Utilization: Evidence from Ghana

The Effect of Parents Insurance Enrollment on Health Care Utilization: Evidence from Ghana The Effect of Parents Insurance Enrollment on Health Care Utilization: Evidence from Ghana Gissele Gajate-Garrido IFPRI Clement Ahiadeke ISSER-University of Ghana March 2013 Abstract Access to and utilization

More information

A Descriptive Study of Depression, Substance Abuse, and Intimate Partner Violence Among Pregnant Women

A Descriptive Study of Depression, Substance Abuse, and Intimate Partner Violence Among Pregnant Women A Descriptive Study of Depression, Substance Abuse, and Intimate Partner Violence Among Pregnant Women 1 OVERVIEW This presentation is based on the study of pregnant women enrolled in the Augusta Partnership

More information

Chapter 5: Analysis of The National Education Longitudinal Study (NELS:88)

Chapter 5: Analysis of The National Education Longitudinal Study (NELS:88) Chapter 5: Analysis of The National Education Longitudinal Study (NELS:88) Introduction The National Educational Longitudinal Survey (NELS:88) followed students from 8 th grade in 1988 to 10 th grade in

More information

Do risk sharing mechanisms improve access to health services in low and middle-income

Do risk sharing mechanisms improve access to health services in low and middle-income August 2008 SUPPORT Summary of a systematic review Do risk sharing mechanisms improve access to health services in low and middle-income countries? The introduction of user charges in many low and middle-income

More information

Econometrica Supplementary Material

Econometrica Supplementary Material Econometrica Supplementary Material SUPPLEMENT TO HOW RESPONSIVE IS INVESTMENT IN SCHOOLING TO CHANGES IN REDISTRIBUTIVE POLICIES AND IN RETURNS? (Econometrica, Vol. 82, No. 4, July 2014, 1241 1272) BY

More information

The Returns to Community College Career Technical Education Programs in California

The Returns to Community College Career Technical Education Programs in California The Returns to Community College Career Technical Education Programs in California Michel Grosz Michal Kurlaender Ann Stevens University of California, Davis September 2014 Estimating the Returns to Education

More information

Early Childhood Development: Global Priorities and National Development

Early Childhood Development: Global Priorities and National Development Early Childhood Development: Global Priorities and National Development Early Childhood Development for nation building in Jamaica: Retrospective and Prospective, March 25-26, 2013 Susan Walker, PhD Child

More information

Sample Contract Provisions for Performance-Based Payment

Sample Contract Provisions for Performance-Based Payment Sample Contract Provisions for Performance-Based Payment (pages 13-16 of Using Performance-Based Payments to Improve Health Programs, The Manager, Vol. 10, No. 2, 2001). Reproduced with permission from

More information

ONLINE APPENDIX FOR PUBLIC HEALTH INSURANCE, LABOR SUPPLY,

ONLINE APPENDIX FOR PUBLIC HEALTH INSURANCE, LABOR SUPPLY, ONLINE APPENDIX FOR PUBLIC HEALTH INSURANCE, LABOR SUPPLY, AND EMPLOYMENT LOCK Craig Garthwaite Tal Gross Matthew J. Notowidigdo December 2013 A1. Monte Carlo Simulations This section describes a set of

More information

Child Support Demonstration Evaluation Cost-Benefit Analysis, September 1997-December 2004

Child Support Demonstration Evaluation Cost-Benefit Analysis, September 1997-December 2004 Child Support Demonstration Evaluation Cost-Benefit Analysis, September 1997-December 2004 Emma Caspar and Steven Cook Institute for Research on Poverty University of Wisconsin Madison March 2006 Report

More information

FACT SHEET MATERNAL AND CHILD HEALTH

FACT SHEET MATERNAL AND CHILD HEALTH FACT SHEET MATERNAL AND CHILD HEALTH Tanzania s Progress in Maternal and Child Health Tanzania has made considerable progress in the reduction of child mortality. Under-five mortality rates continue to

More information

Methodology for Safety Surveillance of Adverse Events Following Vaccination During Pregnancy

Methodology for Safety Surveillance of Adverse Events Following Vaccination During Pregnancy Methodology for Safety Surveillance of Adverse Events Following Vaccination During Pregnancy C. Jouquelet-Royer September 2012 Fondation Merieux NAME OF PRESENTATION 1 Presentation Outline Background Company

More information

FAMILY-RELATED MEDICAID PROGRAMS FACT SHEET

FAMILY-RELATED MEDICAID PROGRAMS FACT SHEET FAMILY-RELATED MEDICAID PROGRAMS FACT SHEET ACCESS staff in the Department of Children and Families prepared the Family-Related Medicaid Programs Fact Sheet. It is intended to provide general information.

