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Power to the people : evidence from a randomized field experiment of a community-based monitoring project in Uganda / Martina Björkman and Jakob Svensson
Bib ID 4272445
Format BookBook, OnlineOnline
Author
Björkman, Martina
 
Online Versions
Description Washington, D.C. : World Bank, Development Research Group, Public Services Team, 2007 
64 p. : ill. ; 28 cm. 
Series

Policy research working papers ; 4268.

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.

Notes

"June 2007"--Cover.

Includes bibliographical references (p. 27-29).

Also available on the World Wide Web.

Subjects Public health -- Uganda.  |  Public health -- Uganda -- Evaluation.  |  Social accounting -- Uganda.
Other authors/contributors Svensson, Jakob  |  World Bank. Development Research Group. Public Services

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Details Collect From
Sq 338.91 POL 4268
Copy: S pbk
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