Using a descriptive literature review, this paper examines the factors that influence the functioning of accountability mechanisms and relationships within the district health system, and draws out the implications for responsiveness to patients and communities. We also seek to understand the practices that might strengthen accountability in ways that improve responsiveness – of the health system to citizens’ needs and rights, and of providers to patients. The review highlights the ways in which bureaucratic accountability mechanisms often constrain the functioning of external accountability mechanisms. For example, meeting the expectations of relatively powerful managers further up the system may crowd out efforts to respond to citizens and patients. Organisational cultures characterized by supervision and management systems focused on compliance to centrally defined outputs and targets can constrain front line managers and providers from responding to patient and population priorities.
Governance and participation in health
In this review, the authors highlight the silos that currently characterise transparency and accountability initiatives (TAIs). The authors argue that a decade on from their inception, and notwithstanding a growth in litigation-based social accountability that invokes popular mobilisation and democratic rights, there is much to suggest that TAIs in aid and development are increasingly being used within an efficiency paradigm, with scant attention to underlying issues of power and politics. Many TAIs focus on the delivery of development outcomes, neglecting or articulating only superficially the potential for deepening democracy or empowering citizens, overemphasising tools to the detriment of analysis of context, of forms of mobilisation and action, and of the dynamics behind potential impact. Many TAIs focus on achieving‘downstream’ accountability –the efficient delivery of policies and priorities – bypassing the question of how incorporating citizen voice and participation at earlier stages of these processes could have shaped the policies, priorities and budgets ‘upstream’. The authors contrast new public management approaches with rights based approaches. The paper examines ways of assessing effectiveness of TAIs.
Advocacy and lobbying are more taking an ever more central place in health agendas of African countries. It is impossible to have a conversation about public policy these days without someone mentioning 'civil society'. The author argues that clarity and rigor are conspicuously absent within civil society. A States' first duty towards citizens is to respect the right to health by refraining from adopting laws or measures that directly impinge on people's health. The paper presents evidence from the literature of civil society organization (CSO) intervention in support of primary health care, equity in health and state health services covering 38 online documents and from interviews with key informants from government and civil society. They suggest from the findings that countries ensure that public health principles and priorities are clear and legally binding; that countries have a clear coordinating mechanism on issues of trade and health that involve government, particularly health ministries and civil society and that civil society disseminate health and trade information in accessible ways.
In the capability approach to poverty, wellbeing is threatened by both deficits of wealth and deficits of agency. Sen describes that “unfreedom,” or low levels of agency, will suppress the wellbeing effects of higher levels of wealth. In this paper the authors introduce another condition, “frustrated freedom,” in which higher levels of agency belief can heighten the poverty effects of low levels of wealth. Presenting data from a study of female heads of household in rural Mozambique, they find that agency belief moderates the relationship between wealth and wellbeing, uncovering evidence of frustrated freedom.
Although gender-based violence (GBV) exists worldwide, it is especially pervasive and challenging in conflict-affected settings. The breakdown of the family unit, high population density, and lack of community safeguards pose obstacles to implementation of GBV prevention programs. Unfortunately, little evidence exists regarding effective GBV prevention interventions in these settings. Through Our Eyes (TOE), a multi-year participatory video project, addressed GBV by stimulating community dialogue and action in humanitarian settings in South Sudan, Uganda, Thailand, Liberia and Rwanda. The authors used evidence from transcripts from focus group discussions and key informant interviews with individuals who created the videos to those who attended video screenings. Data was analysed using a Grounded Theory approach. The assessment found that TOE contributed to a growing awareness of women's rights and gender equity. Furthermore, both men and women reported attitudinal and behavioural changes related to topics such as intimate partner violence. The fostered community dialogue helped de-stigmatize GBV and encourage survivors to access services. Participatory video is argued to have the ability to tailor messages to specific community needs, engage men as key players, foster community dialogue, and initiate social change related to GBV in a variety of conflict-affected settings. The authors argue that public health professionals should employ participatory video as an innovative technique to address GBV and promote positive gender norms within conflict-affected and other humanitarian settings.
This paper outlines stakeholder views on environmental barriers that prevent people who live with psychosocial disability from participating in mental health policy development in South Africa. The authors conducted 56 semi-structured interviews with national, provincial and local South African mental health stakeholders between August 2006 and August 2009. Respondents included public sector policy makers, professional regulatory council representatives, and representatives from non-profit organisations (NPOs), disabled people’s organisations (DPOs), mental health interest groups, religious organisations, professional associations, universities and research institutions. Respondents identified three main environmental barriers to participation in policy development: stigmatisation and low priority of mental health, poverty, and ineffective recovery and community supports. The authors conclude that a number of attitudes, practices and structures undermine the equal participation of South Africans with psychosocial disability in society. They call for a human rights paradigm and multi-system approach to enable full social engagement by people with psychosocial disability, including their involvement in policy development.
The global AIDS response has shown that at the core of health lie considerations of social justice, human rights, and accountability. As momentum builds for a Framework Convention on Global Health (FCGH), the authors of this paper argue that there is an opportunity to take stock of lessons learned from the response to HIV and AIDS and ensure that they are replicated and institutionalised in an eventual Convention. They further argue that the most critical aspect to the success of the HIV response has been the leadership and activism of civil society. Success requires active monitoring of progress and shortcomings, combined with political and social mobilisation to expand investment and access to the services and underlying conditions that protect and advance health. While the FCGH must make civil society support and engagement an indispensable principle, the AIDS movement can contribute substantive content and mobilisation for its adoption. A broad international legal framework for health can help address some of the key legal, policy, regulatory, and programmatic challenges that continue to hinder effective responses to HIV.
Uganda’s parliament passed the Public Order Management bill, which gives Ugandan police broad powers to permit or disallow any “public meeting”. The law defines a public meeting as any gathering of more than three people in any public place where the “failure of any government, political party, or political organisation” is discussed. This definition includes peaceful demonstrations of more than three people, and organisers would be required to inform police in advance or face criminal sanction. The law allows police to use force – including, in several instances, firearms – no matter what the alleged offense. The Bill has been passed to the President to gazette into law.
This study took place in Northern Ghana to assess the impact of male involvement in reproductive health and Family Planning (FP) services. Twelve focus group discussions were held with both male and female community members, six in communities with functional community health-based planning and services strategy (CHPS) and six for communities with less/no-functional CHPS. Fifty-nine in-depth interviews were held with other stakeholders at both district and regional levels. The results revealed a general high perception of an improved health status of children in the last ten years in the communities; however, participants reported that malnutrition was still rife in the community. The results also revealed that women still needed to get spousal approval to use contraceptives; however, the matrilineal system appears to give more autonomy to women in decision-making. The CHPS strategy was perceived as very helpful with full community participation at all levels of the implementation process. Males were more involved in FP services in communities with functioning CHPS than those without functioning CHPS. The authors argue that involving males in reproductive health issues including FP is important to attain reproductive health targets.
Equality before the law, corruption-free government, inclusiveness, gender equality, and respect for the environment are among the priorities for any future set of development goals, as identified during four civil society and government meetings on the Millennium Development Goals (MDGs) and the targets that should replace them when they expire in 2015. Four "ground-level panels" were held in four developing countries, including Uganda. Respondents on the panel in Uganda agreed that no one should be left behind, urging a grassroots approach to policy. They proposed that bottom-up processes, where the people decide what is to be done by their government, must be a priority. The panel also felt foreign investment should create opportunities for Ugandans, and external investors should respect local customs and culture.