Financial incentives in health

New evidence from India's Janani Suraksha Yojana

Dados Bibliográficos

ID23316026
AutoresKay Dickinson (0000-0002-4257-6214, autor correspondente), Timothy Powell-Jackson (0000-0002-6082-3805), Sumit Mazumdar (0000-0002-9278-4396), Anne Mills
Ano2015
Volume43
Fascículo6
Páginas154-169
Data de publicação2015-09-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Health Economics (JOURNAL)
Identificadores do periódicoISSN: 0167-6296 • E-ISSN: 1879-1646
EditoraElsevier BV (PUBLISHER)
DOI10.1016/j.jhealeco.2015.07.001
PMID26302940
OpenAlexW26302940
IdiomaEN
Citações recebidas56
Referências 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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