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Power to the People : Evidence From A Randomized Field Experiment of A Community-Based Monitoring Project in Uganda / Svensson, Jakob
World Bank Open Knowledge Repository (formerly "World Bank E-Library Publications") Available online
View online- Format:
- Book
- Government document
- Author/Creator:
- Svensson, Jakob
- Series:
- Policy research working papers.
- World Bank e-Library.
- Language:
- English
- Subjects (All):
- Antenatal care.
- Clinics.
- Community participation.
- Family planning.
- Health care.
- Health Monitoring and Evaluation.
- Health, Nutrition and Population.
- Immunization.
- Intervention.
- Primary health care.
- Primary schools.
- Workers.
- Local Subjects:
- Antenatal care.
- Clinics.
- Community participation.
- Family planning.
- Health care.
- Health Monitoring and Evaluation.
- Health, Nutrition and Population.
- Immunization.
- Intervention.
- Primary health care.
- Primary schools.
- Workers.
- Physical Description:
- 1 online resource (64 pages)
- Place of Publication:
- Washington, D.C., The World Bank, 2007
- System Details:
- data file
- Summary:
- This paper analyzes the importance of strengthening the relationship of accountability between health service providers and citizens for improving access to and quality of health care. How this is to be achieved, and whether it works, however, remain open questions. The paper presents a randomized field experiment on increasing community-based monitoring. As communities began to more extensively monitor the provider, both the quality and quantity of health service provision improved. One year into the program, there are large increases in utilization, significant weight-for-age z-score gains of infants, and markedly lower deaths among children. The findings on staff behavior suggest that the improvements in quality and quantity of health service delivery resulted from an increased effort by the staff to serve the community. Overall, the results suggest that community monitoring can play an important role in improving service delivery when traditional top-down supervision is ineffective.
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