TAILIEUCHUNG - Child Health And The Quality Of Medical Care

Many measures can indeed be taken almost immediately to reduce this environmental disease burden. Just a few examples include the promotion of safe household water storage and better hygiene measures, the use of cleaner fuels and safer, more judicious use and management of toxic substances in the home and workplace. At the same time, actions by sectors such as energy, transport, agriculture, and industry are urgently required, in cooperation with the health sector, to address the root environmental causes of ill health. There is good news in this report, however. These findings underline the fact that environment is a platform for good health that we all share. | Child Health And The Quality Of Medical Care Sarah L. Barber University of California Berkeley Paul J. Gertler University of California Berkeley and NBER March 1 2002 Abstract Health investments that promote development in early life have the potential to affect physical functioning particularly in low- and middle-income countries where infectious illnesses amenable to care contribute significantly to ill health. We evaluate whether high quality prenatal and child healthcare promote child growth. We conclude that children who live in communities with high quality care are healthier compared with children who live in areas with poor quality care. These results support the shift health service delivery investments away from expanding access to improving the quality of care in existing health facilities. JEL classification I12 I18 I30 H51 Keywords quality of care child health Indonesia prenatal care Author for correspondence Paul Gerter PhD F643 Haas School of Business University of California Berkeley CA 94720-1900. Tel Fax gertler@ The authors remain responsible for errors but gratefully acknowledge comments from Jeffrey Gould David Leonard David Levine Daniel Perez Gunawan Sediati and Indonesia seminar participants at the University of California Berkeley. We also thank the National Institute for Child Health and Human Development for financial support. Child Health And The Quality Of Medical Care 1. Introduction The number of deaths among children worldwide has decreased over the past 20 years from fifteen to eleven million annually -a remarkable achievement considering the increase in the absolute number of births over the same period UNICEF 2000 . This realization is due in part to health investments during the 1970s and 1980s that greatly expanded access to basic interventions Rutstein 2000 . Yet the vast majority of deaths among children under five in low-income settings is still attributable to a handful of .

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