The Impact of Social Mobilization on Health Service Delivery and Health Outcomes : Evidence from Rural Pakistan | |
Gine, Xavier ; Khalid, Salma ; Mansuri, Ghazala | |
World Bank, Washington, DC | |
关键词: SERVICE DELIVERY; HEALTH SYSTEM REFORM; HEALTH SERVICES; CITIZEN ENGAGEMENT; COMMUNITY-DRIVEN DEVELOPMENT; | |
DOI : 10.1596/1813-9450-8313 RP-ID : WPS8313 |
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学科分类:社会科学、人文和艺术(综合) | |
来源: World Bank Open Knowledge Repository | |
【 摘 要 】
This paper uses a randomized communitydevelopment program in rural Pakistan to assess the impactof citizen engagement on the quality of public healthservices. The program had a strong emphasis on organizingwomen, who also identified health services as a developmentpriority at baseline. Assessing the program at midline, thepaper finds that the mobilization effort alone had asignificant impact on the performance of village-basedhealth providers. The study detects economically largeimprovements in pregnancy and well-baby visits by ladyhealth workers, as well as increased utilization of pre- andpost-natal care by pregnant women. In contrast, the qualityof supra-village health services did not improve,underscoring the importance of community enforcement andmonitoring capacity for improving service delivery.
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WPS8313.pdf | 775KB | download |