Power to the People
Evidence from a Randomized Field Experiment on Community-Based Monitoring in Uganda
Bibliographic Data
| ID | 23351497 |
|---|---|
| Authors | Martina Björkman (Bocconi University), J Svensson (0000-0002-5097-6218, Center for Economic and Policy Research) |
| Year | 2009 |
| Volume | 124 |
| Issue | 2 |
| Pages | 735-769 |
| Publication date | 2009-05-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | The Quarterly Journal of Economics (JOURNAL) |
| Journal identifiers | ISSN: 0033-5533 • E-ISSN: 1531-4650 |
| Publisher | Oxford University Press (OUP) (PUBLISHER) |
| DOI | 10.1162/qjec.2009.124.2.735 |
| OpenAlex | W3123010330 |
| Language | EN |
| Citations received | 213 |
| References cited | 17 |
This paper presents a randomized field experiment on community-based monitoring of public primary health care providers in Uganda. Through two rounds of village meetings, localized nongovernmental organizations encouraged communities to be more involved with the state of health service provision and strengthened their capacity to hold their local health providers to account for performance. A year after the intervention, treatment communities are more involved in monitoring the provider, and the health workers appear to exert higher effort to serve the community. We document large increases in utilization and improved health outcomes—reduced child mortality and increased child weight—that compare favorably to some of the more successful community-based intervention trials reported in the medical literature.
Business · Community health · Environmental health · Health care · Intervention (counseling) · Political science · Public health · Public relations · Randomized controlled trial · Service (business) · Service provider · Child Nutrition and Water Access · Global Maternal and Child Health · Marketing · Medicine · Nursing · Poverty, Education, and Child Welfare · Gerontology
Foreign Aid and the Performance of Bureaucrats
Putting People Before Product- Lessons Learned from Social Transformation within Low-Income Communities Around the World
Claiming the State
Participatory Governance and Development
Community-Based Monitoring in the New Normal
Moving Towards a South African NHI System of Excellence
Placing blame or a call to action? An analysis of Uwezo in the Kenyan press
Democracy Support and Development Aid
The Conditionality of Vote‐Buying Norms
Exposing Corrupt Politicians
Management of Bureaucrats and Public Service Delivery
Learning (or Not) in Health-Seeking Behavior
Voting Technology, Political Responsiveness, and Infant Health
Improving child survival through a district management strengthening and community empowerment intervention
Reshaping Institutions
The Dynamic Effects of Information on Political Corruption
Administration and Human Rights
School governance, teacher incentives, and pupil–teacher ratios
Monitoring Corruptible Politicians
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Has Democratization Reduced Infant Mortality in Sub-Saharan Africa? Evidence From Micro Data
In Pursuit of Balance
In Urban And Rural India, A Standardized Patient Study Showed Low Levels Of Provider Training And Huge Quality Gaps
Pitfalls of Participatory Programs
The politics of reducing malnutrition
Health Behavior in Developing Countries
High-quality health systems in the Sustainable Development Goals era
Working For God? Evidence From A Change In Financing Of Nonprofit Health Care Providers In Uganda 3
Widgets or Watchdogs?
Cover more for less
Community perceptions of health accountability meetings with local politicians to improve healthcare quality
Does top-down accountability promote responsiveness? Evidence from a survey experiment in China
Participation and Local Governance Outcomes
Is household shock a boon or bane to the utilisation of preventive healthcare for children? Evidence from Uganda
Impact of a bottom-up community engagement intervention on maternal and child health services utilization in Ghana
Reimagining public–private partnerships for primary health care in Africa
Making Transparency Work
Grassroots Governance in Action
Cognitive sovereignty and decolonial public health
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Making health insurance responsive to citizens
Analysis of clinical knowledge, absenteeism and availability of resources for maternal and child health
Targeting anticorruption interventions at the front line
Child health and the implementation of Community and District-management Empowerment for Scale-up (Codes) in Uganda
Monitoring, reporting and regulating medicine quality
Community-Based Monitoring as an Early Warning System
Monitoring and management of common property resources
Social accountability in metropolitan cities
Mobile Phones, Civic Engagement, and School Performance in Pakistan
Auditing as a tool of government accountability? Exploring divergent causal mechanisms through three Honduran cases
Health facility quality peer effects
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The political economy of energy access
Doing Civil Society-Driven Social Accountability in a Disaster Context
Relocating the political in education
Bottom-up accountability and public service provision
Combining bottom-up monitoring and top-down accountability
Avoiding Post-Treatment Bias in Audit Experiments
Improving Electoral Integrity with Information and Communications Technology
Empowering young citizens through the practice of accountability
Do Selection Rules Affect Leader Responsiveness? Evidence from Rural Uganda
The Unintended Effects of Bottom-Up Accountability
Managing Street-Level Arbitrariness
Improving Accountability for Equitable Health and Well-being in Urban Informal Spaces
How input, process, and institutional factors influence the effects of transdisciplinary research projects
The Geography of Governance in Africa
Intersecting social-capital and perceived-efficacy perspectives to explain underperformance in community-based monitoring
Understanding the Influence of Independent Civil Society Monitoring and Evaluation at the District Level
Trust, mental models and community participation in transition
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Safety in Numbers
Informing women and improving sanitation
Untapped human capital in Africa
Varieties of participatory institutions and interest intermediation
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Can information outreach increase participation in community-driven development? A field experiment near Bwindi National Park, Uganda
Does the RCT tail wag the implementation dog
Social Accountability
Can patients improve the quality of care they receive? Experimental evidence from Senegal
Beyond the Short versus Long Accountability Route Dichotomy
Beyond the records
Does feedback matter? Evidence from agricultural services
Wealth, Health, and Health Services in Rural Rajasthan
Local Capture
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Effect of home-based neonatal care and management of sepsis on neonatal mortality
Effect of a participatory intervention with women's groups on birth outcomes in Nepal
Worms
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The political economy of government responsiveness
Experimental Analysis of Neighborhood Effects
Radio's Impact on Public Spending
Exposing Corrupt Politicians
Weight, height and arm circumference of children under 5 in the district of Mbarara, south-west Uganda
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Missing in Action
Informal economic activities of public health workers in Uganda
Identity and the Economics of Organizations
| Unique citing works | 213 |
|---|---|
| Citations per year | 11,83 |
| Citation span | 2008 - 2026 (19) |
| Citation velocity | current |
| Highly cited | Yes |
| Citation types | Neutral: 200 |