Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/190079
Authors: 
Giné, Xavier
Khalid, Salma
Mansuri, Ghazala
Year of Publication: 
2018
Series/Report no.: 
WIDER Working Paper 2018/30
Abstract: 
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.
Subjects: 
public service delivery
maternal and child health
citizen engagement
community development
Pakistan
Lady Health Workers
JEL: 
C93
D7
H75
I11
O12
ISBN: 
978-92-9256-472-8
Document Type: 
Working Paper
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