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Mobilizing Communities for a Healthier Future : Impact Evaluation of Social Accountability Interventions in Uttar Pradesh, India (English)

Social Accountability has received much attention as a potentially promising method to engage community members in monitoring the delivery of public services. Recent efforts in Uganda and Nepal found that community monitoring mechanisms led to large improvements in child health outcomes. The government of Uttar Pradesh (UP), as part of the World Bank supported Uttar Pradesh Health Systems Strengthening Project (UPHSSP), implemented Social Accountability (SA) interventions on a large scale. In contrast to previous impact evaluation efforts led by researchers on a smaller scale, this novel effort represents the first large-scale impact evaluation of SA and community-based monitoring that is designed and implemented by the government. This evaluation’s findings strongly suggest that information and facilitation jointly have larger effects than provision if information alone, leading the IE team to strongly recommend that UPHSSP and SIRD continue its policy of investing in community facilitation mechanisms as part of larger SA efforts. The government-run program currently being implemented in the other 10 districts in UPHSSP could be improved by incorporating design features from this 2-district evaluation, especially in terms of information delivery and facilitation of VHSNC meetings. A key feature of the evaluated intervention was its government-led design and implementation, enabling replication at scale by government. Hence, the evaluation’s findings are also relevant for scale up across India, and other countries with a similar context within the South Asia Region, and beyond. The ongoing implementation of SA interventions by UPHSSP in 10 districts, which also follows a block-wise randomized design, is an incredible opportunity to study and document the impacts of SA, when implemented at large-scale. The IE team strongly recommends that the state government continue to improve and implement the SA interventions robustly and invest in efforts to monitor and evaluate the impacts of this large-scale implementation of SA.

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Mohanan,Manoj Thirumurthy,Harsha Rajan,Vikram Sundara

Mobilizing Communities for a Healthier Future : Impact Evaluation of Social Accountability Interventions in Uttar Pradesh, India (English). Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/340831537776397782/Mobilizing-Communities-for-a-Healthier-Future-Impact-Evaluation-of-Social-Accountability-Interventions-in-Uttar-Pradesh-India