Accountability, the Last Mile on the Route to Quality Service Delivery : Evidence from Jordanian Schools and Primary Health Centers
In many developing countries, governments have invested substantial resources in the provision of basic services such as healthcare and education. These investments frequently yield minimal improvements in student learning and health outcomes,...
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| Format: | Report |
| Language: | English en_US |
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World Bank, Washington, DC
2016
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| Online Access: | http://documents.worldbank.org/curated/en/365921477676848136/Accountabiliy-the-last-mile-on-the-route-to-quality-service-delivery-evidence-from-Jordanian-schools-and-primary-health-centers http://hdl.handle.net/10986/25407 |
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okr-10986-254072021-05-25T08:53:01Z Accountability, the Last Mile on the Route to Quality Service Delivery : Evidence from Jordanian Schools and Primary Health Centers World Bank accountability service delivery teacher effort education quality education reform monitoring and evaluation student learning school effectiveness health care delivery CMO health systems reform In many developing countries, governments have invested substantial resources in the provision of basic services such as healthcare and education. These investments frequently yield minimal improvements in student learning and health outcomes, however. Promoting adequate provider effort necessitates accountability, including effective within-facility accountability is the focus of this report. Within the accountability framework, the role of supervisors in the facilities where service provision occurs has thus far been underemphasized. This report contributes to addressing this underemphasis, specifically focusing on the linkages between within-facility accountability and provider effort in the health and education sectors in Jordan. In the case of healthcare, a study was developed to generate novel insights from an original survey instrument. Notably, this is the first nationally representative study in Jordan to measure within-facility accountability and provider effort in primary health care facilities, and the first study in the Middle East and North Africa (MENA) region to investigate these linkages. The study relies on a nationally representative sample of 122 primary healthcare facilities where data are collected through patient exit interviews, and surveys administered to chief medical officers (CMO), doctors, and nurses who work at the centers, and where available, a representative of the community health committee. In the case of education, an empirical analysis was conducted, relying on existing data collected through principal, teacher, and student surveys, third-party classroom observations and school inventories, and math and reading student assessments from a nationally representative sample of 156 schools. The latter was complemented by a comparative case study of six Jordanian schools using statistical matching and a process-tracing procedure. 2016-11-22T16:47:21Z 2016-11-22T16:47:21Z 2016 Report http://documents.worldbank.org/curated/en/365921477676848136/Accountabiliy-the-last-mile-on-the-route-to-quality-service-delivery-evidence-from-Jordanian-schools-and-primary-health-centers http://hdl.handle.net/10986/25407 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Economic & Sector Work :: Other Public Sector Study Economic & Sector Work Middle East and North Africa Jordan |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
accountability service delivery teacher effort education quality education reform monitoring and evaluation student learning school effectiveness health care delivery CMO health systems reform |
| spellingShingle |
accountability service delivery teacher effort education quality education reform monitoring and evaluation student learning school effectiveness health care delivery CMO health systems reform World Bank Accountability, the Last Mile on the Route to Quality Service Delivery : Evidence from Jordanian Schools and Primary Health Centers |
| geographic_facet |
Middle East and North Africa Jordan |
| description |
In many developing countries,
governments have invested substantial resources in the
provision of basic services such as healthcare and
education. These investments frequently yield minimal
improvements in student learning and health outcomes,
however. Promoting adequate provider effort necessitates
accountability, including effective within-facility
accountability is the focus of this report. Within the
accountability framework, the role of supervisors in the
facilities where service provision occurs has thus far been
underemphasized. This report contributes to addressing this
underemphasis, specifically focusing on the linkages between
within-facility accountability and provider effort in the
health and education sectors in Jordan. In the case of
healthcare, a study was developed to generate novel insights
from an original survey instrument. Notably, this is the
first nationally representative study in Jordan to measure
within-facility accountability and provider effort in
primary health care facilities, and the first study in the
Middle East and North Africa (MENA) region to investigate
these linkages. The study relies on a nationally
representative sample of 122 primary healthcare facilities
where data are collected through patient exit interviews,
and surveys administered to chief medical officers (CMO),
doctors, and nurses who work at the centers, and where
available, a representative of the community health
committee. In the case of education, an empirical analysis
was conducted, relying on existing data collected through
principal, teacher, and student surveys, third-party
classroom observations and school inventories, and math and
reading student assessments from a nationally representative
sample of 156 schools. The latter was complemented by a
comparative case study of six Jordanian schools using
statistical matching and a process-tracing procedure. |
| format |
Report |
| author |
World Bank |
| author_facet |
World Bank |
| author_sort |
World Bank |
| title |
Accountability, the Last Mile on the Route to Quality Service Delivery : Evidence from Jordanian Schools and Primary Health Centers |
| title_short |
Accountability, the Last Mile on the Route to Quality Service Delivery : Evidence from Jordanian Schools and Primary Health Centers |
| title_full |
Accountability, the Last Mile on the Route to Quality Service Delivery : Evidence from Jordanian Schools and Primary Health Centers |
| title_fullStr |
Accountability, the Last Mile on the Route to Quality Service Delivery : Evidence from Jordanian Schools and Primary Health Centers |
| title_full_unstemmed |
Accountability, the Last Mile on the Route to Quality Service Delivery : Evidence from Jordanian Schools and Primary Health Centers |
| title_sort |
accountability, the last mile on the route to quality service delivery : evidence from jordanian schools and primary health centers |
| publisher |
World Bank, Washington, DC |
| publishDate |
2016 |
| url |
http://documents.worldbank.org/curated/en/365921477676848136/Accountabiliy-the-last-mile-on-the-route-to-quality-service-delivery-evidence-from-Jordanian-schools-and-primary-health-centers http://hdl.handle.net/10986/25407 |
| _version_ |
1764459078164152320 |