Evaluation of an Entrepreneurial Community Health Worker Model in Uganda - Phase II
Researchers: Martina Björkman Nyqvist, Andrea Guariso, Jakob Svensson
Partners: Living Goods, BRAC Uganda, Innovations for Poverty Action, CIFF (funding agency)
Sample: 12,500 households from 500 villages
Between 2011 and 2014 we performed the first large-scale evaluation of a novel “social entrepreneurship” approach to health care delivery in Uganda. The evaluation was based on a randomized controlled trial, across 214 villages. In each treatment village, a female door-to-door sales agent was locally recruited and incentivized to sell subsidized medicines and other health products to households, making a small profit on each sale. Our results showed significant reductions in under-5, infant, and neonatal mortality. Following up on these remarkable results and taking advantage of a large expansion of the program, this new project will i) evaluate the impact of the program when it is brought to scale; ii) assess the level and type of activities of Community Health Promoters and how they relate and interact with other health workers operating in the study villages; iii) collect information on the price and quality of antimalarial drugs and antibiotics for pneumonia sold by drug stores operating in the study villages, to measure the extent of counterfeit and substandard drugs in the local markets. The evaluation is based on a large scale randomized controlled trial, covering 12,500 households located across 500 different villages. The trial has been registered with the Pan African Clinical Trials Registry: PACTR201609001398349.