Philippine Child Health and Policy Experiment

• Sponsor: University of California, San Francisco (Other)
• Overall Status: Completed
• CT.gov ID: NCT00678197
• Collaborator: (none)
• Location: 1
• Arms: 3
• Duration (Months): 53

Study Details

Study Description

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.

Condition or Disease	Intervention/Treatment	Phase
Childhood Illness	Other: Access Intervention; Other: Bonus/Pay-for-Performance Intervention	N/A

Study Design

• Study Type: Interventional
• Primary Purpose: Health Services Research
• Official Title: Philippine Child Health and Policy Experiment
• Study Start Date: Apr 1, 2003
• Actual Primary Completion Date: Sep 1, 2007
• Study Completion Date: Sep 1, 2007

Arms and Interventions

Arm	Intervention/Treatment
Experimental: A	Other: Access Intervention
Experimental: B	Other: Bonus/Pay-for-Performance Intervention
No Intervention: C

Outcome Measures

Primary Outcome Measures

Eligibility Criteria

Criteria

• Ages Eligible for Study: 6 Months to 5 Years
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes

Inclusion Criteria:

• Children presenting to participating hospitals

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1		Manila		Philippines

Sponsors and Collaborators

• University of California, San Francisco

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• ClinicalTrials.gov Identifier: NCT00678197
• Other Study ID Numbers: R01HD042117; R01HD042117
• First Posted: May 15, 2008
• Last Update Posted: May 4, 2015
• Last Verified: Apr 1, 2015

• Keywords provided by , ,: Quality of care; Access to care; Health Outcomes

Study Results

No Results Posted as of May 4, 2015