Abstract

http://ssrn.com/abstract=1136670
 
 

References (31)



 
 

Citations (16)



 


 



Power to the People: Evidence from a Randomized Field Experiment of a Community-Based Monitoring Project in Uganda


Martina Bjorkman


University of Bocconi

Jakob Svensson


Stockholm University - Institute for International Economic Studies (IIES); Centre for Economic Policy Research (CEPR)

June 2007

CEPR Discussion Paper No. DP6344

Abstract:     
Strengthening the relationship of accountability between health service providers and citizens is by many people viewed as critical for improving access to and quality of health care. How this is to be achieved, and whether it works, however, remain open questions. This paper presents a randomized field experiment on increasing community-based monitoring. As communities began to more extensively monitor the provider, both the quality and quantity of health service provision improved. One year into the program, we find large increases in utilization, significant weight-for-age z-scores gains of infants, and markedly lower deaths among children. The findings on staff behaviour suggest that the improvements in quality and quantity of health service delivery resulted from an increased effort by the staff to serve the community. Overall, the results suggest that community monitoring can play an important role in improving service delivery when traditional top-down supervision is ineffective.

Number of Pages in PDF File: 72

Keywords: Accountability, Field experiment, Health, Monitoring

JEL Classification: D78, I12, O15

working papers series


Date posted: May 27, 2008  

Suggested Citation

Bjorkman, Martina and Svensson, Jakob, Power to the People: Evidence from a Randomized Field Experiment of a Community-Based Monitoring Project in Uganda (June 2007). , Vol. , pp. -, 2007. Available at SSRN: http://ssrn.com/abstract=1136670

Contact Information

Martina Bjorkman (Contact Author)
University of Bocconi ( email )
Via Roentgen 1
Milan, 20136
Italy
Jakob Svensson
Stockholm University - Institute for International Economic Studies (IIES) ( email )
Stockholm University
10691 Stockholm, SE-10691
Sweden
+46 8 163 060 (Phone)
+46 8 161 443 (Fax)
Centre for Economic Policy Research (CEPR)
77 Bastwick Street
London, EC1V 3PZ
United Kingdom
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References:  31
Citations:  16

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