Abstract：
: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.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Powell-Jackson T,Mazumdar S,Mills Adoi
10.1016/j.jhealeco.2015.07.001subject
Has Abstractpub_date
2015-09-01 00:00:00pages
154-69eissn
0167-6296issn
1879-1646pii
S0167-6296(15)00076-4journal_volume
43pub_type
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