Information and Facilitation Interventions for Accountability in Health and Nutrition: Evidence from a Randomized Trial in India

60 Pages Posted: 28 Feb 2020 Last revised: 2 Jan 2021

See all articles by Manoj Mohanan

Manoj Mohanan

Duke University - Sanford School of Public Policy; Duke University - Department of Economics

Vikram S. Rajan

World Bank

Kendal Swanson

Duke University - Sanford School of Public Policy

Harsha Thirumurthy

University of Pennsylvania; Center for Health Incentives and Behavioral Economics, University of Pennsylvania

Date Written: December 31, 2020

Abstract

Community-based accountability interventions have shown promise in improving public service delivery in low-income countries. However, their effectiveness has varied across study settings and there is limited evidence on the relative importance of information provision versus facilitation of collective action. We study the health impacts of accountability interventions implemented in rural communities by the government of Uttar Pradesh, India. Using village-level randomization, we find no impacts on child mortality but large improvements in immunization rates, treatment of childhood diarrhea, and institutional delivery. Our findings suggest that information provision combined with facilitation had larger effects than information provision alone.

Keywords: Accountability, Community, Information, Facilitation, Monitoring, Health

JEL Classification: C93, D7, H4, I12, I18

Suggested Citation

Mohanan, Manoj and Rajan, Vikram S. and Swanson, Kendal and Thirumurthy, Harsha, Information and Facilitation Interventions for Accountability in Health and Nutrition: Evidence from a Randomized Trial in India (December 31, 2020). Economic Research Initiatives at Duke (ERID) Working Paper No. 295, February 2020, Available at SSRN: https://ssrn.com/abstract=3544786 or http://dx.doi.org/10.2139/ssrn.3544786

Manoj Mohanan (Contact Author)

Duke University - Sanford School of Public Policy ( email )

201 Science Drive
Box 90312
Durham, NC 27708-0239
United States

Duke University - Department of Economics ( email )

213 Social Sciences Building
Box 90097
Durham, NC 27708-0204
United States

Vikram S. Rajan

World Bank

1818 H Street, NW
Washington, DC 20433
United States

Kendal Swanson

Duke University - Sanford School of Public Policy ( email )

201 Science Drive
Box 90312
Durham, NC 27708-0239
United States

Harsha Thirumurthy

University of Pennsylvania ( email )

423 Guardian Dr
Philadelphia, PA 19104
United States

Center for Health Incentives and Behavioral Economics, University of Pennsylvania ( email )

Philadelphia, PA 19104
United States

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