Philippine Child Health and Policy Experiment

NCT ID: NCT00678197

Last Updated: 2015-05-04

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Study Classification: INTERVENTIONAL
• Study Start Date: 2003-04-30
• Study Completion Date: 2007-09-30

Brief Summary

The long-term consequences of poverty on child health, including cognitive development, are one of the world's great tragedies. In the Philippines, diarrhea, acute lower respiratory infections, and the attendant problems of malnutrition, are the leading causes of childhood illness. The Philippine government plans to launch a broad national Health Sector Reform Agenda (HSRA) that will address the problems of poverty and illness in children. The introduction of these reforms provides an exceptional opportunity to conduct a social experiment. Four institutions, already involved in the design and implementation of the HSRA, plus leading experts in international health, government, and health measurement will collaborate on this project to collect longitudinal data and measure the impact of HSRA reforms on child health outcomes in a population. We will measure the health impacts of two experimental interventions: (1) expansion of health insurance coverage, and (2) capitation of providers. Our research will measure the impact of health reforms on the physical and cognitive health outcomes of children age 0-4. We will use a block design of 21 sites throughout the Philippines: seven for each of the two interventions, and seven matched controls. We will measure the quality of clinical practice using vignettes and will measure health outcomes using objective clinical tests. We will also use an advanced sampling strategy and panel data to link clinical practice with population health outcomes. This unparalleled research opportunity will yield significant insights about specific, unanswered questions of tremendous importance: Does health care serve as a social intervention that ameliorates the effects of morbidity and malnutrition on cognitive development? How effective are government policies at creating incentives to improve the quality of clinical practice? Do financial and organizational policies actually lead to better health and developmental outcomes? The results from this study will provide insights into the linkages between increased access, high quality care, and health outcomes in children.

Conditions

Childhood Illness

Study Design

• Primary Study Purpose: HEALTH_SERVICES_RESEARCH

Study Groups

A

Group Type: EXPERIMENTAL

Access Intervention

Intervention Type: OTHER

B

Group Type: EXPERIMENTAL

Bonus/Pay-for-Performance Intervention

Intervention Type: OTHER

C

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Access Intervention

Intervention Type: OTHER

Bonus/Pay-for-Performance Intervention

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Children presenting to participating hospitals

• Minimum Eligible Age: 6 Months
• Maximum Eligible Age: 5 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

University of California, San Francisco

OTHER

Sponsor Role: lead

Responsible Party

University of California San Francisco

Locations

Manila, , Philippines

Countries

Philippines

References

Peabody JW, Florentino J, Shimkhada R, Solon O, Quimbo S. Quality variation and its impact on costs and satisfaction: evidence from the QIDS study. Med Care. 2010 Jan;48(1):25-30. doi: 10.1097/MLR.0b013e3181bd47b2.

Reference Type: DERIVED

PMID: 20009777 (View on PubMed)

Related Links

http://qids.ph

Related Info

Other Identifiers

R01HD042117

Identifier Type: NIH

Identifier Source: secondary_id

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R01HD042117

Identifier Type: NIH

Identifier Source: org_study_id

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