Health workers, quality of care, and child health: Simulating the relationships between increases in health staffing and child length
文献类型： 外文期刊
作者： Barber, Sarah L. 1 ; Gertler, Paul J. 2 ;
作者机构： 1.Univ Calif Berkeley, Inst Business & Econ Res, Haas Sch Business F502, Berkeley, CA 94720 USA
2.Univ Calif Berkeley, Haas Sch Business, Berkeley, CA 94720 USA
关键词： Health personnel;Medical staff;Quality of healthcare;Growth;Public policy;Public health
期刊名称：HEALTH POLICY （ 影响因子：2.98； 五年影响因子：3.481 ）
ISSN： 0168-8510
年卷期： 2009 年 91 卷 2 期
页码：
收录情况： SCI
摘要： Objective: One in three children globally is stunted in growth. Many of the conditions that promote child stunting are amenable to quality care provided by skilled health workers. Methods: The study uses household and facility data from the Indonesian Family Life Surveys in 1993 and 1997. The first set of multivariate regression models evaluate whether the number of medical doctors (MDs), nurses, and midwives predict quality of care as measured by adherence to clinical guidelines. The second set explains the relationships between quality and length among children less than 36 months. Using the information generated from these two sets of regressions, we simulate the effect of increasing the number of MDs, nurses, and midwives on child length and stunting. Results: Increases in the number of MDs and nurses predict increases in the quality of care. Higher quality care is associated with child length in centimeters and stunting. Simulations suggest that large health gains among children under 24 months of age result by placing MDs where none are available. Conclusions: Improvements in child health could be made by increasing the number of qualified health staff. The returns to investing in improvements in human resources for health are high. (c) 2008 Elsevier Ireland Ltd. All rights reserved.
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