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Information is power: experimental evidence on the long-run impact of community based monitoring

Martina Bjorkman Nyqvist, Damien de Walque () and Jakob Svensson

No 7015, Policy Research Working Paper Series from The World Bank

Abstract: This paper presents the results of two field experiments on local accountability in primary health care in Uganda. Efforts to stimulate beneficiary control, coupled with the provision of report cards on staff performance, resulted in significant improvements in health care delivery and health outcomes in both the short and the longer run. Efforts to stimulate beneficiary control without providing information on performance had no impact on quality of care or health outcomes. The paper shows that informed users are more likely to identify and challenge (mis)behavior by providers and as a result turn their focus to issues that they can manage locally.

Keywords: Health Monitoring&Evaluation; Housing&Human Habitats; Health Systems Development&Reform; Population Policies; Disease Control&Prevention (search for similar items in EconPapers)
Date: 2014-08-01
New Economics Papers: this item is included in nep-dev and nep-exp
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