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Philippine Child Health and Policy Experiment

This study has been completed.
Information provided by:
University of California, San Francisco Identifier:
First received: May 8, 2008
Last updated: May 14, 2008
Last verified: May 2008

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.

Condition Intervention
Childhood Illness
Other: Access Intervention
Other: Bonus/Pay-for-Performance Intervention

Study Type: Interventional
Study Design: Primary Purpose: Health Services Research
Official Title: Philippine Child Health and Policy Experiment

Resource links provided by NLM:

Further study details as provided by University of California, San Francisco:

Study Start Date: April 2003
Estimated Study Completion Date: September 2007
Estimated Primary Completion Date: September 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: A Other: Access Intervention
Experimental: B Other: Bonus/Pay-for-Performance Intervention
No Intervention: C


Ages Eligible for Study:   6 Months to 5 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Children presenting to participating hospitals
  Contacts and Locations
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Please refer to this study by its identifier: NCT00678197

Manila, Philippines
Sponsors and Collaborators
University of California, San Francisco
  More Information

Additional Information:
No publications provided by University of California, San Francisco

Additional publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: John W. Peabody, University of California San Francisco Identifier: NCT00678197     History of Changes
Other Study ID Numbers: R01HD042117, R01HD042117
Study First Received: May 8, 2008
Last Updated: May 14, 2008
Health Authority: United States: Institutional Review Board

Keywords provided by University of California, San Francisco:
Quality of care
Access to care
Health Outcomes processed this record on November 25, 2014