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Experimental Evidence on the Long-Run Impact of Community-Based Monitoring

Author

Listed:
  • Martina Björkman Nyqvist
  • Damien de Walque
  • Jakob Svensson

Abstract

We evaluate the longer run impact of a local accountability intervention in primary health care provision in Uganda. Short-run improvements in health care delivery and health outcomes remained in the longer run despite minimal follow-up. We find no impact on the quality of care or health outcomes of a lower cost intervention that focused on encouraging participation but did not provide information on staff performance. We provide suggestive evidence that informed beneficiaries 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.

Suggested Citation

  • Martina Björkman Nyqvist & Damien de Walque & Jakob Svensson, 2017. "Experimental Evidence on the Long-Run Impact of Community-Based Monitoring," American Economic Journal: Applied Economics, American Economic Association, vol. 9(1), pages 33-69, January.
    • Handle: RePEc:aea:aejapp:v:9:y:2017:i:1:p:33-69
    Note: DOI: 10.1257/app.20150027
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    5. Martina Björkman & Jakob Svensson, 2009. "Power to the People: Evidence from a Randomized Field Experiment on Community-Based Monitoring in Uganda," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(2), pages 735-769.
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    Cited by:

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    2. Hugh Waddington & Ada Sonnenfeld & Juliette Finetti & Marie Gaarder & Denny John & Jennifer Stevenson, 2019. "Citizen engagement in public services in low‐ and middle‐income countries: A mixed‐methods systematic review of participation, inclusion, transparency and accountability (PITA) initiatives," Campbell Systematic Reviews, John Wiley & Sons, vol. 15(1-2), June.
    3. 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.
    4. Asim, Minahil & Dee, Thomas S., 2022. "Mobile Phones, Civic Engagement, and School Performance in Pakistan," Economics of Education Review, Elsevier, vol. 89(C).
    5. Darin Christensen & Oeindrila Dube & Johannes Haushofer & Bilal Siddiqi & Maarten Voors, 2021. "Building Resilient Health Systems: Experimental Evidence from Sierra Leone and The 2014 Ebola Outbreak," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 136(2), pages 1145-1198.
    6. Dupas, Pascaline & Jain, Radhika, 2023. "Can beneficiary information improve hospital accountability? Experimental evidence from a public health insurance scheme in India," Journal of Public Economics, Elsevier, vol. 220(C).
    7. Fiala,Nathan V. & Premand,Patrick, 2018. "Social accountability and service delivery : experimental evidence from Uganda," Policy Research Working Paper Series 8449, The World Bank.
    8. Augsburg, Britta & Bancalari, Antonella & Durrani, Zara & Vaidyanathan, Madhav & White, Zach, 2022. "When nature calls back: Sustaining behavioral change in rural Pakistan," Journal of Development Economics, Elsevier, vol. 158(C).
    9. Ding, Yanqing & Lu, Fengming & Ye, Xiaoyang, 2020. "Intergovernmental transfer under heterogeneous accountabilities: The effects of the 2006 Chinese Education Finance Reform," Economics of Education Review, Elsevier, vol. 77(C).
    10. Fumagalli, Laura & Martin, Thomas, 2023. "Child labor among farm households in Mozambique and the role of reciprocal adult labor," World Development, Elsevier, vol. 161(C).
    11. Tina Fransman, 2021. "Voting and protest tendencies associated with changes in service delivery," Working Papers 08/2021, Stellenbosch University, Department of Economics.
    12. Martín A. Rossi & Antonia Vazquez & Juan Cruz Vieyra, 2020. "Information Disclosure and the Performance of Public Investment. The Case of Costa Rica," Asociación Argentina de Economía Política: Working Papers 4424, Asociación Argentina de Economía Política.
    13. Allakulov, Umrbek & Cocciolo, Serena & Das, Binayak & Habib, Md. Ahasan & Rambjer, Lovisa & Tompsett, Anna, 2023. "Transparency, governance, and water and sanitation: Experimental evidence from schools in rural Bangladesh," Journal of Development Economics, Elsevier, vol. 163(C).
    14. Boas, Taylor C. & Hidalgo, F. Daniel, 2019. "Electoral incentives to combat mosquito-borne illnesses: Experimental evidence from Brazil," World Development, Elsevier, vol. 113(C), pages 89-99.
    15. Buntaine, Mark T. & Daniels, Brigham & Devlin, Colleen, 2018. "Can information outreach increase participation in community-driven development? A field experiment near Bwindi National Park, Uganda," World Development, Elsevier, vol. 106(C), pages 407-421.
    16. Kahsay, Goytom Abraha & Bulte, Erwin, 2021. "Internal versus top-down monitoring in community resource management: Experimental evidence from Ethiopia," Journal of Economic Behavior & Organization, Elsevier, vol. 189(C), pages 111-131.
    17. Mogues, Tewodaj & Van Campenhout, Bjorn & Miehe, Caroline & Kabunga, Nassul, 2023. "The impact of community-based monitoring on public service delivery: A randomized control trial in Uganda," World Development, Elsevier, vol. 172(C).
    18. Jones, Maria & Kondylis, Florence, 2018. "Does feedback matter? Evidence from agricultural services," Journal of Development Economics, Elsevier, vol. 131(C), pages 28-41.
    19. Izzo, Federica & Dewan, Torun & Wolton, Stephane, 2022. "Cumulative knowledge in the social sciences: The case of improving voters' information," MPRA Paper 112559, University Library of Munich, Germany.
    20. Madajewicz, Malgosia & Tompsett, Anna & Habib, Md. Ahasan, 2021. "How does delegating decisions to communities affect the provision and use of a public service? Evidence from a field experiment in Bangladesh," Journal of Development Economics, Elsevier, vol. 150(C).
    21. Kovacs, Roxanne J. & Lagarde, Mylene & Cairns, John, 2022. "Can patients improve the quality of care they receive? Experimental evidence from Senegal," World Development, Elsevier, vol. 150(C).
    22. 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.

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    More about this item

    JEL classification:

    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration
    • O18 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Urban, Rural, Regional, and Transportation Analysis; Housing; Infrastructure

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