Is High-Tech Care in a Middle Income Country Worth It? Evidence from Perinatal Centers in Russia

52 Pages Posted: 24 Nov 2015 Last revised: 8 Jan 2016

Dzhamilya Nigmatulina

London School of Economics & Political Science (LSE)

Charles Becker

Duke University - Department of Economics

Date Written: December 30, 2015

Abstract

How much does a dramatic increase in technology improve healthcare quality in an upper-middle income country? Using rich vital statistics data on infant and maternal health outcomes, this study evaluates the effect of introducing technologically advanced perinatal hospitals in 24 regions of Russia on infant mortality during the period 2009-2013. A 7-year aggregate panel dataset reveals that opening a perinatal center corresponds to infant mortality reduction by 3.8% from the baseline rate, neonatal (0-28 day) mortality by 7% and early neonatal (0-6 day) mortality by 7.3%. We find that the perinatal centers help to save 263 additional infant lives annually, ranging from 3 to 25 lives in regions with different birth rates. We further estimate an annual average cost of 52 mln rb (or 2.6 m 2014 PPP USD) per life saved in an average region, which is much higher than the cost of similar interventions in the US.

Keywords: infant health; infant mortality; maternal health; maternal mortality; prenatal care; perinatal hospitals; impact evaluation

JEL Classification: I120, I180

Suggested Citation

Nigmatulina, Dzhamilya and Becker, Charles, Is High-Tech Care in a Middle Income Country Worth It? Evidence from Perinatal Centers in Russia (December 30, 2015). Economic Research Initiatives at Duke (ERID) Working Paper No. 198. Available at SSRN: https://ssrn.com/abstract=2695141 or http://dx.doi.org/10.2139/ssrn.2695141

Dzhamilya Nigmatulina

London School of Economics & Political Science (LSE) ( email )

Houghton Street
London, WC2A 2AE
United Kingdom

Charles Maxwell Becker (Contact Author)

Duke University - Department of Economics ( email )

213 Social Sciences Building
Box 90097
Durham, NC 27708-0204
United States

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