Experimental Evidence on the Long-Run Impact of Community-Based Monitoring
评估乌干达初级医疗问责干预的长期效果,发现短期改善在长期得以维持,而仅鼓励参与的低成本干预无效。
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.