A Cost-Effectiveness Analysis of Strategies to Reduce Infant Mortality

29 Pages Posted: 6 Jul 2000 Last revised: 12 Feb 2010

See all articles by Hope Corman

Hope Corman

Rider University; National Bureau of Economic Research (NBER)

Theodore Joyce

CUNY Baruch College - Zicklin School of Business; National Bureau of Economic Research (NBER)

Michael Grossman

National Bureau of Economic Research (NBER), NY Office; CUNY The Graduate Center - Department of Economics

Date Written: August 1987

Abstract

This study compares the cost-effectiveness of various health inputs and government programs in reducing race-specific neonatal mortality or death in the first twenty-seven days of life. Approximately two-thirds of all infant deaths occur within this time period. The programs and inputs at issue are teenage family planning use, the supplemental food program for women, infants and children (WIC), use of community health centers and maternal and infant care projects, abortion, prenatal care, and neonatal intensive care. Using an economic model of the family as the analytical framework, effectiveness is determined by using ordinary least squares and two-stage least squares to estimate infant health production functions across large counties in the U.S. in 1977. We find the early initiation of prenatal care to be the most cost-effective means of reducing neonatal mortality rate for blacks and whites. Moreover, blacks benefit more per dollar of input use than whites. Neonatal intensive care, although the most effective means of reducing neonatal mortality rates, is one of the least cost-effective strategies.

Suggested Citation

Corman, Hope and Joyce, Theodore J. and Grossman, Michael, A Cost-Effectiveness Analysis of Strategies to Reduce Infant Mortality (August 1987). NBER Working Paper No. w2346. Available at SSRN: https://ssrn.com/abstract=227277

Hope Corman (Contact Author)

Rider University ( email )

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Theodore J. Joyce

CUNY Baruch College - Zicklin School of Business ( email )

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National Bureau of Economic Research (NBER) ( email )

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Michael Grossman

National Bureau of Economic Research (NBER), NY Office ( email )

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CUNY The Graduate Center - Department of Economics ( email )

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HOME PAGE: http://mgrossman.ws.gc.cuny.edu

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