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Impact of social accountability monitoring on health facility performance: Evidence from Tanzania

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  • Igor Francetic
  • Günther Fink
  • Fabrizio Tediosi

Abstract

Social accountability programs are increasingly used to improve the performance of public service providers in low‐income settings. Despite their growing popularity, evidence on the effectiveness of social accountability programs remains mixed. In this manuscript, we assess the impact of a social accountability intervention on health facility management exploring quasiexperimental variation in program exposure in Tanzania. We find that the social accountability intervention resulted in a 1.8 SD reduction in drug stockouts relative to the control group, but did not improve facility infrastructure maintenance. The results of this study suggest that social accountability programs may be effective in areas of health service provision that are responsive to changes in provider behavior but may not work in settings where improvements in outcomes are conditional on larger health systems features.

Suggested Citation

  • Igor Francetic & Günther Fink & Fabrizio Tediosi, 2021. "Impact of social accountability monitoring on health facility performance: Evidence from Tanzania," Health Economics, John Wiley & Sons, Ltd., vol. 30(4), pages 766-785, April.
    • Handle: RePEc:wly:hlthec:v:30:y:2021:i:4:p:766-785
    DOI: 10.1002/hec.4219
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    1. Fox, Jonathan A, 2007. "The uncertain relationship between transparency and accountability," Center for Global, International and Regional Studies, Working Paper Series qt8c25c3z4, Center for Global, International and Regional Studies, UC Santa Cruz.
    2. Fiala,Nathan V. & Premand,Patrick, 2018. "Social accountability and service delivery : experimental evidence from Uganda," Policy Research Working Paper Series 8449, The World Bank.
    3. 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.
    4. James G. MacKinnon & Matthew D. Webb, 2018. "The wild bootstrap for few (treated) clusters," Econometrics Journal, Royal Economic Society, vol. 21(2), pages 114-135, June.
    5. Raza, Wameq A. & Van de Poel, Ellen & Van Ourti, Tom, 2018. "Impact and spill-over effects of an asset transfer program on child undernutrition: Evidence from a randomized control trial in Bangladesh," Journal of Health Economics, Elsevier, vol. 62(C), pages 105-120.
    6. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769, December.
    7. Anuradha Joshi & Peter P. Houtzager, 2012. "Widgets or Watchdogs?," Public Management Review, Taylor & Francis Journals, vol. 14(2), pages 145-162, February.
    8. Slawa Rokicki & Jessica Cohen & Gunther Fink & Joshua Salomon & Mary Beth Landrum, 2018. "Inference with difference-in-differences with a small number of groups: a review, simulation study and empirical application using SHARE data," CHaRMS Working Papers 18-01, Centre for HeAlth Research at the Management School (CHaRMS).
    9. Ding, Peng & Li, Fan, 2019. "A Bracketing Relationship between Difference-in-Differences and Lagged-Dependent-Variable Adjustment," Political Analysis, Cambridge University Press, vol. 27(4), pages 605-615, October.
    10. Kruk, Margaret E. & Rockers, Peter C. & Mbaruku, Godfrey & Paczkowski, Magdalena M. & Galea, Sandro, 2010. "Community and health system factors associated with facility delivery in rural Tanzania: A multilevel analysis," Health Policy, Elsevier, vol. 97(2-3), pages 209-216, October.
    11. Maureen Lewis, 2006. "Governance and Corruption in Public Health Care Systems," Working Papers 78, Center for Global Development.
    12. Susan Athey & Guido W. Imbens, 2017. "The State of Applied Econometrics: Causality and Policy Evaluation," Journal of Economic Perspectives, American Economic Association, vol. 31(2), pages 3-32, Spring.
    13. A. Colin Cameron & Jonah B. Gelbach & Douglas L. Miller, 2008. "Bootstrap-Based Improvements for Inference with Clustered Errors," The Review of Economics and Statistics, MIT Press, vol. 90(3), pages 414-427, August.
    14. Joshi, Anuradha, 2017. "Legal Empowerment and Social Accountability: Complementary Strategies Toward Rights-based Development in Health?," World Development, Elsevier, vol. 99(C), pages 160-172.
    15. Ezequiel Molina & Laura Carella & Ana Pacheco & Guillermo Cruces & Leonardo Gasparini, 2017. "Community monitoring interventions to curb corruption and increase access and quality in service delivery: a systematic review," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 9(4), pages 462-499, October.
    16. James G. MacKinnon & Matthew D. Webb, 2019. "Wild Bootstrap Randomization Inference for Few Treated Clusters," Advances in Econometrics, in: The Econometrics of Complex Survey Data, volume 39, pages 61-85, Emerald Group Publishing Limited.
    17. AfDB AfDB, . "Annual Report 2012," Annual Report, African Development Bank, number 461.
    18. Fiala, Nathan & Premand, Patrick, 2018. "Social accountability and service delivery: Experimental evidence from Uganda," Working Paper series 290137, University of Connecticut, Charles J. Zwick Center for Food and Resource Policy.
    19. Achyuta Adhvaryu & Anant Nyshadham, 2015. "Return to Treatment in the Formal Health Care Sector: Evidence from Tanzania," American Economic Journal: Economic Policy, American Economic Association, vol. 7(3), pages 29-57, August.
    20. John Gaventa & Rosemary McGee, 2013. "The Impact of Transparency and Accountability Initiatives," Development Policy Review, Overseas Development Institute, vol. 31, pages 3-28, July.
    21. Dena Ringold & Alaka Holla & Margaret Koziol & Santhosh Srinivasan, 2012. "Citizens and Service Delivery : Assessing the Use of Social Accountability Approaches in the Human Development Sectors," World Bank Publications - Books, The World Bank Group, number 2377, April.
    22. Fox, Jonathan A., 2015. "Social Accountability: What Does the Evidence Really Say?," World Development, Elsevier, vol. 72(C), pages 346-361.
    23. Jeffrey M Wooldridge, 2010. "Econometric Analysis of Cross Section and Panel Data," MIT Press Books, The MIT Press, edition 2, volume 1, number 0262232588, December.
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    1. Chris Sampson’s journal round-up for 29th March 2021
      by Chris Sampson in The Academic Health Economists' Blog on 2021-03-29 11:00:13

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