Title |
A realist synthesis of the effect of social accountability interventions on health service providers’ and policymakers’ responsiveness
|
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Published in |
Systematic Reviews, November 2013
|
DOI | 10.1186/2046-4053-2-98 |
Pubmed ID | |
Authors |
Elsbet Lodenstein, Marjolein Dieleman, Barend Gerretsen, Jacqueline EW Broerse |
Abstract |
Accountability has center stage in the current post-Millennium Development Goals (MDG) debate. One of the effective strategies for building equitable health systems and providing quality health services is the strengthening of citizen-driven or social accountability processes. The monitoring of actions and decisions of policymakers and providers by citizens is regarded as a right in itself but also as an alternative to weak administrative accountability mechanisms, in particular in settings with poor governance. The effects of social accountability interventions are often based on assumptions and are difficult to evaluate because of their complex nature and context sensitivity. This study aims to review and assess the available evidence for the effect of social accountability interventions on policymakers' and providers' responsiveness in countries with medium to low levels of governance capacity and quality. For policymakers and practitioners engaged in health system strengthening, social accountability initiatives and rights-based approaches to health, the findings of this review may help when reflecting on the assumptions and theories of change behind their policies and interventions. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Senegal | 1 | 17% |
Netherlands | 1 | 17% |
Canada | 1 | 17% |
United States | 1 | 17% |
Unknown | 2 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 50% |
Scientists | 3 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 7 | 4% |
Netherlands | 2 | 1% |
Congo, The Democratic Republic of the | 1 | <1% |
Uganda | 1 | <1% |
Unknown | 170 | 94% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 43 | 24% |
Student > Master | 32 | 18% |
Researcher | 25 | 14% |
Student > Postgraduate | 11 | 6% |
Other | 10 | 6% |
Other | 33 | 18% |
Unknown | 27 | 15% |
Readers by discipline | Count | As % |
---|---|---|
Social Sciences | 50 | 28% |
Medicine and Dentistry | 37 | 20% |
Nursing and Health Professions | 26 | 14% |
Economics, Econometrics and Finance | 7 | 4% |
Business, Management and Accounting | 7 | 4% |
Other | 22 | 12% |
Unknown | 32 | 18% |