The Impact of Social Mobilization on Health Service Delivery and Health Outcomes : Evidence from Rural Pakistan
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 serv...
| Main Authors: | , , |
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| Format: | Working Paper |
| Language: | English |
| Published: |
World Bank, Washington, DC
2018
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/141781516720103213/The-impact-of-social-mobilization-on-health-service-delivery-and-health-outcomes-evidence-from-rural-Pakistan http://hdl.handle.net/10986/29223 |
| Summary: | 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. |
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