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

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Author Info

  • Martina Björkman

    (IGIER, Bocconi University, and CEPR.)

  • Jakob Svensson

    (Institute for International Economic Studies, Stockholm University, NHH, and CEPR.)

Abstract

This paper presents a randomized field experiment on community-based monitoring of public primary health care providers in Uganda. Through two rounds of village meetings, localized nongovernmental organizations encouraged communities to be more involved with the state of health service provision and strengthened their capacity to hold their local health providers to account for performance. A year after the intervention, treatment communities are more involved in monitoring the provider, and the health workers appear to exert higher effort to serve the community. We document large increases in utilization and improved health outcomes-reduced child mortality and increased child weight-that compare favorably to some of the more successful community-based intervention trials reported in the medical literature. (c) 2009 by the President and Fellows of Harvard College and the Massachusetts Institute of Technology..

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Bibliographic Info

Article provided by MIT Press in its journal Quarterly Journal of Economics.

Volume (Year): 124 (2009)
Issue (Month): 2 (May)
Pages: 735-769
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Handle: RePEc:tpr:qjecon:v:124:y:2009:i:2:p:735-769

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Cited by:
  1. Monica Martinez-Bravo & Gerard Padró i Miquel & Nancy Qian & Yang Yao, 2011. "Do Local Elections in Non-Democracies Increase Accountability? Evidence from Rural China," NBER Working Papers 16948, National Bureau of Economic Research, Inc.
  2. Claudio Ferraz & Frederico Finan & Diana Belo Moreira, 2009. "Corrupting Learning: Evidence from Missing Federal Education Funds in Brazil," Textos para discussão 562, Department of Economics PUC-Rio (Brazil).
  3. Fink, Günther & McConnell, Margaret & Vollmer, Sebastian, 2011. "Testing for Heterogeneous Treatment Effects in Experimental Data: False Discovery Risks and Correction Procedures," Diskussionspapiere der Wirtschaftswissenschaftlichen Fakultät der Universität Hannover dp-477, Universität Hannover, Wirtschaftswissenschaftliche Fakultät.
  4. Pradhan, Menno & Suryadarma, Daniel & Beatty, Amanda & Wong, Maisy & Alishjabana, Armida & Gaduh, Arya & Artha, Rima Prama, 2011. "Improving educational quality through enhancing community participation : results from a randomized field experiment in Indonesia," Policy Research Working Paper Series 5795, The World Bank.
  5. Scarlato, Margherita, 2012. "Social Enterprise, Capabilities and Development: Lessons from Ecuador," MPRA Paper 37618, University Library of Munich, Germany.
  6. Singh, Prakarsh, 2011. "Performance Pay and Information: Reducing Child Malnutrition in Urban Slums," MPRA Paper 29403, University Library of Munich, Germany.
  7. Avvisati, Francesco & Gurgand, Marc & Guyon, Nina & Maurin, Eric, 2010. "Getting Parents Involved: A Field Experiment in Deprived Schools," CEPR Discussion Papers 8020, C.E.P.R. Discussion Papers.

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