Tara Grillos
Designing participation for better health outcomes
What Local Governments Can Learn from Participatory Budgeting in Kenya Participatory budgeting is widely promoted as a way to strengthen local democracy, but evidence on its effects on concrete development outcomes – especially health – remains limited. This policy brief summarises findings from a randomised controlled trial in rural Kenya that tested three forms of…
Designing participation for better health outcomes
What Local Governments Can Learn from Participatory Budgeting in Kenya Participatory budgeting is widely promoted as a way to strengthen local democracy, but evidence on its effects on concrete development outcomes – especially health – remains limited. This policy brief summarises findings from a randomised controlled trial in rural Kenya that tested three forms of…
Designing Local Democracy for Health: Evidence from a Randomized Controlled Trial on Public Participation in Kenya
Participatory governance mechanisms, particularly participatory budgeting (PB), aim to give citizens a direct role in public spending decisions. While celebrated globally, evidence of their real-world impact, especially in low-income settings is limited. Study Design We conducted a randomized controlled trial (RCT) in Elgeyo-Marakwet County, Kenya, assigning 200 villages to one of three PB formats: consultation,…
Designing Local Democracy for Health: Evidence from a Randomized Controlled Trial on Public Participation in Kenya
Participatory governance mechanisms, particularly participatory budgeting (PB), aim to give citizens a direct role in public spending decisions. While celebrated globally, evidence of their real-world impact, especially in low-income settings is limited. Study Design We conducted a randomized controlled trial (RCT) in Elgeyo-Marakwet County, Kenya, assigning 200 villages to one of three PB formats: consultation,…
Deciding Together: Citizen Satisfaction and Institutional Design of Participatory Governance in Kenya
This policy brief provides practical insights for local governments on leveraging participatory budgeting (PB) to enhance citizen satisfaction and ownership of development projects. Based on a study in rural Kenya, three PB approaches—consultation, voting, and deliberation—were evaluated. All methods increased satisfaction and willingness to invest in projects, demonstrating their value in strengthening community engagement. Deliberation,…
Deciding Together: Citizen Satisfaction and Institutional Design of Participatory Governance in Kenya
This policy brief provides practical insights for local governments on leveraging participatory budgeting (PB) to enhance citizen satisfaction and ownership of development projects. Based on a study in rural Kenya, three PB approaches—consultation, voting, and deliberation—were evaluated. All methods increased satisfaction and willingness to invest in projects, demonstrating their value in strengthening community engagement. Deliberation,…
