Utilizing evidence from Sierra Leone, Philip K. Pearson Professor Oeindrila Dube and coauthors evaluate how types of accountability interventions affect health care utilization and health outcomes during "normal" conditions and during an acute health crisis. 

They find that accountability interventions can improve health outcomes and increase resilience against health shocks. "Under normal conditions, these interventions engender trust and lead to greater use of clinics, ultimately reducing mortality rates of children under five in clinics with community monitoring," the authors write. "During health crises, such as the Ebola outbreak, these improvements in trust encourage individuals to come forward and seek medical care, which could help to contain the epidemic." 

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