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


  • Igor Francetic
  • Günther Fink
  • Fabrizio Tediosi


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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    References listed on IDEAS

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    Blog mentions

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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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