More information

Food Assistance Programs and the Economic Patterns of Single Mothers Following Poverty Exits. Quinn Moore. Anu Rangarajan

Food Assistance Programs and the Economic Patterns of Single Mothers Following Poverty Exits. Quinn Moore. Anu Rangarajan Food Assistance Programs and the Economic Patterns of Single Mothers Following Poverty Exits Quinn Moore Anu Rangarajan Peter Schochet Mathematica Policy Research, Inc. Please Correspond to: Quinn Moore

More information

Report of Results and Analysis of Parent Survey Data Collected in Southern West Virginia

Report of Results and Analysis of Parent Survey Data Collected in Southern West Virginia Partners in Community Outreach Education Begins at Home Partners in Community Outreach In-Home Family Education Programs Report of Results and Analysis of Parent Survey Data Collected in Southern West

More information

Medicaid Presumptive Eligibility Instructions for Providers September 2015

Medicaid Presumptive Eligibility Instructions for Providers September 2015 Medicaid Presumptive Eligibility Instructions for Providers September 2015 KC 3767 (R-7-15) 0 MEDICAID PRESUMPTIVE ELIGIBILITY PROGRAM OVERVIEW The Medicaid Presumptive Eligibility (MPE) program is one

More information

THE EFFECT OF INSURANCE ON INFANT HEALTH: A CASE STUDY OF LOW-INCOME WOMEN IN NEW JERSEY. Center for Research on Child Wellbeing Working Paper #98-30

THE EFFECT OF INSURANCE ON INFANT HEALTH: A CASE STUDY OF LOW-INCOME WOMEN IN NEW JERSEY. Center for Research on Child Wellbeing Working Paper #98-30 THE EFFECT OF INSURANCE ON INFANT HEALTH: A CASE STUDY OF LOW-INCOME WOMEN IN NEW JERSEY Center for Research on Child Wellbeing Working Paper #98-30 Robert Kaestner Nancy Reichman Theodore Joyce Effect

More information

Alcohol Screening and Brief Interventions of Women

Alcohol Screening and Brief Interventions of Women Alcohol Screening and Brief Interventions of Women Competency #2 Midwest Regional Fetal Alcohol Syndrome Training Center Competency 2: Screening and Brief Interventions This competency addresses preventing

More information

Utah WIC Local Agency Policy and Procedures Manual FY 2016

Utah WIC Local Agency Policy and Procedures Manual FY 2016 Breastfeeding Positive Peer Influence I. FNS has contracted with Best Start Social Marketing for the development of a comprehensive Peer Counseling Program that builds on other USDA works as well as the

More information

Main Section. Overall Aim & Objectives

Main Section. Overall Aim & Objectives Main Section Overall Aim & Objectives The goals for this initiative are as follows: 1) Develop a partnership between two existing successful initiatives: the Million Hearts Initiative at the MedStar Health

More information

Schneps, Leila; Colmez, Coralie. Math on Trial : How Numbers Get Used and Abused in the Courtroom. New York, NY, USA: Basic Books, 2013. p i.

Schneps, Leila; Colmez, Coralie. Math on Trial : How Numbers Get Used and Abused in the Courtroom. New York, NY, USA: Basic Books, 2013. p i. New York, NY, USA: Basic Books, 2013. p i. http://site.ebrary.com/lib/mcgill/doc?id=10665296&ppg=2 New York, NY, USA: Basic Books, 2013. p ii. http://site.ebrary.com/lib/mcgill/doc?id=10665296&ppg=3 New

More information

FAMILY-RELATED MEDICAID PROGRAMS FACT SHEET

FAMILY-RELATED MEDICAID PROGRAMS FACT SHEET FAMILY-RELATED MEDICAID PROGRAMS FACT SHEET ACCESS staff in the Department of Children and Families prepared the Family-Related Medicaid Programs Fact Sheet. It is intended to provide general information.

