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

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  • Gine,Xavier
  • Khalid,Salma
  • Mansuri,Ghazala

Abstract

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.

Suggested Citation

  • Gine,Xavier & Khalid,Salma & Mansuri,Ghazala, 2018. "The impact of social mobilization on health service delivery and health outcomes : evidence from rural Pakistan," Policy Research Working Paper Series 8313, The World Bank.
    • Handle: RePEc:wbk:wbrwps:8313
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    References listed on IDEAS

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    1. Martina Björkman & Jakob Svensson, 2009. "Power to the People: Evidence from a Randomized Field Experiment on Community-Based Monitoring in Uganda," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(2), pages 735-769.
    2. Ghazala Mansuri & Vijayendra Rao, 2013. "Localizing Development : Does Participation Work?," World Bank Publications - Books, The World Bank Group, number 11859.
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    1. World Bank, 2018. "When Water Becomes a Hazard," World Bank Publications - Reports 30799, The World Bank Group.

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