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.
Björkman Nyqvist, Martina, Damien de Walque, and Jakob Svensson.
"Experimental Evidence on the Long-Run Impact of Community-Based Monitoring."
American Economic Journal: Applied Economics,
State and Local Government: Health; Education; Welfare; Public Pensions
Analysis of Health Care Markets
Health: Government Policy; Regulation; Public Health
Economic Development: Human Resources; Human Development; Income Distribution; Migration
Economic Development: Urban, Rural, Regional, and Transportation Analysis; Housing; Infrastructure