Bjorkman Nyqvist, Martinade Walque, DamienSvensson, Jakob2014-10-062014-10-062014-08https://hdl.handle.net/10986/20364This paper presents the results of two field experiments on local accountability in primary health care in Uganda. Efforts to stimulate beneficiary control, coupled with the provision of report cards on staff performance, resulted in significant improvements in health care delivery and health outcomes in both the short and the longer run. Efforts to stimulate beneficiary control without providing information on performance had no impact on quality of care or health outcomes. The paper shows that informed users are more likely to identify and challenge (mis)behavior by providers and as a result turn their focus to issues that they can manage locally.en-USCC BY 3.0 IGOAGEDANTENATAL CAREANTENATAL VISITSBCGBLOOD SAMPLESCERTIFICATIONCHILD DEATHCHILD DEATHSCHILD HEALTHCHILD MORTALITYCHILD SURVIVALCITIZENCLINICAL GUIDELINESCLINICSCOMMUNITY INVOLVEMENTCOMMUNITY PARTICIPATIONCOUNSELINGDEATH RATESDEATHSDECISION MAKINGDESCRIPTIONDEVELOPING COUNTRIESDEVELOPMENT POLICYDISEASEDISEASESDISPENSARIESDISSEMINATIONDISTRICTSDOCTORSDRUGSECONOMIC POLICYEPIDEMIOLOGYEQUALITYEQUILIBRIUMFAMILY PLANNINGFEMALEFERTILITYFERTILITY RATESFETUSFOCUS GROUP DISCUSSIONSGENDERHEALTH CARE DELIVERYHEALTH CARE PROVIDERSHEALTH CARE PROVISIONHEALTH CLINICSHEALTH EDUCATIONHEALTH EFFECTSHEALTH FACILITIESHEALTH ORGANIZATIONHEALTH OUTCOMESHEALTH PROVIDERSHEALTH SECTORHEALTH SERVICEHEALTH SERVICE PROVISIONHEALTH SERVICESHEALTH SYSTEMHEALTH WORKERSHIV/AIDSHOUSEHOLD LEVELHOUSEHOLD SURVEYSHOUSEHOLDSHOUSINGHUMAN BIOLOGYHUMAN DEVELOPMENTILLNESSILLNESSESIMMUNIZATIONIMMUNIZATIONSIMPACT ON HEALTHIMPROVEMENTS IN HEALTHINFANTINFANT DEATHSINFANT MORTALITYINFANT MORTALITY RATESINFANTSINFORMED USERSINTERVENTIONINTERVENTIONSLABORATORY SERVICESLACK OF INFORMATIONLIVE BIRTHSLOCAL COMMUNITYMALARIAMEASLESMEDICINESMIDWIFEMINISTRY OF HEALTHMORTALITYMORTALITY RATEMOSQUITO NETNEIGHBORHOODNEONATAL MORTALITYNEWBORNNUMBER OF BIRTHSNUMBER OF CHILDRENNUMBER OF DEATHSNUMBER OF HOUSEHOLDSNUMBER OF WORKERSNURSESNURSINGNUTRITIONOLDER CHILDRENOUTPATIENT CAREOUTPATIENT SERVICESPARTICIPATORY DEVELOPMENTPATIENTPATIENTSPEOPLE LIVING WITH AIDSPNEUMONIAPOLICY DISCUSSIONSPOLICY RESEARCHPOLICY RESEARCH WORKING PAPERPOLIOPOPULATION SIZEPOSTERSPOSTNATAL CAREPREGNANCIESPREGNANCYPREGNANCY COMPLICATIONSPREGNANT WOMENPRENATAL CAREPRIMARY HEALTH CAREPRIMARY SCHOOLPRIMARY SCHOOLSPROBABILITYPROGRESSPROVISION OF INFORMATIONPUBLIC HEALTHPUBLIC SERVICEPUBLIC SERVICESPUBLIC SUPPORTQUALITY OF CAREQUALITY OF HEALTHQUALITY OF HEALTH CAREQUALITY OF SERVICESRADIORURAL COMMUNITIESSELF-ASSESSMENTSELF-SUFFICIENCYSERVICE DELIVERYSERVICE PROVIDERSSOCIAL DEVELOPMENTSTDSUSTAINABLE DEVELOPMENTTBTRADITIONAL HEALERSTREATMENTTUBERCULOSISUNDER-FIVE MORTALITYVACCINESVILLAGE LEVELVILLAGESWOMANWORKERSWORLD HEALTH ORGANIZATIONYC10.1596/1813-9450-7015