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Impact of social accountability monitoring on health facility performance: evidence from Tanzania

Francetic, I. and Fink, G. and Tediosi, F.. (2021) Impact of social accountability monitoring on health facility performance: evidence from Tanzania. Health economics, 30 (4). pp. 766-785.

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Abstract

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.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Household Economics and Health Systems Research > Health Systems and Policy (Tediosi)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Former Units within Swiss TPH > Household Economy (Fink)
06 Faculty of Business and Economics > Departement Wirtschaftswissenschaften > Professuren Wirtschaftswissenschaften
UniBasel Contributors:Francetic, Igor and Fink, G√ľnther and Tediosi, Fabrizio
Item Type:Article, refereed
Article Subtype:Research Article
ISSN:1057-9230
Note:Publication type according to Uni Basel Research Database: Journal article
Language:English
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Last Modified:13 Jan 2023 04:10
Deposited On:19 Dec 2022 15:00

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