Information is Power : Experimental Evidence on the Long-Run Impact of Community Based Monitoring

This paper presents the results of two field experiments on local accountability in primary health care in Uganda. Efforts to stimulate beneficiary control, coupled with the provision of report cards on staff performance, resulted in significant im...

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Bibliographic Details
Main Authors:	Bjorkman Nyqvist, Martina, de Walque, Damien, Svensson, Jakob
Format:	Policy Research Working Paper
Language:	English en_US
Published:	World Bank Group, Washington, DC 2014
Subjects:	AGED ANTENATAL CARE ANTENATAL VISITS BCG BLOOD SAMPLES CERTIFICATION CHILD DEATH CHILD DEATHS CHILD HEALTH CHILD MORTALITY CHILD SURVIVAL CITIZEN CLINICAL GUIDELINES CLINICS COMMUNITY INVOLVEMENT COMMUNITY PARTICIPATION COUNSELING DEATH RATES DEATHS DECISION MAKING DESCRIPTION DEVELOPING COUNTRIES DEVELOPMENT POLICY DISEASE DISEASES DISPENSARIES DISSEMINATION DISTRICTS DOCTORS DRUGS ECONOMIC POLICY EPIDEMIOLOGY EQUALITY EQUILIBRIUM FAMILY PLANNING FEMALE FERTILITY FERTILITY RATES FETUS FOCUS GROUP DISCUSSIONS GENDER HEALTH CARE DELIVERY HEALTH CARE PROVIDERS HEALTH CARE PROVISION HEALTH CLINICS HEALTH EDUCATION HEALTH EFFECTS HEALTH FACILITIES HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH SYSTEM HEALTH WORKERS HIV/AIDS HOUSEHOLD LEVEL HOUSEHOLD SURVEYS HOUSEHOLDS HOUSING HUMAN BIOLOGY HUMAN DEVELOPMENT ILLNESS ILLNESSES IMMUNIZATION IMMUNIZATIONS IMPACT ON HEALTH IMPROVEMENTS IN HEALTH INFANT INFANT DEATHS INFANT MORTALITY INFANT MORTALITY RATES INFANTS INFORMED USERS INTERVENTION INTERVENTIONS LABORATORY SERVICES LACK OF INFORMATION LIVE BIRTHS LOCAL COMMUNITY MALARIA MEASLES MEDICINES MIDWIFE MINISTRY OF HEALTH MORTALITY MORTALITY RATE MOSQUITO NET NEIGHBORHOOD NEONATAL MORTALITY NEWBORN NUMBER OF BIRTHS NUMBER OF CHILDREN NUMBER OF DEATHS NUMBER OF HOUSEHOLDS NUMBER OF WORKERS NURSES NURSING NUTRITION OLDER CHILDREN OUTPATIENT CARE OUTPATIENT SERVICES PARTICIPATORY DEVELOPMENT PATIENT PATIENTS PEOPLE LIVING WITH AIDS PNEUMONIA POLICY DISCUSSIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLIO POPULATION SIZE POSTERS POSTNATAL CARE PREGNANCIES PREGNANCY PREGNANCY COMPLICATIONS PREGNANT WOMEN PRENATAL CARE PRIMARY HEALTH CARE PRIMARY SCHOOL PRIMARY SCHOOLS PROBABILITY PROGRESS PROVISION OF INFORMATION PUBLIC HEALTH PUBLIC SERVICE PUBLIC SERVICES PUBLIC SUPPORT QUALITY OF CARE QUALITY OF HEALTH QUALITY OF HEALTH CARE QUALITY OF SERVICES RADIO RURAL COMMUNITIES SELF-ASSESSMENT SELF-SUFFICIENCY SERVICE DELIVERY SERVICE PROVIDERS SOCIAL DEVELOPMENT STD SUSTAINABLE DEVELOPMENT TB TRADITIONAL HEALERS TREATMENT TUBERCULOSIS UNDER-FIVE MORTALITY VACCINES VILLAGE LEVEL VILLAGES WOMAN WORKERS WORLD HEALTH ORGANIZATION YC
Online Access:	http://documents.worldbank.org/curated/en/2014/08/20144947/information-power-experimental-evidence-long-run-impact-community-based-monitoring http://hdl.handle.net/10986/20364

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Summary:	This paper presents the results of two field experiments on local accountability in primary health care in Uganda. Efforts to stimulate beneficiary control, coupled with the provision of report cards on staff performance, resulted in significant improvements in health care delivery and health outcomes in both the short and the longer run. Efforts to stimulate beneficiary control without providing information on performance had no impact on quality of care or health outcomes. The paper shows that informed users are more likely to identify and challenge (mis)behavior by providers and as a result turn their focus to issues that they can manage locally.

Information is Power : Experimental Evidence on the Long-Run Impact of Community Based Monitoring

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