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Philippine Child Health and Policy Experiment

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00678197
Recruitment Status : Completed
First Posted : May 15, 2008
Last Update Posted : May 4, 2015
Information provided by:
University of California, San Francisco

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 Not Applicable

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Study Type : Interventional  (Clinical Trial)
Primary Purpose: Health Services Research
Official Title: Philippine Child Health and Policy Experiment
Study Start Date : April 2003
Actual Primary Completion Date : September 2007
Study Completion Date : September 2007

Resource links provided by the National Library of Medicine

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

Information from the National Library of Medicine

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

Inclusion Criteria:

  • Children presenting to participating hospitals

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00678197

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Manila, Philippines
Sponsors and Collaborators
University of California, San Francisco
Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: John W. Peabody, University of California San Francisco Identifier: NCT00678197    
Other Study ID Numbers: R01HD042117 ( U.S. NIH Grant/Contract )
R01HD042117 ( U.S. NIH Grant/Contract )
First Posted: May 15, 2008    Key Record Dates
Last Update Posted: May 4, 2015
Last Verified: April 2015
Keywords provided by University of California, San Francisco:
Quality of care
Access to care
Health Outcomes