Scaling Care\, Saving Lives: E vidence from an Adaptive Trial in Uganda
Abstrac t:
Proof-of-concept studies suggest that community health wo rker (CHW) programs can significantly reduce child mortality in resource-po or settings. However\, their effectiveness at scale remains largely unteste d. We evaluate the scaling up of a successful CHW program\, implemented in Uganda by two NGOs and assessed using an adaptive trial design. After 15 mo nths\, interim results showed only modest improvements in service delivery. In response\, NGO A substantially revised its program\, while NGO B made o nly minor adjustments. The trial period was also extended to assess the imp act of these changes. Over the full trial period\, no significant reduction in child mortality was observed. Yet\, following the release of the interi m results\, mortality declined significantly under Program A. Endline data show that improvements in households’ access to health services\, health kn owledge\, and health behavior were substantially larger under Program A. Th ese findings suggest that adaptive designs\, when paired with implementers responsive to evidence\, can help sustain the impact of successful pilot pr ograms.
Organized by: Siwan A nderson
LOCATION:IONA 533 GEO:49.260872;-123.113952 URL;VALUE=URI:https://economics.ubc.ca/events/event/martina-bjorkman-stockh olm-school-of-economics-development-political-economy-seminar/ END:VEVENT BEGIN:VTIMEZONE TZID:America/Vancouver BEGIN:DAYLIGHT TZOFFSETFROM:-0800 TZOFFSETTO:-0700 DTSTART:20250309T100000 TZNAME:PDT END:DAYLIGHT END:VTIMEZONE END:VCALENDAR