Power To The People: Evidence From A Randomized Field Experiment of A Community-Based Monitoring Project In Uganda
This paper analyzes the importance of strengthening the relationship of accountability between health service providers and citizens for improving access to and quality of health care. How this is to be achieved, and whether it works, however, remain open questions. The paper presents a randomized f...
Gespeichert in:
| 1. Verfasser: | |
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| Format: | Elektronisch E-Book |
| Sprache: | English |
| Veröffentlicht: |
Washington, D.C
The World Bank
2007
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| Schlagworte: | |
| Online-Zugang: | BSB01 EUV01 HTW01 FHI01 IOS01 URL des Erstveröffentlichers |
| Zusammenfassung: | This paper analyzes the importance of strengthening the relationship of accountability between health service providers and citizens for improving access to and quality of health care. How this is to be achieved, and whether it works, however, remain open questions. The 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, there are large increases in utilization, significant weight-for-age z-score gains of infants, and markedly lower deaths among children. The findings on staff behavior 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 |
| Beschreibung: | 1 Online-Ressource (64 Seiten)) |
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| spelling | Svensson, Jakob Verfasser aut Power To The People Evidence From A Randomized Field Experiment of A Community-Based Monitoring Project In Uganda Svensson, Jakob Washington, D.C The World Bank 2007 1 Online-Ressource (64 Seiten)) txt rdacontent c rdamedia cr rdacarrier This paper analyzes the importance of strengthening the relationship of accountability between health service providers and citizens for improving access to and quality of health care. How this is to be achieved, and whether it works, however, remain open questions. The 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, there are large increases in utilization, significant weight-for-age z-score gains of infants, and markedly lower deaths among children. The findings on staff behavior 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 Online-Ausg Antenatal care Clinics Community participation Family planning Health care Health, Monitoring and Evaluation Health, Nutrition and Population Immunization Intervention Primary health care Primary schools Workers Svensson, Jakob Sonstige oth Bjorkman, Martina Sonstige oth Svensson, Jakob Power To The People http://elibrary.worldbank.org/content/workingpaper/10.1596/1813-9450-4268 Verlag URL des Erstveröffentlichers Volltext |
| spellingShingle | Svensson, Jakob Power To The People Evidence From A Randomized Field Experiment of A Community-Based Monitoring Project In Uganda Antenatal care Clinics Community participation Family planning Health care Health, Monitoring and Evaluation Health, Nutrition and Population Immunization Intervention Primary health care Primary schools Workers |
| title | Power To The People Evidence From A Randomized Field Experiment of A Community-Based Monitoring Project In Uganda |
| title_auth | Power To The People Evidence From A Randomized Field Experiment of A Community-Based Monitoring Project In Uganda |
| title_exact_search | Power To The People Evidence From A Randomized Field Experiment of A Community-Based Monitoring Project In Uganda |
| title_exact_search_txtP | Power To The People Evidence From A Randomized Field Experiment of A Community-Based Monitoring Project In Uganda |
| title_full | Power To The People Evidence From A Randomized Field Experiment of A Community-Based Monitoring Project In Uganda Svensson, Jakob |
| title_fullStr | Power To The People Evidence From A Randomized Field Experiment of A Community-Based Monitoring Project In Uganda Svensson, Jakob |
| title_full_unstemmed | Power To The People Evidence From A Randomized Field Experiment of A Community-Based Monitoring Project In Uganda Svensson, Jakob |
| title_short | Power To The People |
| title_sort | power to the people evidence from a randomized field experiment of a community based monitoring project in uganda |
| title_sub | Evidence From A Randomized Field Experiment of A Community-Based Monitoring Project In Uganda |
| topic | Antenatal care Clinics Community participation Family planning Health care Health, Monitoring and Evaluation Health, Nutrition and Population Immunization Intervention Primary health care Primary schools Workers |
| topic_facet | Antenatal care Clinics Community participation Family planning Health care Health, Monitoring and Evaluation Health, Nutrition and Population Immunization Intervention Primary health care Primary schools Workers |
| url | http://elibrary.worldbank.org/content/workingpaper/10.1596/1813-9450-4268 |
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