Social accountability programs are increasingly used to improve the performance of public service providers in low‐income settings. Despite their growing popularity, evidence on the effectiveness of social accountability programs remains mixed. In this manuscript, we assess the impact of a social accountability intervention on health facility management exploring quasiexperimental variation in program exposure in Tanzania. We find that the social accountability intervention resulted in a 1.8 SD reduction in drug stockouts relative to the control group, but did not improve facility infrastructure maintenance. The results of this study suggest that social accountability programs may be effective in areas of health service provision that are responsive to changes in provider behavior but may not work in settings where improvements in outcomes are conditional on larger health systems features.

中文翻译：

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社会责任监测对医疗机构绩效的影响：来自坦桑尼亚的证据

社会问责计划越来越多地用于改善低收入环境中公共服务提供者的绩效。尽管它们越来越受欢迎，但关于社会责任计划有效性的证据仍然参差不齐。在这份手稿中，我们评估了社会问责干预对医疗机构管理的影响，探索坦桑尼亚项目暴露的准实验变异。我们发现，与对照组相比，社会责任干预导致药物缺货减少了 1.8 SD，但并没有改善设施基础设施的维护。