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When Is Community-Based Monitoring Effective? Evidence from a Randomized Experiment in Primary Health in Uganda

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  • Martina Björkman
  • Jakob Svensson

Abstract

Evidence from recent randomized field experiments on community-based monitoring reveals substantial heterogeneous treatment effects. Using data from a randomized experiment in primary health in Uganda, we tested whether social heterogeneity can explain why some communities managed to push for better health service delivery, whereas others did not. The results suggest that income inequality, and particularly ethnic fractionalization, adversely impact collective action for improved service provision. (JEL: H41, I19, O15) (c) 2010 by the European Economic Association.

Suggested Citation

  • Martina Björkman & Jakob Svensson, 2010. "When Is Community-Based Monitoring Effective? Evidence from a Randomized Experiment in Primary Health in Uganda," Journal of the European Economic Association, MIT Press, vol. 8(2-3), pages 571-581, 04-05.
    • Handle: RePEc:tpr:jeurec:v:8:y:2010:i:2-3:p:571-581
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    Citations

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    Cited by:

    1. Diego Vera-Cossio, 2022. "Targeting Credit through Community Members," Journal of the European Economic Association, European Economic Association, vol. 20(2), pages 778-821.
    2. Devarajan, Shantayanan & Khemani, Stuti & Walton, Michael, 2011. "Civil society, public action and accountability in Africa," Policy Research Working Paper Series 5733, The World Bank.
    3. Cagala, Tobias & Glogowsky, Ulrich & Rincke, Johannes & Schudy, Simeon, 2024. "Commitment requests do not affect truth-telling in laboratory and online experiments," Games and Economic Behavior, Elsevier, vol. 143(C), pages 179-190.
    4. Mantilla, César & Zhou, Ling & Wang, Charlotte & Yang, Donghui & Shen, Suping & Seabright, Paul, 2021. "Favoring your in-group can harm both them and you: Ethnicity and public goods provision in China," Journal of Economic Behavior & Organization, Elsevier, vol. 185(C), pages 211-233.
    5. Spiros Bougheas & Alessia Isopi & Trudy Owens, 2022. "NGO's and Donors' Funding: Evidence from Uganda," CESifo Working Paper Series 10055, CESifo.
    6. Vincenzo Di Maro & Stefan Leeffers & Danila Serra & Pedro C. Vicente, 2020. "Mobilizing parents at home and at school: an experiment on primary education in Angola," NOVAFRICA Working Paper Series wp2002, Universidade Nova de Lisboa, Nova School of Business and Economics, NOVAFRICA.
    7. Barr, Abigail & Packard, Truman & Serra, Danila, 2012. "Participatory accountability and collective action : evidence from field experiments in Albanian schools," Policy Research Working Paper Series 6027, The World Bank.
    8. Nathan Fiala & Patrick Premand, 2018. "Social Accountability and Service Delivery: Experimental Evidence from Uganda," Working papers 2018-04, University of Connecticut, Department of Economics.
    9. Benjamin A. Olken & Rohini Pande, 2012. "Corruption in Developing Countries," Annual Review of Economics, Annual Reviews, vol. 4(1), pages 479-509, July.
    10. Isaac Mbiti & Danila Serra, 2022. "Health workers’ behavior, patient reporting and reputational concerns: lab-in-the-field experimental evidence from Kenya," Experimental Economics, Springer;Economic Science Association, vol. 25(2), pages 514-556, April.
    11. Emran, M. Shahe & Islam, Asadul & Shilpi, Forhad, 2013. "Admission is free only if your dad is rich! distributional effects of corruption in schools in developing countries," Policy Research Working Paper Series 6671, The World Bank.
    12. Spiros Bougheas & Alessia Isopi & Trudy Owens, 2012. "How do Donors Allocate Funds to NGOs? Evidence from Uganda," Discussion Papers 12/08, University of Nottingham, CREDIT.
    13. Dmitry Ryvkin & Danila Serra & James Tremewan, 2015. "I paid a bribe: Information Sharing and Extortionary Corruption," Working Papers wp2015_07_01, Department of Economics, Florida State University.
    14. Lieberman, Evan S. & Posner, Daniel N. & Tsai, Lily L., 2014. "Does Information Lead to More Active Citizenship? Evidence from an Education Intervention in Rural Kenya," World Development, Elsevier, vol. 60(C), pages 69-83.
    15. Afridi, Farzana & Dhillon, Amrita & Chaudhuri, Arka Roy & Kaur, Dashleen, 2020. "Efficacy of Top down audits and Community Monitoring," OSF Preprints akpdy, Center for Open Science.
    16. Barr, Abigail & Packard, Truman & Serra, Danila, 2014. "Participatory accountability and collective action: Experimental evidence from Albania," European Economic Review, Elsevier, vol. 68(C), pages 250-269.
    17. Frederico Finan & Benjamin A. Olken & Rohini Pande, 2015. "The Personnel Economics of the State," NBER Working Papers 21825, National Bureau of Economic Research, Inc.
    18. Catherine Iye Jimmy-Akinpitan, 2023. "Effect of Donor Funding and Internal Control on Financial Sustainability of Non-Governmental Organizations In Jos Metropolis of Plateau State," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 7(1), pages 1524-1555, January.
    19. Afridi, Farzana & Barooah, Bidisha & Somanathan, Rohini, 2020. "Improving learning outcomes through information provision: Experimental evidence from Indian villages," Journal of Development Economics, Elsevier, vol. 146(C).
    20. Kyando, Doreen Nico, 2022. "Social accountability initiatives in the delivery of public services in Sub-Saharan Africa: a systematic literature review," IOB Discussion Papers 2022.03, Universiteit Antwerpen, Institute of Development Policy (IOB).
    21. Pranab Bardhan, 2016. "State and Development: The Need for a Reappraisal of the Current Literature," Journal of Economic Literature, American Economic Association, vol. 54(3), pages 862-892, September.
    22. Ryvkin, Dmitry & Serra, Danila & Tremewan, James, 2017. "I paid a bribe: An experiment on information sharing and extortionary corruption," European Economic Review, Elsevier, vol. 94(C), pages 1-22.

    More about this item

    JEL classification:

    • H41 - Public Economics - - Publicly Provided Goods - - - Public Goods
    • I19 - Health, Education, and Welfare - - Health - - - Other
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

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