Jameel Poverty Action Lab
Massachusetts Institute of Technology
30 Wadsworth Street, E53-320
Cambridge, MA 02142
NBER Working Papers and Publications
|September 2014||Deal with the Devil: The Successes and Limitations of Bureaucratic Reform in India|
with Rema Hanna: w20482
Employing a technological solution to monitor the attendance of public-sector health care workers in India resulted in a 15 percent increase in the attendance of the medical staff. Health outcomes improved, with a 16 percent increase in the delivery of infants by a doctor and a 26 percent reduction in the likelihood of infants born under 2500 grams. However, women in treatment areas substituted away from the newly monitored health centers towards delivery in the (unmonitored) larger public hospitals and private hospitals. Several explanations may help explain this shift: better triage by the more present health care staff; increased patients' perception of absenteeism in the treatment health centers; and the ability of staff in treatment areas to gain additional rents by moving women to ...