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Grievance redress mechanisms (GRMs) in the public sector are institutionalized processes designed to enable people to complain about and seek redress for services they rightfully should have received. This paper reviews evidence on GRMs from around the world, focusing on mechanisms attached to public services and programs in the Global South, where they are relatively new and emerging fast. GRMs matter in particular in the Global South because they are increasingly widespread and found in...
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Efforts to strengthen the accountability of the governing to the governed go back millennia. However, in the past decade there has been a renewed debate about how to advance public accountability. One domain where this conversation has taken place is that of efforts funded by donors (government development agencies and private philanthropies), primarily in the Global South and implemented by a set of national and international actors, including NGOs, private sector project implementors, and...
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Inequality is a key political issue of our times. It has political consequences, fuelling conflict and raising legitimacy chal‑ lenges for regimes around the world, in democratic and non‑demo‑ cratic settings alike. At the centre of these challenges is the question of accountability: who can be held accountable, on what basis, how and by whom for tackling or failing to tackle which inequalities. In the field of global health, inequality has long been a key issue. A significant body of work —...
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Social accountability in the health sector has been promoted as a strategy to improve the quality and performance of health providers in low- and middle-income countries. Whether improvements occur, however, depends on the willingness and ability of health providers to respond to societal pressure for better care. This article uses a realist approach to review cases of collective citizen action and advocacy with the aim to identify key mechanisms of provider responsiveness. Purposeful...
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The development industry is increasingly pushing practitioners to achieve results, and to do better in demonstrating what works, what does not, and explaining why. There is a growing interest in going beyond the measurement of results to being able to understand the basis for success or failure. Consequently, the development of explicit theories of change (ToCs) is starting to be viewed as central to this process, as a key part of what constitutes ‘rigour’ in impact evaluations. Citizen...
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SDC has been implementing projects in support to decentralisation and local governance for about 15 years. Today, arounf 2/3 of SDC's country programmes include a support to local governance and/or decentralisation. For this reason, an independent evaluation of SDC’s achievements on “Decentralisation and local governance” took place in 2006‐2007. One of the recommendations of this evaluation was to carry out a capitalisation of SDC’s experiences in this field. SDC’s Governance ...
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The IDS Participation and Health and Social Change Groups convened a workshop in October 1999 to share experience with the use of participatory approaches in enhancing accountability in the health sector, and to explore some of these challenges. The articles in this bulletin reflect some of the richness of experience on the ground in building effective participation, as well as some of the many issues that arise in moving towards more active citizen engagement with service provision. They...
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