Accountability, the Last Mile on the Route to Quality Service Delivery : Evidence from Jordanian Schools and Primary Health Centers
In many developing countries, governments have invested substantial resources in the provision of basic services such as healthcare and education. These investments frequently yield minimal improvements in student learning and health outcomes,...
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| Format: | Report |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2016
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| Online Access: | http://documents.worldbank.org/curated/en/365921477676848136/Accountabiliy-the-last-mile-on-the-route-to-quality-service-delivery-evidence-from-Jordanian-schools-and-primary-health-centers http://hdl.handle.net/10986/25407 |
| Summary: | In many developing countries,
governments have invested substantial resources in the
provision of basic services such as healthcare and
education. These investments frequently yield minimal
improvements in student learning and health outcomes,
however. Promoting adequate provider effort necessitates
accountability, including effective within-facility
accountability is the focus of this report. Within the
accountability framework, the role of supervisors in the
facilities where service provision occurs has thus far been
underemphasized. This report contributes to addressing this
underemphasis, specifically focusing on the linkages between
within-facility accountability and provider effort in the
health and education sectors in Jordan. In the case of
healthcare, a study was developed to generate novel insights
from an original survey instrument. Notably, this is the
first nationally representative study in Jordan to measure
within-facility accountability and provider effort in
primary health care facilities, and the first study in the
Middle East and North Africa (MENA) region to investigate
these linkages. The study relies on a nationally
representative sample of 122 primary healthcare facilities
where data are collected through patient exit interviews,
and surveys administered to chief medical officers (CMO),
doctors, and nurses who work at the centers, and where
available, a representative of the community health
committee. In the case of education, an empirical analysis
was conducted, relying on existing data collected through
principal, teacher, and student surveys, third-party
classroom observations and school inventories, and math and
reading student assessments from a nationally representative
sample of 156 schools. The latter was complemented by a
comparative case study of six Jordanian schools using
statistical matching and a process-tracing procedure. |
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