Strengthening the community governance of healthcare services in ‘fragile’ settings: Evidence from Burundi and South Kivu, DR Congo
Jean-Benoit Falisse e outros, 2023 · PLOS Global Public Health
Training community health committee members on their roles and management tools increased health facility social accountability by 0.823 standard deviations in South Kivu.
Estimativa · Health facility social accountability index (decision rights of committee members), standard deviations
0,823
standard deviations
O estudo não informa intervalo.
- Desenho
- Diferenças em diferenças. Difference-in-differences across randomized treatment and control facilities
- População
- 78 primary health facilities in four health zones of South Kivu, DR Congo, evaluated after one year
- Amostra
- 78 · health facilities in South Kivu (39 treatment, 39 control)
Onde está o número
5. Results and discussion > b. Main effects of the intervention: Results; Section 5b, second paragraph
While the training intervention led to visible changes in the organisation of the HFC in Burundi, it led to significant changes in the HFC organisation index but also to a 0.823 SD change in HF-level accountability indicators and a 0.276 SD change in the HF management indicators in South Kivu.
Contexto
What changed: Health facility committee members and chief nurses received training on legal rights, budgeting, and co-management tools, followed by periodic review sessions over one year. Comparison: Randomized comparison with unexposed control health facilities in South Kivu using difference-in-differences. Limits: While committee decision rights expanded in South Kivu, no improvements were observed in patient access or perceived quality of healthcare, and committees remained largely disconnected from ordinary citizens.
Caminho no grafo
- FamíliaInformação e persuasão
- TipoCapacitação e aconselhamento
- MecanismoMonitoramento comunitário e auditorias
- ResultadoParticipação social nas decisões
- EixoVoz política
MAGI só cita evidência deste instrumento
Lugares do estudo
- Walungu · Distrito ou local · CD
- Katana · Distrito ou local · CD
- Idjwi · Distrito ou local · CD
- Licença
- CC-BY
- Revisão
- Extraído por máquina, não revisadoExtraído por: gemini-3.8-flash, 2026-10-23