Strengthening the community governance of healthcare services in 'fragile' settings: Evidence from Burundi and South Kivu, DR Congo.

Community governance, the direct (co-)management of public services by community members, is a popular approach to improve the quality of, and access to, healthcare services-including in so-called 'fragile' states. The effectiveness of such approach is, however, debated, and scholars and practitioners have emphasised the need to properly reflect on the contextual features that may influence social accountability interventions. We study a randomised intervention during which community-elected health facility committee members were trained on their roles and rights in the co-management of primary healthcare facilities.