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Does involvement of local NGOs enhance public service delivery? Cautionary evidence from a malaria‐prevention program in India

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  • Ashis Das
  • Jed Friedman
  • Eeshani Kandpal

Abstract

Partnerships between government and non‐state actors that aim to enhance the quality or efficiency of service delivery are increasingly common in today's development policy landscape. We investigate the impacts of such an approach using data from an experimental supportive intervention to India's malaria control program that leveraged local non‐state capacity in order to promote mosquito net usage and recommended fever care‐seeking patterns. The supportive activities were conducted simultaneously by 3 NGOs, contracted out by the Indian government, in 2 endemic districts in the state of Odisha. We find that program impact significantly varied by location. Examining 3 potential sources of this variation (differential population characteristics, differential health worker characteristics, and differential implementer characteristics), we provide evidence that both population and NGO characteristics significantly affected the success of the program. Specifically, the results suggest that the quality and effort of the local implementer played a key role in the differential effectiveness. We discuss these findings as they relate to the external validity of development policy evaluations and, specifically, for the ability of health and other service delivery systems to benefit from limited non‐state capacity in underresourced areas.

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  • Ashis Das & Jed Friedman & Eeshani Kandpal, 2018. "Does involvement of local NGOs enhance public service delivery? Cautionary evidence from a malaria‐prevention program in India," Health Economics, John Wiley & Sons, Ltd., vol. 27(1), pages 172-188, January.
    • Handle: RePEc:wly:hlthec:v:27:y:2018:i:1:p:172-188
    DOI: 10.1002/hec.3529
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    2. Camille Boudot‐Reddy & Anita Mukherjee, 2021. "Improving the adoption of household health products: A sales experiment with chlorine tablets," Health Economics, John Wiley & Sons, Ltd., vol. 30(3), pages 623-641, March.
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    4. Gauri, Varun & Jamison, Julian C. & Mazar, Nina & Ozier, Owen, 2019. "Motivating Bureaucrats through Social Recognition: External Validity — A Tale of Two States," IZA Discussion Papers 12251, Institute of Labor Economics (IZA).

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