Estimating the impact of donor programs on child mortality in low- and middle-income countries: a synthetic control analysis of child health programs funded by the United States Agency for International Development.

Autor: Weiss W; Department of International Health, John Hopkins University & Public Health Institute (USAID Contractor), 615 N. Wolfe Street, Rm E8132, Baltimore, MD, 21205, USA. wweiss1@jhu.edu., Piya B; Global Programs, Water For People, 100 E. Tennessee Ave, Denver, CO, 80209, USA., Andrus A; Alutiiq (State Department Contractor), 2000 N. Adams St., Arlington, VA, 22201, USA., Ahsan KZ; UNC Center for Health Equity Research, School of Medicine, The University of North Carolina at Chapel Hill, 323 MacNider Hall 333 South Columbia Street, Chapel Hill, NC, 27599-7240, USA., Cohen R; Camris International (USAID Contractor), 3 Bethesda Metro Center, 16th Floor, Bethesda, MD, 20814, USA.
Jazyk: angličtina
Zdroj: Population health metrics [Popul Health Metr] 2022 Jan 06; Vol. 20 (1), pp. 2. Date of Electronic Publication: 2022 Jan 06.
DOI: 10.1186/s12963-021-00278-9
Abstrakt: Background: Significant levels of funding have been provided to low- and middle-income countries for development assistance for health, with most funds coming through direct bilateral investment led by the USA and the UK. Direct attribution of impact to large-scale programs funded by donors remains elusive due the difficulty of knowing what would have happened without those programs, and the lack of detailed contextual information to support causal interpretation of changes.
Methods: This study uses the synthetic control analysis method to estimate the impact of one donor's funding (United States Agency for International Development, USAID) on under-five mortality across several low- and middle-income countries that received above average levels of USAID funding for maternal and child health programs between 2000 and 2016.
Results: In the study period (2000-16), countries with above average USAID funding had an under-five mortality rate lower than the synthetic control by an average of 29 deaths per 1000 live births (year-to-year range of - 2 to - 38). This finding was consistent with several sensitivity analyses.
Conclusions: The synthetic control method is a valuable addition to the range of approaches for quantifying the impact of large-scale health programs in low- and middle-income countries. The findings suggest that adequately funded donor programs (in this case USAID) help countries to reduce child mortality to significantly lower rates than would have occurred without those investments.
(© 2021. The Author(s).)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje