Occasional Paper  

Can Transparency and Accountability Programs Improve Health? Experimental Evidence from Indonesia and Tanzania

This paper assess the impact of a transparency and accountability program designed to improve maternal and newborn health (MNH) outcomes in Indonesia and Tanzania. Co-designed with local partner organizations to be community-led and non-prescriptive, the program sought to encourage community participation to address local barriers in access to high quality care for pregnant women and infants. This paper evaluates the impact of this program through randomized controlled trials (RCTs), involving 100 treatment and 100 control communities in each country, and finds that on average, this program did not have a statistically significant impact on the use or content of maternal and newborn health services, nor the sense of civic efficacy or civic participation among recent mothers in the communities who were offered it.

More from this Program

Information Inequality Can Be a Matter of Life or Death
Cover photo of the report

Policy Brief

Information Inequality Can Be a Matter of Life or Death

In this paper, Mary W. Graham, co-director of the Center’s Transparency Policy Project, examines how unintended information inequities undermine critical health and safety alerts. Focusing on three key policies — wildfire alerts, drinking water reports, and auto safety recalls — she identifies common roots of these disparities and highlights efforts by policymakers to address them.