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This policy brief, apart from describing the dilemmas of the democratization process of health services it, aims to analyze its implications on the dynamics of social accountability in the health sector and, finally, to inform on possible ways for a more coherent democratization, considering the normative discourses
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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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A recent study on information disclosure in the extractive sector has found 18 factors that result in citizen and institutional (state and non-state) inaction in demanding government accountability. Conducted by the Partnership for African Social and Governance Research (PASGR) in collaboration with the Centre for Public Integrity (CIP), as part of the Action for Empowerment and Accountability (A4EA) research programme, the study shows that citizens and/or institutions are unlikely to...
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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 objective of the baseline survey is to analyze and document the situation around accountability, transparency and governance of the O&G sector in the country prior to the implementation of the Oxfam project. It focuses on a selected group of indicators chosen for the country program logical framework, identified and approved in the Baseline Inception Phase. A total of 33 people were interviewed in the context of this baseline. This was accompanied by a thorough national and international...
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This case study was commissioned by N’weti Comunicação para a Saúde to explore the changes emerging from the implementation of an adapted version of the Community Scorecard (CSC) tool in 11 health facilities catchment areas in Nampula. This case study discusses how N’weti has adapted the Community Scorecard (CSC) tool to better improve the quality of the participation and prospects of accountability for citizens. The case study presents evidence that the adapted CSC tool has resulted in an...
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The Citizen Engagement Program (CEP) in Mozambique is an empowerment and accountability program aiming to improve the quality of health and education services through supporting citizens to monitor them. The program supports citizens to engage with service providers to address identified problems; it also aims to generate evidence for policy and program improvement at the local and national levels. This case study is structured in three main sections. The first section provides a background...
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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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Accountability is a central feature of democracy. Governments must explain what they are doing, justify why they are doing certain things and not others. Moreover, accountability increases the likelihood of the improvement of public services if citizens have the political scope to hold politicians and administrators accountable, and potentially sanction them. Consequently, developing countries as well as the OECD-donor community have committed themselves to working towards the improvement of...
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Themes / Temas
- Accountability / Responsabilização
- Access to Services / Acesso a Serviços (2)
- Citizenship & Participation / Cidadania e Participação (5)
- Civil Society / Sociedade Civil (1)
- Decentralization / Descentralização (3)
- Extractive Industries / Indústrias Extractivas (1)
- Governance / Governação (1)
- Social inclusion & exclusion / inclusão e exclusão social (1)
Sectors / Setores
Geography / Geografia
Methods / Métodos
Language / Linguagem
Resource type
- Journal Article (3)
- Report (6)