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...

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Main Authors: Gine, Xavier, Khalid, Salma, Mansuri, Ghazala
Format: Working Paper
Language:English
Published: World Bank, Washington, DC 2018
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
id okr-10986-29223
recordtype oai_dc
spelling okr-10986-292232021-06-08T14:42:48Z The Impact of Social Mobilization on Health Service Delivery and Health Outcomes : Evidence from Rural Pakistan Gine, Xavier Khalid, Salma Mansuri, Ghazala SERVICE DELIVERY HEALTH SYSTEM REFORM HEALTH SERVICES CITIZEN ENGAGEMENT COMMUNITY-DRIVEN DEVELOPMENT MATERNAL HEALTH CHILD HEALTH HEALTH WORKERS 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. 2018-01-23T17:57:45Z 2018-01-23T17:57:45Z 2018-01 Working Paper 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 English Policy Research Working Paper;No. 8313 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Policy Research Working Paper South Asia Pakistan
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic SERVICE DELIVERY
HEALTH SYSTEM REFORM
HEALTH SERVICES
CITIZEN ENGAGEMENT
COMMUNITY-DRIVEN DEVELOPMENT
MATERNAL HEALTH
CHILD HEALTH
HEALTH WORKERS
spellingShingle SERVICE DELIVERY
HEALTH SYSTEM REFORM
HEALTH SERVICES
CITIZEN ENGAGEMENT
COMMUNITY-DRIVEN DEVELOPMENT
MATERNAL HEALTH
CHILD HEALTH
HEALTH WORKERS
Gine, Xavier
Khalid, Salma
Mansuri, Ghazala
The Impact of Social Mobilization on Health Service Delivery and Health Outcomes : Evidence from Rural Pakistan
geographic_facet South Asia
Pakistan
relation Policy Research Working Paper;No. 8313
description 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.
format Working Paper
author Gine, Xavier
Khalid, Salma
Mansuri, Ghazala
author_facet Gine, Xavier
Khalid, Salma
Mansuri, Ghazala
author_sort Gine, Xavier
title The Impact of Social Mobilization on Health Service Delivery and Health Outcomes : Evidence from Rural Pakistan
title_short The Impact of Social Mobilization on Health Service Delivery and Health Outcomes : Evidence from Rural Pakistan
title_full The Impact of Social Mobilization on Health Service Delivery and Health Outcomes : Evidence from Rural Pakistan
title_fullStr The Impact of Social Mobilization on Health Service Delivery and Health Outcomes : Evidence from Rural Pakistan
title_full_unstemmed The Impact of Social Mobilization on Health Service Delivery and Health Outcomes : Evidence from Rural Pakistan
title_sort impact of social mobilization on health service delivery and health outcomes : evidence from rural pakistan
publisher World Bank, Washington, DC
publishDate 2018
url 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
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