Studying social accountability in the context of health system strengthening: innovations and considerations for future work View Full Text


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Article Info

DATE

2019-12

AUTHORS

Victoria Boydell, Heather McMullen, Joanna Cordero, Petrus Steyn, James Kiare

ABSTRACT

There is a growing body of research on the role of social accountability in bringing about more accessible and better-quality healthcare. Here, we refer to social accountability as "citizens' efforts at ongoing meaningful collective engagement with public institutions for accountability in the provision of public goods" (Joshi, World Dev 99:160-172, 2017). These processes have multiple interrelated components and sub-processes and engage a range of actors in community-driven, often unpredictable and context-dependent actions, which pose many methodological challenges for researchers. In June 2017, scientists and implementers working in this area came together to share experiences, discuss approaches, identify research gaps and consider directions for future studies. This paper shares learnings from this discussion.In particular, participants considered (1) how best to define and measure the complex processual nature of social accountability; (2) the study of social accountability as an inherently political process; and (3) the challenges of generalising unpredictable, community-driven and context-dependent processes. Key among a range of consensus areas was the need for researchers to capture a broader range of outcomes and better understand the nuances of implementation processes in order to effectively test theories and assumptions. Furthermore, power relationships are inherent in social accountability and the research process itself. In presenting details on these deliberations, we hope to prompt a wider discussion on the study of social accountability in health programming. More... »

PAGES

34

References to SciGraph publications

  • 2017-12. Development and validation of a structured observation scale to measure responsiveness of physicians in rural Bangladesh in BMC HEALTH SERVICES RESEARCH
  • 2016-11. What is the role of community capabilities for maternal health? An exploration of community capabilities as determinants to institutional deliveries in Bangladesh, India, and Uganda in BMC HEALTH SERVICES RESEARCH
  • 2014-12. Expanded Quality Management Using Information Power (EQUIP): protocol for a quasi-experimental study to improve maternal and newborn health in Tanzania and Uganda in IMPLEMENTATION SCIENCE
  • 2016-11. Unlocking community capabilities across health systems in low- and middle-income countries: lessons learned from research and reflective practice in BMC HEALTH SERVICES RESEARCH
  • 2016-12. Fair publication of qualitative research in health systems: a call by health policy and systems researchers in INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
  • 2011-12. Ten years of negotiating rights around maternal health in Uttar Pradesh, India in BMC INTERNATIONAL HEALTH AND HUMAN RIGHTS
  • 2013-12. A realist synthesis of the effect of social accountability interventions on health service providers’ and policymakers’ responsiveness in SYSTEMATIC REVIEWS
  • 2015-12. Effects of a community scorecard on improving the local health system in Eastern Democratic Republic of Congo: qualitative evidence using the most significant change technique in CONFLICT AND HEALTH
  • 2016-12. Public accountability needs to be enforced –a case study of the governance arrangements and accountability practices in a rural health district in Ghana in BMC HEALTH SERVICES RESEARCH
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    http://scigraph.springernature.com/pub.10.1186/s12961-019-0438-x

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    DIMENSIONS

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30925889


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