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

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.