Power to the people : evidence from a randomized field experiment of a community-based monitoring project in Uganda, Vol. 1 of 1

About

Countries

Data & Research

Learning

News

Projects & Operations

Publications

Topics

Home > Data & Research > Document Search > Report Details

Power to the people : evidence from a randomized field experiment of a community-based monitoring project in Uganda

Author:	Bjorkman, Martina; Svensson, Jakob;	Collection Title:	Policy, Research working paper ; no. WPS 4268
Country:	Uganda;	Date Stored:	2007/06/21
Document Date:	2007/06/01	Document Type:	Policy Research Working Paper
Language:	English	Region:	Africa
Report Number:	WPS4268	SubTopics:	Housing & Human Habitats; Health Monitoring & Evaluation; Disease Control & Prevention; Health Systems Development & Reform; Health Economics & Finance
Volume No:	1 of 1

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.


Official Documents Official, scanned versions of documents (may include signatures, etc.)
File Type		Description	File Size (mb)

	PDF 64 pages	Official version*	0.54
	Text	Text version**

* The official version is derived from scanning the final, paper copy of the document and is the official,
archived version including all signatures, charts, etc.

** The text version is the OCR text of the final scanned version and is not an accurate representation of the final text.
It is provided solely to benefit users with slow connectivity.

Permanent URL for this page: http://go.worldbank.org/YTKCTM9HD0