The Impact of Social Mobilization on Health Service Delivery and Health Outcomes

• Tác giả: Salma Khalid
• Ngôn ngữ: eng
• Ký hiệu phân loại: 353.6 *Administration of health services
• Thông tin xuất bản: World Bank, Washington, DC, 2018
• Bộ sưu tập: Tài liệu truy cập mở
• ID: 297880
• Chủ đề: 1. CITIZEN ENGAGEMENT; 2. COMMUNITY-DRIVEN DEVELOPMENT; 3. HEALTH SERVICES; 4. HEALTH SYSTEM REFORM; 5. SERVICE DELIVERY

Tóm tắt

This paper uses a randomized community development program in rural Pakistan to assess the impact of citizen engagement on the quality of public health services. The program had a strong emphasis on organizing women, who also identified health services as a development priority at baseline. Assessing the program at midline, the paper finds that the mobilization effort alone had a significant impact on the performance of village-based health providers. The study detects economically large improvements in pregnancy and well-baby visits by lady health workers, as well as increased utilization of pre- and post-natal care by pregnant women. In contrast, the quality of supra-village health services did not improve, underscoring the importance of community enforcement and monitoring capacity for improving service delivery.