More information

IMPACT EVALUATION: INSTRUMENTAL VARIABLE METHOD

IMPACT EVALUATION: INSTRUMENTAL VARIABLE METHOD REPUBLIC OF SOUTH AFRICA GOVERNMENT-WIDE MONITORING & IMPACT EVALUATION SEMINAR IMPACT EVALUATION: INSTRUMENTAL VARIABLE METHOD SHAHID KHANDKER World Bank June 2006 ORGANIZED BY THE WORLD BANK AFRICA IMPACT

More information

ANNEX Sociodemographic characteristics of SMNG affiliates*

ANNEX Sociodemographic characteristics of SMNG affiliates* An e x o Sociodemographic characteristics of SMNG affiliates ANNEX Sociodemographic characteristics of SMNG affiliates* Methodology The survey of the Medical Insurance for a New Generation 2009 (Encuesta

More information

CORRELATIONAL ANALYSIS BETWEEN TEENAGE PREGNANCY AND MATERNAL MORTALITY IN MALAWI

CORRELATIONAL ANALYSIS BETWEEN TEENAGE PREGNANCY AND MATERNAL MORTALITY IN MALAWI CORRELATIONAL ANALYSIS BETWEEN TEENAGE PREGNANCY AND MATERNAL MORTALITY IN MALAWI Abiba Longwe-Ngwira and Nissily Mushani African Institute for Development Policy (AFIDEP) P.O. Box 31024, Lilongwe 3 Malawi

More information

National Family Health Survey-3 reported, low fullimmunization coverage rates in Andhra Pradesh, India: who is to be blamed?

National Family Health Survey-3 reported, low fullimmunization coverage rates in Andhra Pradesh, India: who is to be blamed? Journal of Public Health Advance Access published March 15, 2011 Journal of Public Health pp. 1 7 doi:10.1093/pubmed/fdr022 National Family Health Survey-3 reported, low fullimmunization coverage rates

More information

MCC Ghana Impact Evaluation Services Baseline Data Analysis of Agribusiness Centers

MCC Ghana Impact Evaluation Services Baseline Data Analysis of Agribusiness Centers Baseline Report MCC Ghana Impact Evaluation Services Baseline Data Analysis of Agribusiness Centers PRESENTED TO: Millennium Challenge Corporation 875 15 th Street, NW Washington, DC 20005 Telephone: (202)

More information

THE HARMFUL EFFECTS OF EARLY SEXUAL ACTIVITY AND MULTIPLE SEXUAL PARTNERS AMONG WOMEN: A BOOK OF CHARTS

THE HARMFUL EFFECTS OF EARLY SEXUAL ACTIVITY AND MULTIPLE SEXUAL PARTNERS AMONG WOMEN: A BOOK OF CHARTS THE HARMFUL EFFECTS OF EARLY SEXUAL ACTIVITY AND MULTIPLE SEXUAL PARTNERS AMONG WOMEN: A BOOK OF CHARTS ROBERT E. RECTOR KIRK A. JOHNSON, PH.D. LAUREN R. NOYES SHANNAN MARTIN Permission to reproduce this

More information

Mode and Patient-mix Adjustment of the CAHPS Hospital Survey (HCAHPS)

Mode and Patient-mix Adjustment of the CAHPS Hospital Survey (HCAHPS) Mode and Patient-mix Adjustment of the CAHPS Hospital Survey (HCAHPS) April 30, 2008 Abstract A randomized Mode Experiment of 27,229 discharges from 45 hospitals was used to develop adjustments for the

More information

Copayments in the German Health System: Does It Work?

Copayments in the German Health System: Does It Work? DISCUSSION PAPER SERIES IZA DP No. 2290 Copayments in the German Health System: Does It Work? Boris Augurzky Thomas K. Bauer Sandra Schaffner September 2006 Forschungsinstitut zur Zukunft der Arbeit Institute

More information

MATERNAL AND CHILD HEALTH 9

MATERNAL AND CHILD HEALTH 9 MATERNAL AND CHILD HEALTH 9 Ann Phoya and Sophie Kang oma This chapter presents the 2004 MDHS findings on maternal and child health in Malawi. Topics discussed include the utilisation maternal and child

More information

Healthy Children Iniative

Healthy Children Iniative Healthy Children Iniative Introduction The Departments of Education, Culture and Employment and Health and Social Services are working together to achieve a vision where: Healthy children of healthy parents

