Authors: Sara Gullo, Christine Galavotti, Anne Sebert Kuhlmann, Thumbiko Msiska, Phil Hastings, C. Nathan Marti
This study evaluated the effects of a social accountability approach, CARE’s Community Score Card (CSC), on reproductive health outcomes in Ntcheu district, Malawi using a cluster-randomized control design. Two independent cross-sectional surveys of women who had given birth in the last 12 months, at baseline and at two years post-baseline were conducted. Using difference-in-difference (DiD) and local average treatment effect (LATE) estimates, the effects on outcomes including modern contraceptive use, antenatal and postnatal care service utilization, and service satisfaction were evaluated. DiD analyses showed significantly greater improvements in the proportion of women receiving a home visit during pregnancy, receiving a postnatal visit, and overall service satisfaction in intervention compared to control areas. Local average treatment effect (LATE) analyses estimated significant effects of the CSC intervention on home visits by health workers (114% higher in intervention compared to control) and current use of modern contraceptives (57% higher). By facilitating the relationship between community members, health service providers, and local government officials, the CSC contributed to important improvements in reproductive health-related outcomes.
Link: Effects of a social accountability approach, CARE’s Community Score Card, on reproductive health-related outcomes in Malawi
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Resource Topic: Program Evaluation
Resource Type: Journal articles
Year: 2017
Region:
Country: Malawi
Publisher May Restrict Access: No