Financial incentives in health

New evidence from India's Janani Suraksha Yojana

Datos Bibliográficos

ID23316026
AutoresKay Dickinson (0000-0002-4257-6214, autor de correspondencia), Timothy Powell-Jackson (0000-0002-6082-3805), Sumit Mazumdar (0000-0002-9278-4396), Anne Mills
Año2015
Volumen43
Número6
Páginas154-169
Fecha de publicación2015-09-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of Health Economics (JOURNAL)
Identificadores de la revistaISSN: 0167-6296 • E-ISSN: 1879-1646
EditorialElsevier BV (PUBLISHER)
DOI10.1016/j.jhealeco.2015.07.001
PMID26302940
OpenAlexW26302940
IdiomaEN
Citas recibidas56
Referencias citadas38

This paper studies the health effects of one of the world's largest demand-side financial incentive programmes--India's Janani Suraksha Yojana. Our difference-in-difference estimates exploit heterogeneity in the implementation of the financial incentive programme across districts. We find that cash incentives to women were associated with increased uptake of maternity services but there is no strong evidence that the JSY was associated with a reduction in neonatal or early neonatal mortality. The positive effects on utilisation are larger for less educated and poorer women, and in places where the cash payment was most generous. We also find evidence of unintended consequences. The financial incentive programme was associated with a substitution away from private health providers, an increase in breastfeeding and more pregnancies. These findings demonstrate the potential for financial incentives to have unanticipated effects that may, in the case of fertility, undermine the programme's own objective of reducing mortality.

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