More information

49. INFANT MORTALITY RATE. Infant mortality rate is defined as the death of an infant before his or her first birthday.

49. INFANT MORTALITY RATE. Infant mortality rate is defined as the death of an infant before his or her first birthday. 49. INFANT MORTALITY RATE Wing Tam (Alice) Jennifer Cheng Stat 157 course project More Risk in Everyday Life Risk Meter LIKELIHOOD of exposure to hazardous levels Low Medium High Consequences: Severity,

More information

REQUEST FOR BIDDING PROPOSALS

REQUEST FOR BIDDING PROPOSALS REQUEST FOR BIDDING PROPOSALS BID Reference 2014/HR/012 To plan, design and implement a qualitative assessment of barriers and determents of mosquito nets utilization among children under the age of five

More information

MATERNAL AND CHILD HEALTH BRIEF #2:

MATERNAL AND CHILD HEALTH BRIEF #2: MATERNAL AND CHILD HEALTH BRIEF #2: OBESITY AMONG CHILDREN AND ADOLESCENTS SEPTEMBER 2012 OBESITY DEFINED Obesity and overweight are typically measured OVERVIEW in terms of Body Mass Index or BMI. BMI

More information

2.1 Net enrolment ratio in primary education

2.1 Net enrolment ratio in primary education 2.1 Net enrolment ratio in primary education GOAL AND TARGET ADDRESSED Goal 2: Achieve universal primary education Target 2.A: Ensure that, by 2015, children everywhere, boys and girls alike, will be able

More information

Results Based Financing Initiative for Maternal and Neonatal Health Malawi

Results Based Financing Initiative for Maternal and Neonatal Health Malawi Results Based Financing Initiative for Maternal and Neonatal Health Malawi Interagency Working Group on Results-Based Financing Meeting in Frankfurt/ Germany 7 th May 2013 Dr Brigitte Jordan-Harder MD

More information

Islamic Republic of Afghanistan Ministry of Public Health. National Child and Adolescent Health Policy

Islamic Republic of Afghanistan Ministry of Public Health. National Child and Adolescent Health Policy Islamic Republic of Afghanistan Ministry of Public Health National Child and Adolescent Health Policy 2009-2013 July 2009 In line with the Convention on the Rights of the Child, the MOPH Child and Adolescent

More information

Patient Responsibility in Health Care: An AARP Bulletin Survey

Patient Responsibility in Health Care: An AARP Bulletin Survey Patient Responsibility in Health Care: An AARP Bulletin Survey May 2011 Patient Responsibility in Health Care: An AARP Bulletin Survey Data Collected by SSRS Report Prepared by Teresa A. Keenan, Ph.D.

More information

JOB DESCRIPTION. Position Title: Program: Service: Accountable to: COMMUNITY HEALTH NURSE Health Community Health Community Health Service Manager

JOB DESCRIPTION. Position Title: Program: Service: Accountable to: COMMUNITY HEALTH NURSE Health Community Health Community Health Service Manager JOB DESCRIPTION Position Title: Program: Service: Accountable to: COMMUNITY HEALTH NURSE Health Community Health Community Health Service Manager Issued By: Date Revised: August 2015 Date Issued: Classification:

More information

What Works Clearinghouse

What Works Clearinghouse U.S. DEPARTMENT OF EDUCATION What Works Clearinghouse June 2014 WWC Review of the Report Interactive Learning Online at Public Universities: Evidence from a Six-Campus Randomized Trial 1 The findings from

More information

Origins and effects of the rural public health programs in North Carolina

Origins and effects of the rural public health programs in North Carolina Origins and effects of the rural public health programs in North Carolina Jonathan Fox, Freie Universität Berlin August, 2015 Abstract This project investigates the growth and effectiveness of the Country

More information

Terms of Reference Concurrent Monitoring of Mid Day Meal (MDM) in Odisha

Terms of Reference Concurrent Monitoring of Mid Day Meal (MDM) in Odisha Terms of Reference Concurrent Monitoring of Mid Day Meal (MDM) in Odisha 1. Background The Government of India has initiated a number of social welfare flagship schemes to enable improving status of human

More information

Since achieving independence from Great Britain in 1963, Kenya has worked to improve its healthcare system.

