ArticleHealth affairs (Project Hope)2017
Accountable Care Reforms Improve Women's And Children's Health In Nepal.
Article in Health affairs (Project Hope), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Antenatal Care Interventions to Increase Contraceptive Use Following Birth in Low- and Middle-Income Countries: Systematic Review and Narrative Synthesis.Global health, science and practice · 2024Pooled it
- Private sector quality of care for maternal, new-born, and child health in low-and-middle-income countries: a secondary review.Frontiers in global women's health · 2024Pooled it
- How can human resources for health interventions contribute to sexual, reproductive, maternal, and newborn healthcare quality across the continuum in low- and lower-middle-income countries? A systematic review.Human resources for health · 2021Pooled it
- The Effect of An Integrated Accountable Model on Healthcare Utilization During Pregnancy Among Low-Income Women with Comorbid Mental and Physical Conditions: Evidence from Oregon's Coordinated Care Organizations.Maternal and child health journal · 2026Article
- Global, regional, and national time trends in disability-adjusted life years for neonatal preterm birth, from 1992 to 2021: an age-period-cohort analysis for the global burden of disease study 2021.Frontiers in public health · 2025Article
- Policy Considerations to Promote Equitable Cervical Cancer Screening and Treatment in Peru.Annals of global health · 2021Review
- Costing Analysis of a Pilot Community Health Worker Program in Rural Nepal.Global health, science and practice · 2020Article
- Learning from Community Health Worker Programs, Big and Small.Global health, science and practice · 2020Article
- At a crossroads: How can Nepal enhance its community health care system to achieve Sustainable Development Goal 3 and universal health coverage?Journal of global health · 2020Article
- The power of peers: an effectiveness evaluation of a cluster-controlled trial of group antenatal care in rural Nepal.Reproductive health · 2019Article
- Implementing a quality improvement initiative for the management of chronic obstructive pulmonary disease in rural Nepal.BMJ open quality · 2019Article
- An integrated community health worker intervention in rural Nepal: a type 2 hybrid effectiveness-implementation study protocol.Implementation science : IS · 2018Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
Over the past decade the Ministry of Health of Nepal and the nonprofit Possible have partnered to deliver primary and secondary health care via a public-private partnership. We applied an accountable care framework that we previously developed to describe the delivery of their integrated reproductive, maternal, newborn, and child health services in the Achham district in rural Nepal. In a prospective pre-post study, examining pregnancies at baseline and 541 pregnancies in follow-up over the course of eighteen months, we found an improvement in population-level indicators linked to reducing maternal and infant mortality: receipt of four antenatal care visits (83 percent to 90 percent), institutional birth rate (81 percent to 93 percent), and the prevalence of postpartum contraception (19 percent to 47 percent). The intervention cost $3.40 per capita (at the population level) and $185 total per pregnant woman who received services. This study provides new analysis and evidence on the implementation of innovative care and financing models in resource-limited settings.
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Registered trials
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