title: Developing citizen report cards for primary care: evidence from qualitative research in rural Tajikistan.
abstract: Transparency interventions, such as public reporting, have emerged as a potential policy approach to improving the performance of health care providers in resource-constrained settings. We report on results from focus groups and key informant interviews in rural areas of two Tajik provinces, Soghd and Khatlon, with regards to three important initial considerations for developing a report card initiative for primary health care in this setting: selecting indicators for the report card, collecting data, and working with existing institutions and stakeholders. The findings suggest that citizens are able to articulate and prioritize concerns with respect to local health care services. Participants indicated a preference for arms-length collection of sensitive feedback on local providers. Because citizens and local institutions have close and important relations with their local health care providers, there may be scope for a trusted external actor, such as a non-governmental organization, to facilitate the report card process.
authors.affiliation: Center for Global Development, 2055 L Street NW, Washington, DC 20036, USA, sbauhoff@cgdev.org.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Bauhoff
authors.affiliation: RAND Corporation, 1200 South Hayes Street, Arlington, VA 22202, USA.
authors.forename: Olesya
authors.initials: O
authors.lastname: Tkacheva
authors.affiliation: University of Southern California, Center for Economic and Social Research, 3811 N. Fairfax Drive, Arlington, VA 2220, USA and.
authors.forename: Lila
authors.initials: L
authors.lastname: Rabinovich
authors.affiliation: RAND Corporation & Pardee RAND Graduate School, 1776 Main Street, Santa Monica, CA 90401, USA.
authors.forename: Olena
authors.initials: O
authors.lastname: Bogdan
mesh_terms: D000293:Adolescent; D000328:Adult; D003695:Delivery of Health Care / Q000592:standards*; D005260:Female; D017144:Focus Groups; D006282:Health Personnel / Q000592:standards; D006801:Humans; D008297:Male; D008875:Middle Aged; D009938:Organizations; D011320:Primary Health Care / Q000592:standards*; D036301:Qualitative Research; D019035:Rural Health Services; D012941:Social Responsibility; D055815:Young Adult
keywords: Accountability; Tajikistan; citizen report cards; primary health care; qualitative research