Since achieving independence from Great Britain in 1963, Kenya has worked to improve its healthcare system. Medical Management Plan Kenya OVERVIEW Company Mission Our mission is to encourage young people to volunteer for worthwhile work in developing countries. We expect that doing this kind of voluntary work

More information

New York State Ten Steps to a Breastfeeding Friendly Practice Implementation Guide June 2014

New York State Ten Steps to a Breastfeeding Friendly Practice Implementation Guide June 2014 Ten Steps to a Breastfeeding Friendly Practice 1. Develop and maintain a written breastfeeding friendly office policy. 2. Train all staff to promote, support and protect breastfeeding and breastfeeding

More information

8th Medical Open Source Software Symposium

8th Medical Open Source Software Symposium 8th Medical Open Source Software Symposium openehr as A New Approach to Electronic Health Record System in Cambodia Maternity Care Program Kakada Hok 2009.10.31 1 Objectives of the Research Study To identify

More information

HOSPITAL PRESUMPTIVE ELIGIBILITY FOR MEDICAID SERVICES. Provider Certification Training Program

HOSPITAL PRESUMPTIVE ELIGIBILITY FOR MEDICAID SERVICES. Provider Certification Training Program HOSPITAL PRESUMPTIVE ELIGIBILITY FOR MEDICAID SERVICES Provider Certification Training Program 1 TODAY S OBJECTIVES INTRODUCE THE FEATURES & OBJECTIVES OF PRESUMPTIVE ELIGIBILITY (P.E.). HIGHLIGHT P.E.

More information

Evaluating the Impact of Conditional Cash Transfer Programs

Evaluating the Impact of Conditional Cash Transfer Programs Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Evaluating the Impact of Conditional Cash Transfer Programs Laura B. Rawlings Gloria

More information

Which flu vaccine should you or your child

Which flu vaccine should you or your child have? Click on an age group to find out Birth to under six months Babies of this age cannot have flu vaccine so the best way to protect them is for their mother to have the vaccination while pregnant.

More information

CHAPTER VI ON PRIORITY SECTOR LENDING

CHAPTER VI ON PRIORITY SECTOR LENDING CHAPTER VI IMPACT OF PRIORITY SECTOR LENDING 6.1 PRINCIPAL FACTORS THAT HAVE DIRECT IMPACT ON PRIORITY SECTOR LENDING 6.2 ASSOCIATION BETWEEN THE PROFILE VARIABLES AND IMPACT OF PRIORITY SECTOR CREDIT

More information

Quality of Education in India: A Case Study of Primary Schools of Assam

Quality of Education in India: A Case Study of Primary Schools of Assam Bangladesh e-journal of Sociology. Volume 10 Number 1, January 2013. 71 Quality of Education in India: A Case Study of Primary Schools of Assam Sahidul Ahmed * Abstract: The global community is giving

More information

Mode Adjustment of the CAHPS Hospital Survey

Mode Adjustment of the CAHPS Hospital Survey of the CAHPS Hospital Survey December 21, 2006 Abstract A randomized Experiment of 27,229 discharges from 45 hospitals was used to develop adjustments for the effects of survey mode (Mail Only, Telephone

More information

Income is the most common measure

Income is the most common measure Income Goal A healthy standard of living for all Income is the most common measure of socioeconomic status, and a strong predictor of the health of an individual or community. When assessing the health

More information

Empowering Girls. Rachel Glennerster Executive Director, J-PAL Department of Economics, MIT

Empowering Girls. Rachel Glennerster Executive Director, J-PAL Department of Economics, MIT Empowering Girls Rachel Glennerster Executive Director, J-PAL Department of Economics, MIT July 16, 2013 Overview Challenge and background Research design Kishoree Kontha program Results and implications

More information

Appendix Figure 1 The Geography of Consumer Bankruptcy

Appendix Figure 1 The Geography of Consumer Bankruptcy Appendix Figure 1 The Geography of Consumer Bankruptcy Number of Bankruptcy Offices in Each Court Number of Chapter 13 Judges Chapter 13 Filings Per Capita Chapter 13 Discharge Rate Variation in Chapter

More information

National Findings on Access to Health Care and Service Use for Non-elderly Adults Enrolled in Medicaid

National Findings on Access to Health Care and Service Use for Non-elderly Adults Enrolled in Medicaid National Findings on Access to Health Care and Service Use for Non-elderly Adults Enrolled in Medicaid By Sharon K. Long Karen Stockley Elaine Grimm Christine Coyer Urban Institute MACPAC Contractor Report

