Impact of social accountability monitoring on health facility performance: Evidence from Tanzania.
Tanzania
community monitoring
essential medicines
health infrastructure
social accountability
Journal
Health economics
ISSN: 1099-1050
Titre abrégé: Health Econ
Pays: England
ID NLM: 9306780
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
revised:
08
12
2020
received:
10
02
2020
accepted:
11
12
2020
pubmed:
19
1
2021
medline:
30
10
2021
entrez:
18
1
2021
Statut:
ppublish
Résumé
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.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
766-785Informations de copyright
© 2021 The Authors. Health Economics published by John Wiley & Sons Ltd.