Citation

Discussion Paper Details

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

Author(s): Martina Bj�rkman Nyqvist and Jakob Svensson

Publication Date: June 2007

Keyword(s): Accountability, Field experiment, Health and Monitoring

Programme Area(s): Development Economics

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.

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Bibliographic Reference

Bj�rkman Nyqvist, M and Svensson, J. 2007. 'Power to the People: Evidence from a Randomized Field Experiment of a Community-Based Monitoring Project in Uganda'. London, Centre for Economic Policy Research. https://cepr.org/active/publications/discussion_papers/dp.php?dpno=6344