The Impact of Social Mobilization on Health Service Delivery and Health Outcomes
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World Bank, Washington, DC
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This paper uses a randomized community
development program in rural Pakistan to assess the impact
of citizen engagement on the quality of public health
services. The program had a strong emphasis on organizing
women, who also identified health services as a development
priority at baseline. Assessing the program at midline, the
paper finds that the mobilization effort alone had a
significant impact on the performance of village-based
health providers. The study detects economically large
improvements in pregnancy and well-baby visits by lady
health workers, as well as increased utilization of pre- and
post-natal care by pregnant women. In contrast, the quality
of supra-village health services did not improve,
underscoring the importance of community enforcement and
monitoring capacity for improving service delivery.
Palabras clave
SERVICE DELIVERY, HEALTH SYSTEM REFORM, HEALTH SERVICES, CITIZEN ENGAGEMENT, COMMUNITY-DRIVEN DEVELOPMENT, MATERNAL HEALTH, CHILD HEALTH, HEALTH WORKERS