The impact of social mobilization on health service delivery and health outcomes: Evidence from rural Pakistan

Arbeitspapier

We use a randomized community development programme in rural Pakistan to assess the impact of citizen engagement on public service delivery and maternal and child health outcomes. The programme had a strong focus on ensuring the participation of women. Women in the study villages had also identified access to primary care as a critical need for them and their children at baseline. At midline, we find that the mobilization effort alone had a significant impact on the performance of village-based health providers. We detect 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.

Object Details

• ISBN: 978-92-9256-472-8
• Language: Englisch

References and Relationships

• Bibliographic citation: Series: WIDER Working Paper ; No. 2018/30

Classification and Topics

• Classification: Wirtschaft ; Field Experiments ; State and Local Government: Health; Education; Welfare; Public Pensions ; Analysis of Health Care Markets ; Microeconomic Analyses of Economic Development
• Subject: public service delivery ; maternal and child health ; citizen engagement ; community development ; Pakistan ; Lady Health Workers

Contributors, Places and Time

• Event: Geistige Schöpfung
• (who): Giné, Xavier ; Khalid, Salma ; Mansuri, Ghazala
• Event: Veröffentlichung
• (who): The United Nations University World Institute for Development Economics Research (UNU-WIDER)
• (where): Helsinki
• (when): 2018

Further information

• DOI: doi:10.35188/UNU-WIDER/2018/472-8
• Handle: http://hdl.handle.net/10419/190079
• Last update: 10.03.2025, 11:44 AM CET