More information

Do Supplemental Online Recorded Lectures Help Students Learn Microeconomics?*

Do Supplemental Online Recorded Lectures Help Students Learn Microeconomics?* Do Supplemental Online Recorded Lectures Help Students Learn Microeconomics?* Jennjou Chen and Tsui-Fang Lin Abstract With the increasing popularity of information technology in higher education, it has

More information

Investor Education for Credit Union Employees: Survey Results for Wisconsin

Investor Education for Credit Union Employees: Survey Results for Wisconsin Research Brief Investor Education for Credit Union Employees: Survey Results for Wisconsin J. Michael Collins, PhD Assistant Professor Director, Center for Financial Security University of Wisconsin Madison

More information

Preventing Unplanned Pregnancy and Completing College AN EVALUATION OF ONLINE LESSONS

Preventing Unplanned Pregnancy and Completing College AN EVALUATION OF ONLINE LESSONS Preventing Unplanned Pregnancy and Completing College AN EVALUATION OF ONLINE LESSONS About Us The National Campaign to Prevent Teen and Unplanned Pregnancy is a non-profit, nonpartisan organization that

More information

POLICY 9100 EDUCATIONAL PROGRAMS FOR PREGNANT AND PARENTING STUDENTS

POLICY 9100 EDUCATIONAL PROGRAMS FOR PREGNANT AND PARENTING STUDENTS EDUCATIONAL PROGRAMS FOR PREGNANT AND PARENTING STUDENTS Effective: July 1, 2008 I. Policy Statement The Board of Education recognizes its responsibility to provide appropriate educational programs for

More information

RESEARCH REPORT 15-3

RESEARCH REPORT 15-3 RESEARCH REPORT 15-3 August, 2015 Post Program Earnings Differences Between the Associate in Applied Science and Applied Baccalaureate Degrees: Companion Report to Applied Baccalaureate Degree: Policy

More information

Lia Haskin Fernald, PhD, MBA

Lia Haskin Fernald, PhD, MBA Policy approaches to helping children reach their developmental potential Lia Haskin Fernald, PhD, MBA Associate Professor, School of Public Health, UC Berkeley Presentation for the Forum on Investing

More information

2014 Washington State Health Care Authority Adult Medicaid Health Plan CAHPS Report

2014 Washington State Health Care Authority Adult Medicaid Health Plan CAHPS Report State of Washington Health Care Authority 2014 Washington State Health Care Authority Adult Medicaid Health Plan CAHPS Report December 2014 3133 East Camelback Road, Suite 300 Phoenix, AZ 85016 Phone 602.264.6382

More information

Evaluation of Florida's Family Planning Waiver Program: Report on Cost Effectiveness. During Demonstration Year 9, 2006-07,

Evaluation of Florida's Family Planning Waiver Program: Report on Cost Effectiveness. During Demonstration Year 9, 2006-07, Evaluation of Florida's Family Planning Waiver Program: Report on Cost Effectiveness During Demonstration Year 9, 2006-07, Using Required CMS Methodology Prepared for the Office of Medicaid Research and

More information

Long-term mobility decisions during the life course: Experiences with a retrospective survey

Long-term mobility decisions during the life course: Experiences with a retrospective survey Hazard rate 0.20 0.18 0.16 0.14 0.12 0.10 0.08 0.06 Residence Education Employment Education and employment Car: always available Car: partially available National annual ticket ownership Regional annual

More information

How to Get More Value from Your Survey Data

How to Get More Value from Your Survey Data Technical report How to Get More Value from Your Survey Data Discover four advanced analysis techniques that make survey research more effective Table of contents Introduction..............................................................2

More information

Summary. Accessibility and utilisation of health services in Ghana 245

Summary. Accessibility and utilisation of health services in Ghana 245 Summary The thesis examines the factors that impact on access and utilisation of health services in Ghana. The utilisation behaviour of residents of a typical urban and a typical rural district are used

More information

Gender Profile: Lesotho

Gender Profile: Lesotho General Total male population under 15 (2014) (CIA, 2015): 321,017 Total female population under 15 (2014) (CIA, 2015): 318,265 Total male population over 15 (2014) (CIA, 2015): 637,600 Total female population

