Power to the People : Evidence from a Randomized Field Experiment of a Community-Based Monitoring Project in Uganda

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dc.creatorBjörkman, Martina
dc.creatorSvensson, Jakob
dc.date2012-06-07T19:39:26Z
dc.date2012-06-07T19:39:26Z
dc.date2007-06
dc.date.accessioned2026-07-01T01:25:11Z
dc.descriptionThis 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.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2007/06/7746889/power-people-evidence-randomized-field-experiment-community-based-monitoring-project-uganda
dc.identifierhttps://hdl.handle.net/10986/7447
dc.identifierhttps://doi.org/10.1596/1813-9450-4268
dc.identifier.urihttp://hdl.handle.net/123456789/417916
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.relationPolicy Research Working Paper; No. 4268
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectAGGREGATE OUTCOMES
dc.subjectANTENATAL CARE
dc.subjectCAPITATION
dc.subjectCHILD DEATHS
dc.subjectCLINICS
dc.subjectCOMMUNITIES
dc.subjectCOMMUNITY PARTICIPATION
dc.subjectDELIVERY SYSTEM
dc.subjectDIARRHEA
dc.subjectDISEASES
dc.subjectDISPENSARIES
dc.subjectDISTRICTS
dc.subjectDRINKING WATER
dc.subjectENGINEERS
dc.subjectEXPENDITURES
dc.subjectEXTERNALITIES
dc.subjectFAMILY PLANNING
dc.subjectHEALTH
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE DELIVERY
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH CARE PROVISION
dc.subjectHEALTH CARE SYSTEM
dc.subjectHEALTH CENTERS
dc.subjectHEALTH CLINICS
dc.subjectHEALTH EDUCATION
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH PROVISION
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH WORKERS
dc.subjectHOSPITALS
dc.subjectHOUSEHOLDS
dc.subjectIMMUNIZATION
dc.subjectINFANTS
dc.subjectINFECTION
dc.subjectINTERVENTION
dc.subjectLABORATORY SERVICES
dc.subjectMALARIA
dc.subjectMEDICAL CARE
dc.subjectMORTALITY
dc.subjectNURSES
dc.subjectNURSING
dc.subjectORAL REHYDRATION
dc.subjectORAL REHYDRATION THERAPY
dc.subjectORT
dc.subjectOUTPATIENT CARE
dc.subjectOUTPATIENT SERVICES
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectPLANNING
dc.subjectPNEUMONIA
dc.subjectPOLICY RESEARCH
dc.subjectPOSTERS
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIMARY SCHOOLS
dc.subjectPROBABILITY
dc.subjectPROVIDER ­INCENTIVES
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH SERVICES
dc.subjectPUBLIC SECTOR
dc.subjectQUALITY OF HEALTH CARE
dc.subjectREHABILITATION
dc.subjectRURAL AREAS
dc.subjectSOCIAL DEVELOPMENT
dc.subjectSOCIAL SANCTIONS
dc.subjectTREATMENT
dc.subjectVILLAGES
dc.subjectWORKERS
dc.titlePower to the People : Evidence from a Randomized Field Experiment of a Community-Based Monitoring Project in Uganda

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