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Does Involvement of Local Ngos Enhance Public Service Delivery? Cautionary Evidence from a Malaria-Prevention Evaluation in India

37 Pages Posted: 20 Apr 2016  

Ashis Das

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Jed Friedman

World Bank - Development Research Group (DECRG); World Bank Group

Eeshani Kandpal

World Bank

Date Written: June 1, 2014

Abstract

Using data from an experimental supportive intervention to India's malaria control program, this paper studies the impact of leveraging local non-state capacity to promote mosquito net usage and recommended fever care-seeking patterns. The supportive activities were conducted simultaneously by three nongovernmental organizations in two endemic districts in the state of Orissa. The study finds that program impact varied significantly by location. Examining three potential sources of this variation (differential population characteristics, differential health worker characteristics, and differential implementer characteristics), the analysis provides evidence that both population and nongovernmental organization characteristics significantly affected the success of the program. The paper discusses these findings as they relate to the external validity of development policy evaluations and, specifically, for the ability of the health system to benefit from limited non-state capacity in under-resourced areas.

Keywords: Health Monitoring & Evaluation, Housing & Human Habitats, Disease Control & Prevention, Population Policies, Health Systems Development & Reform

Suggested Citation

Das, Ashis and Friedman, Jed and Kandpal, Eeshani, Does Involvement of Local Ngos Enhance Public Service Delivery? Cautionary Evidence from a Malaria-Prevention Evaluation in India (June 1, 2014). World Bank Policy Research Working Paper No. 6931. Available at SSRN: https://ssrn.com/abstract=2456866

Jed Arnold Friedman

World Bank - Development Research Group (DECRG)

1818 H. Street, N.W.
MSN3-311
Washington, DC 20433
United States

World Bank Group ( email )

1818 H Street, N.W.
Washington, DC 20433
United States

Eeshani Kandpal

World Bank ( email )

1818 H Street, NW
Washington, DC 20433
United States

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