More information

PEER REVIEW HISTORY ARTICLE DETAILS VERSION 1 - REVIEW. Nahyuha Chomi, Eunice United Kingdom 03-Jul-2015

PEER REVIEW HISTORY ARTICLE DETAILS VERSION 1 - REVIEW. Nahyuha Chomi, Eunice United Kingdom 03-Jul-2015 PEER REVIEW HISTORY BMJ Open publishes all reviews undertaken for accepted manuscripts. Reviewers are asked to complete a checklist review form (http://bmjopen.bmj.com/site/about/resources/checklist.pdf)

More information

Social Security Programs Throughout the World: The Americas, 2007

Social Security Programs Throughout the World: The Americas, 2007 Social Security Programs Throughout the World: The Americas, 2007 Social Security Administration Office of Retirement and Disability Policy Office of Research, Evaluation, and Statistics 500 E Street,

More information

The relationship between nurses' perceptions of empowerment and patient satisfaction

The relationship between nurses' perceptions of empowerment and patient satisfaction Available online at www.sciencedirect.com Applied Nursing Research 21 (2008) 2 7 Original Articles The relationship between nurses' perceptions of empowerment and patient satisfaction Moreen O. Donahue,

More information

Child s Legal Name: Date of Birth: Age: First, Middle, and Last Name. Nicknames: Social Security #: - - Current address: Apt #:

Child s Legal Name: Date of Birth: Age: First, Middle, and Last Name. Nicknames: Social Security #: - - Current address: Apt #: Parent Questionnaire Child s Legal Name: Date of Birth: Age: First, Middle, and Last Name Nicknames: Social Security #: - - Current address: Apt #: City: State: Zip Code: Home Phone: Cell/Other #: Parent

More information

FINANCIAL ASSISTANCE APPLICATION: COVER LETTER

FINANCIAL ASSISTANCE APPLICATION: COVER LETTER FINANCIAL ASSISTANCE APPLICATION: COVER LETTER Thank you for choosing Children s of Alabama to provide for the healthcare needs of your child. Please find attached the forms you must complete in order

More information

Summary. Introduction

Summary. Introduction General discussion, Summary, Samenvatting Summary Introduction Nursing students are taught to provide client-centred, so-called holistic nursing care to patients. Taking a holistic approach means that

More information

Factors Affecting Students Academic Performance: A case study in Agartala Municipal Council Area

Factors Affecting Students Academic Performance: A case study in Agartala Municipal Council Area 34 Factors Affecting Students Academic Performance: A case study in Agartala Municipal Council Area Amitava Raychaudhuri *, Manojit Debnath **, Saswata Sen *** and Braja Gopal Majumder **** Abstract: Number

More information

Internet Appendix to Payout Taxes and the Allocation of Investment 1

Internet Appendix to Payout Taxes and the Allocation of Investment 1 Internet Appendix to Payout Taxes and the Allocation of Investment 1 Table IA.I Average Investment and Cash Flow around 2000/2001 German Tax Reform This table shows the average investment for bottom and

More information

The Situation of Children and Women in Iraq

The Situation of Children and Women in Iraq The Situation of Children and Women in Iraq Highlights from the Multiple Indicator Cluster Survey 4 (MICS 4) 2011 Demographics - Population of Iraq: 33.4 million - Children and Adolescents (0-18): 16.6

More information

My Student Health Record (MySHR) Walkthrough

My Student Health Record (MySHR) Walkthrough My Student Health Record (MySHR) Walkthrough What is My Student Health Record (MySHR)?... 2 Logging In... 3 Profile... 5 Appointments... 6 Enable Text Message Appointment Reminders... 6 Scheduling Appointments...

More information

Online Product Research

Online Product Research Online Product Research 58% of Americans have researched a product or service online September 29, 2010 Jim Jansen, Senior Fellow, Pew Internet Project http://pewinternet.org/reports/2010/online-product-research.aspx

More information

Feed the Future Innovation Lab For Collaborative Research on Nutrition - Asia Harvard School of Public Health - Annual Report - Year 3

Feed the Future Innovation Lab For Collaborative Research on Nutrition - Asia Harvard School of Public Health - Annual Report - Year 3 Nutrition Innovation Lab Annual Report October 2013 Feed the Future Innovation Lab For Collaborative Research on Nutrition - Asia - Annual Report - Year 3 Annual Report Year 3 (2012-2013) Feed the Future

More information

Does Contraceptive Use Always Reduce Breast-feeding?

