Does Involvement of Local NGOs Enhance Public Service Delivery? Cautionary Evidence from a Malaria-Prevention Evaluation in India
Using data from an experimental supportive intervention to India's malaria control program, this paper studies the impact of leveraging local non-state capacity to promote mosquito net usage and recommended fever care-seeking patterns. The sup...
| Main Authors: | , , |
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| Format: | Policy Research Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2014
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2014/06/19700592/involvement-local-ngos-enhance-public-service-delivery-cautionary-evidence-malaria-prevention-evaluation-india http://hdl.handle.net/10986/18812 |
| Summary: | Using data from an experimental
supportive intervention to India's malaria control
program, this paper studies the impact of leveraging local
non-state capacity to promote mosquito net usage and
recommended fever care-seeking patterns. The supportive
activities were conducted simultaneously by three
nongovernmental organizations in two endemic districts in
the state of Orissa. The study finds that program impact
varied significantly by location. Examining three potential
sources of this variation (differential population
characteristics, differential health worker characteristics,
and differential implementer characteristics), the analysis
provides evidence that both population and nongovernmental
organization characteristics significantly affected the
success of the program. The paper discusses these findings
as they relate to the external validity of development
policy evaluations and, specifically, for the ability of the
health system to benefit from limited non-state capacity in
under-resourced areas. |
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