Information is Power : Experimental Evidence on the Long-Run Impact of Community Based Monitoring

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.

Bibliographic Details

Main Authors:	Bjorkman Nyqvist, Martina, de Walque, Damien, Svensson, Jakob
Format:	Policy Research Working Paper biblioteca
Language:	English en_US
Published:	World Bank Group, Washington, DC 2014-08
Subjects:	AGED, ANTENATAL CARE, ANTENATAL VISITS, BCG, BLOOD SAMPLES, CERTIFICATION, CHILD DEATH, CHILD DEATHS, CHILD HEALTH, CHILD MORTALITY, CHILD SURVIVAL, CITIZEN, CLINICAL GUIDELINES, CLINICS, COMMUNITY INVOLVEMENT, COMMUNITY PARTICIPATION, COUNSELING, DEATH RATES, DEATHS, DECISION MAKING, DESCRIPTION, DEVELOPING COUNTRIES, DEVELOPMENT POLICY, DISEASE, DISEASES, DISPENSARIES, DISSEMINATION, DISTRICTS, DOCTORS, DRUGS, ECONOMIC POLICY, EPIDEMIOLOGY, EQUALITY, EQUILIBRIUM, FAMILY PLANNING, FEMALE, FERTILITY, FERTILITY RATES, FETUS, FOCUS GROUP DISCUSSIONS, GENDER, HEALTH CARE DELIVERY, HEALTH CARE PROVIDERS, HEALTH CARE PROVISION, HEALTH CLINICS, HEALTH EDUCATION, HEALTH EFFECTS, HEALTH FACILITIES, HEALTH ORGANIZATION, HEALTH OUTCOMES, HEALTH PROVIDERS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICE PROVISION, HEALTH SERVICES, HEALTH SYSTEM, HEALTH WORKERS, HIV/AIDS, HOUSEHOLD LEVEL, HOUSEHOLD SURVEYS, HOUSEHOLDS, HOUSING, HUMAN BIOLOGY, HUMAN DEVELOPMENT, ILLNESS, ILLNESSES, IMMUNIZATION, IMMUNIZATIONS, IMPACT ON HEALTH, IMPROVEMENTS IN HEALTH, INFANT, INFANT DEATHS, INFANT MORTALITY, INFANT MORTALITY RATES, INFANTS, INFORMED USERS, INTERVENTION, INTERVENTIONS, LABORATORY SERVICES, LACK OF INFORMATION, LIVE BIRTHS, LOCAL COMMUNITY, MALARIA, MEASLES, MEDICINES, MIDWIFE, MINISTRY OF HEALTH, MORTALITY, MORTALITY RATE, MOSQUITO NET, NEIGHBORHOOD, NEONATAL MORTALITY, NEWBORN, NUMBER OF BIRTHS, NUMBER OF CHILDREN, NUMBER OF DEATHS, NUMBER OF HOUSEHOLDS, NUMBER OF WORKERS, NURSES, NURSING, NUTRITION, OLDER CHILDREN, OUTPATIENT CARE, OUTPATIENT SERVICES, PARTICIPATORY DEVELOPMENT, PATIENT, PATIENTS, PEOPLE LIVING WITH AIDS, PNEUMONIA, POLICY DISCUSSIONS, POLICY RESEARCH, POLICY RESEARCH WORKING PAPER, POLIO, POPULATION SIZE, POSTERS, POSTNATAL CARE, PREGNANCIES, PREGNANCY, PREGNANCY COMPLICATIONS, PREGNANT WOMEN, PRENATAL CARE, PRIMARY HEALTH CARE, PRIMARY SCHOOL, PRIMARY SCHOOLS, PROBABILITY, PROGRESS, PROVISION OF INFORMATION, PUBLIC HEALTH, PUBLIC SERVICE, PUBLIC SERVICES, PUBLIC SUPPORT, QUALITY OF CARE, QUALITY OF HEALTH, QUALITY OF HEALTH CARE, QUALITY OF SERVICES, RADIO, RURAL COMMUNITIES, SELF-ASSESSMENT, SELF-SUFFICIENCY, SERVICE DELIVERY, SERVICE PROVIDERS, SOCIAL DEVELOPMENT, STD, SUSTAINABLE DEVELOPMENT, TB, TRADITIONAL HEALERS, TREATMENT, TUBERCULOSIS, UNDER-FIVE MORTALITY, VACCINES, VILLAGE LEVEL, VILLAGES, WOMAN, WORKERS, WORLD HEALTH ORGANIZATION, YC,
Online Access:	http://documents.worldbank.org/curated/en/2014/08/20144947/information-power-experimental-evidence-long-run-impact-community-based-monitoring http://hdl.handle.net/10986/20364
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