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  • Estimating the Average treatment effect using repeated cross-sectional design in Stata?

    A Big Hello to Stata Lovers Community,


    I am evaluating the effects of a government-implemented healthcare quality improvement programme between 2016 and 2020.
    This programme was implemented in six selected districts out of the total of 18 districts in Chhattisgarh state, India (the selection of districts was non-random).
    Below is an outline of how the intervention and data look:
    **Treatment Introduced**
    Year of birth Intervention Districts Non-Intervention Districts
    2011 No Never
    2012 No Never
    2013 No Never
    2014 No Never
    2015 No Never
    2016 YES Never
    2017 YES Never
    2018 YES Never
    2019 YES Never
    2020 YES Never
    2021 YES Never


    The outcome variable is binary: ‘quality care provided; yes == 1 and no == 0’.

    The treatment variable is binary: ‘exposed to treatment; yes == 1 and no == 0’.

    I wish to estimate the impact of the intervention on the outcome. Is it possible to calculate the average treatment effect (ATE) and average treatment effect among the treated (ATET) under this scenario?

    I plan to employ a repeated cross-sectional design to assess the impact of the programme in the six intervention districts.
    In your opinion, among all the methods available for estimating the impact of an intervention from observational data, which is the best technique or strategy among available (e.g., DiD, RA, Propensity Matching etc.,) that I can use for the above-mentioned scenario?

    I want to assess the impact of the programme among the person recieving service in intervention district over non-intervention district. Can I use the difference-in-difference methodology (is it applicable to binary outcomes)?

    Based on what I read in the Stata manual of treatment effect estimation, I am currently using regression adjustment.

    teffects ra (quality education wealth, logit) (treatment), atet // Average Treatment Effect on Treated

    teffects ra (quality education wealth, logit) (treatment) // Average Treatment Effect

    Is this approach valid?

    My question is: which two approaches in Stata (best and second best) will provide the most accurate answer about the impact of the programme for this scenario?
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