Does Contraceptive Use Always Reduce Breast-feeding? Demography DOI 10.1007/s13524-014-0286-9 Does Contraceptive Use Always Reduce Breast-feeding? Seema Jayachandran # Population Association of America 2014 Abstract Previous studies suggest that access to

More information

Improving mental health care through ehealth-grand Challenges Canada Grant

Improving mental health care through ehealth-grand Challenges Canada Grant Improving mental health care for young adults in Badakshan Province of Afghanistan using ehealth Survey Questionnaire for Facility based Health Providers To be conducted with Health Providers in both Intervention

More information

Child health and nutrition and the loss of human potential in India

Child health and nutrition and the loss of human potential in India Child health and nutrition and the loss of human potential in India Ramanan Laxminarayan Public Health Foundation of India Center for Disease Dynamics, Economics & Policy IOM Forum on Investing in Young

More information

Effects of Decentralized Health Care Financing on Maternal Care in Indonesia

Effects of Decentralized Health Care Financing on Maternal Care in Indonesia Effects of Decentralized Health Care Financing on Maternal Care in Indonesia Renate Hartwig University of Namur Robert Sparrow Australian National University Sri Budiyati, Athia Yumma, Nila Warda, Asep

More information

ONLINE APPENDIX Education Choices and Returns to Schooling: Mothers and Youths Subjective Expectations and their Role by Gender.

ONLINE APPENDIX Education Choices and Returns to Schooling: Mothers and Youths Subjective Expectations and their Role by Gender. ONLINE APPENDIX Education Choices and Returns to Schooling: Mothers and Youths Subjective Expectations and their Role by Gender. Orazio P. Attanasio and Katja M. Kaufmann February 2014, first draft: June

More information

Georgia Statewide County Health Rankings

Georgia Statewide County Health Rankings Georgia Statewide County Health Rankings Atlanta Regional Commission Regional Snapshot: June 2013 For more information contact: mcarnathan@atlantaregional.com Source: HRSA Area Resource File, 2011-2012,

More information

COUPLE OUTCOMES IN STEPFAMILIES

COUPLE OUTCOMES IN STEPFAMILIES COUPLE OUTCOMES IN STEPFAMILIES Vanessa Leigh Bruce B. Arts, B. Psy (Hons) This thesis is submitted in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Clinical Psychology,

More information

Econometric Analysis of Cross Section and Panel Data Second Edition. Jeffrey M. Wooldridge. The MIT Press Cambridge, Massachusetts London, England

Econometric Analysis of Cross Section and Panel Data Second Edition. Jeffrey M. Wooldridge. The MIT Press Cambridge, Massachusetts London, England Econometric Analysis of Cross Section and Panel Data Second Edition Jeffrey M. Wooldridge The MIT Press Cambridge, Massachusetts London, England Preface Acknowledgments xxi xxix I INTRODUCTION AND BACKGROUND

More information

How to Develop a Sporting Habit for Life

How to Develop a Sporting Habit for Life How to Develop a Sporting Habit for Life Final report December 2012 Context Sport England s 2012-17 strategy aims to help people and communities across the country transform our sporting culture, so that

More information

Online Appendix to Are Risk Preferences Stable Across Contexts? Evidence from Insurance Data

Online Appendix to Are Risk Preferences Stable Across Contexts? Evidence from Insurance Data Online Appendix to Are Risk Preferences Stable Across Contexts? Evidence from Insurance Data By LEVON BARSEGHYAN, JEFFREY PRINCE, AND JOSHUA C. TEITELBAUM I. Empty Test Intervals Here we discuss the conditions

More information

Using the National Health Interview Survey to Monitor Health Insurance and Access to Care 1

Using the National Health Interview Survey to Monitor Health Insurance and Access to Care 1 Using the National Health Interview Survey to Monitor Health Insurance and Access to Care 1 Robin A. Cohen, Ph.D. Centers for Disease Control and Prevention, National Center for Health Statistics, 3311

More information

Texas Health Steps. Presented by. NM-THStp12 rev. 2015-02-05

Texas Health Steps. Presented by. NM-THStp12 rev. 2015-02-05 Texas Health Steps Presented by NM-THStp12 rev. 2015-02-05 Overview The Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program is a federally mandated health care program. EPSDT is Medicaid's

More information