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Strengthening social accountability in ways that build inclusion, institutionalization and scale: reflections on FHS experience
This editorial provides an introduction to the special issue on “Lessons about intervening in accountability ecosystems: implementation of community scorecards in Bangladesh and Uganda”. We start by describing the rationale for this work in the two study countries. While our project, the Future Heal...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7731752/ https://www.ncbi.nlm.nih.gov/pubmed/33302969 http://dx.doi.org/10.1186/s12939-020-01341-x |
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author | Bennett, Sara Ekirapa-Kiracho, Eizabeth Mahmood, Shehrin Shaila Paina, Ligia Peters, David H. |
author_facet | Bennett, Sara Ekirapa-Kiracho, Eizabeth Mahmood, Shehrin Shaila Paina, Ligia Peters, David H. |
author_sort | Bennett, Sara |
collection | PubMed |
description | This editorial provides an introduction to the special issue on “Lessons about intervening in accountability ecosystems: implementation of community scorecards in Bangladesh and Uganda”. We start by describing the rationale for this work in the two study countries. While our project, the Future Health Systems (FHS) project, had been working over the course of more than a decade to strengthen health services, particularly for low income households in rural areas, our teams increasingly recognized how difficult it would be to sustain service improvements without fundamental changes to local accountabilities. Accordingly, in the final phase of the project 2016–2018, we designed, implemented and assessed community scorecard initiatives, in both Bangladesh and Uganda, with the aim of informing the design of a scalable social accountability initiative that could fundamentally shift the dynamics of health system accountability in favor of the poor and marginalized. We describe the particular characteristics of our approach to this task. Specifically we (i) conducted a mapping of accountabilities in each of the contexts so as to understand how our actions may interact with existing accountability mechanisms (ii) developed detailed theories of change that unpacked the mechanisms through which we anticipated the community scorecards would have effect, as well as how they would be institutionalized; and (iii) monitored closely the extent of inclusion and the equity effects of the scorecards. In summarizing this approach, we articulate the contributions made by different papers in this volume. |
format | Online Article Text |
id | pubmed-7731752 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-77317522020-12-15 Strengthening social accountability in ways that build inclusion, institutionalization and scale: reflections on FHS experience Bennett, Sara Ekirapa-Kiracho, Eizabeth Mahmood, Shehrin Shaila Paina, Ligia Peters, David H. Int J Equity Health Editorial This editorial provides an introduction to the special issue on “Lessons about intervening in accountability ecosystems: implementation of community scorecards in Bangladesh and Uganda”. We start by describing the rationale for this work in the two study countries. While our project, the Future Health Systems (FHS) project, had been working over the course of more than a decade to strengthen health services, particularly for low income households in rural areas, our teams increasingly recognized how difficult it would be to sustain service improvements without fundamental changes to local accountabilities. Accordingly, in the final phase of the project 2016–2018, we designed, implemented and assessed community scorecard initiatives, in both Bangladesh and Uganda, with the aim of informing the design of a scalable social accountability initiative that could fundamentally shift the dynamics of health system accountability in favor of the poor and marginalized. We describe the particular characteristics of our approach to this task. Specifically we (i) conducted a mapping of accountabilities in each of the contexts so as to understand how our actions may interact with existing accountability mechanisms (ii) developed detailed theories of change that unpacked the mechanisms through which we anticipated the community scorecards would have effect, as well as how they would be institutionalized; and (iii) monitored closely the extent of inclusion and the equity effects of the scorecards. In summarizing this approach, we articulate the contributions made by different papers in this volume. BioMed Central 2020-12-10 /pmc/articles/PMC7731752/ /pubmed/33302969 http://dx.doi.org/10.1186/s12939-020-01341-x Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Editorial Bennett, Sara Ekirapa-Kiracho, Eizabeth Mahmood, Shehrin Shaila Paina, Ligia Peters, David H. Strengthening social accountability in ways that build inclusion, institutionalization and scale: reflections on FHS experience |
title | Strengthening social accountability in ways that build inclusion, institutionalization and scale: reflections on FHS experience |
title_full | Strengthening social accountability in ways that build inclusion, institutionalization and scale: reflections on FHS experience |
title_fullStr | Strengthening social accountability in ways that build inclusion, institutionalization and scale: reflections on FHS experience |
title_full_unstemmed | Strengthening social accountability in ways that build inclusion, institutionalization and scale: reflections on FHS experience |
title_short | Strengthening social accountability in ways that build inclusion, institutionalization and scale: reflections on FHS experience |
title_sort | strengthening social accountability in ways that build inclusion, institutionalization and scale: reflections on fhs experience |
topic | Editorial |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7731752/ https://www.ncbi.nlm.nih.gov/pubmed/33302969 http://dx.doi.org/10.1186/s12939-020-01341-x |
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