Does the conditional maternal benefit programme reduce infant mortality in India?
Does the conditional maternal benefit programme reduce infant mortality in India?
复制标题
有条件孕产妇福利计划是否会降低印度的婴儿死亡率？
DOI：
10.1093/heapol/czac067
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发表时间：
2022
影响因子：
3.2
通讯作者：
Aizawa Toshiaki
中科院分区：
文献类型：
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作者：
Kurita Kenichi;Katafuchi Yuya;Managi Shunsuke;Aizawa Toshiaki
印度是世界上婴儿死亡人数最多的国家，它推出了有条件的产妇福利方案，即“Indira Gandhi Matritva Sahyog Yojana”（IGMSY），根据具体的母婴保健用途，直接向孕妇和哺乳期妇女提供现金。这项研究估计了该方案对出生后头12个月婴儿死亡率的影响，将IGMSY的试验阶段作为一项自然试验，随机选择52个县作为试验区。在配对差异中差异框架中，通过完全数据驱动的随机生存森林方法估计治疗对生存率的影响。结果表明，IGMSY使治疗区的婴儿死亡率降低了8.32%，每1000名活产婴儿死亡人数减少了1.53人[95%预测区间：1.26-1.80]。即使在最初的12个月内，效果的大小也有很大的变化，表明新生儿期和最初6个月后的减少幅度更大。调查结果还显示，城市地区的男孩和儿童的死亡率下降幅度更大。
India, which suffers from the largest number of infant deaths in the world, introduced the conditional maternity benefit programme, ‘Indira Gandhi Matritva Sahyog Yojana’ (IGMSY), to provide cash directly to pregnant and lactating women contingent on specified maternal and infant healthcare uses. This study estimates the impact of this programme on infant mortality for the first 12 months after birth, exploiting the pilot phase of IGMSY as a natural experiment in which 52 districts were randomly chosen as pilot districts. In the matched-pair difference-in-differences framework, the treatment effect on survival rate is estimated through the fully data-driven random survival forest approach. The results show that IGMSY reduced the infant mortality rate by 8.32% in treatment districts, with 1.53 fewer deaths per 1000 live births [95% prediction interval: 1.26–1.80]. The size of the effect substantially varies even within the first 12 months, indicating larger reductions in the neonatal period, and after the first 6 months. The results also reveal greater reductions among boys and children in urban areas.