What is it about?

Our findings show that such tools have positive immediate effects, most notably on providing new information about relative performance and improving data quality. They contribute to the understanding of health indicators, their applicability, reliability, and relevance at various levels of the health sector. League tables are also suitable for communicating priorities, giving higher levels a way to signal what health facilities are held accountable by.

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Why is it important?

- League tables are suitable for promoting transparency and accountability in health sector management - Data quality improvement and awareness of relative performance are immediate gains - At district levels, league tables should be changeable and replicable to cater local needs


League tables are a promising tool for advancing transparency and accountability at district levels. An implication for policy is that access to peer data is necessary to evaluate your own performance. The true benefits of league tables at the district level can only be reaped when they are easily changed and replicated, becoming an integral part of routine district monitoring and evaluation.

Dr Petter Nielsen
Universitetet i Oslo

Read the Original

This page is a summary of: Promoting transparency and accountability with district league tables in Sierra Leone and Malawi, Health Policy and Technology, February 2018, Elsevier,
DOI: 10.1016/j.hlpt.2018.01.003.
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