China

Explaining the Declining Utilization of Village Clinics in Rural China over Time: A Decomposition Approach

With a goal of improving health system quality and efficiency, reforms of China's health system over the past decade have sought to strengthen primary healthcare in lower-level clinics and health centers. Despite these wide-ranging reforms and …

Parental Investment, School Choice, and the Persistent Benefits of Intervention in Early Childhood

We present evidence from a randomized experiment on the impacts of a six-month early childhood home-visiting program on child outcomes at school entry. Two and a half years after completion of the program, we find persistent intervention effects on …

From Quantity to Quality: Delivering a Home-Based Parenting Intervention Through China's Family Planning Cadres

A key challenge in developing countries interested in providing early childhood development (ECD) programmes at scale is whether these programmes can be effectively delivered through existing public service infrastructures. We present the results of …

Comparing the Quality of Primary Care between Public and Private Providers in Urban China: A Standardized Patient Study

Previous studies have been limited by not directly comparing the quality of public and private CHCs using a standardized patient method (SP). This study aims to evaluate and compare the quality of the primary care provided by public and private CHCs …

Market Competition and Demand for Skills in a Credence Goods Market: Evidence from Face-to-Face and Web-Based Non-Physician Clinician Training in Rural China

Background Non-physician clinicians (NPCs) providing services in functionally private markets account for a large share of the workforce in the primary care system in many low-income and middle-income countries. Although regular in-service training …

Medical Waste Management in Three Areas of Rural China

Objective The purpose of this paper is to describe current practices of medical waste management, including its generation, investments, collection, storage, segregation, and disposal, and to explore the level of support from upper tiers of the …

Contract Teachers and Student Achievement in Rural China: Evidence from Class Fixed Effects

For schooling to play an important role in the development of human capital, the system of education needs to provide quality education, which among other things requires high-quality teachers. Facing fiscal constraints and growing enrolments, school …

Contract Teachers and Student Achievement in Rural China: Evidence from Class Fixed Effects

For schooling to play an important role in the development of human capital, the system of education needs to provide quality education, which among other things requires high-quality teachers. Facing fiscal constraints and growing enrolments, school …

Tuberculosis Detection and the Challenges of Integrated Care in Rural China: A Cross-Sectional Standardized Patient Study

Background Despite recent reductions in prevalence, China still faces a substantial tuberculosis (TB) burden, with future progress dependent on the ability of rural providers to appropriately detect and refer TB patients for further care. This study …

Survey Using Incognito Standardized Patients Shows Poor Quality Care in China's Rural Clinics

Over the past decade, China has implemented reforms designed to expand access to health care in rural areas. Little objective evidence exists, however, on the quality of that care. This study reports results from a standardized patient study designed …