Tuesday, 10 January 2017
Social accountability in health sector
For improved performance as well as realise the rights and entitlements of citizens to public goods such as health, improving the accountability of institutions and systems is essential. Social accountability approaches at the micro or meso level may mitigate the effects of poor service organisation and governance. It may also provide the means to address corruption. In the health sector a variety of public-representation or “social accountability” mechanisms have been developed including public hearings and community monitoring of health facilities. As a social accountability tool, public hearings aim at promoting transparency and accountability of public authorities in addressing the needs of the citizens. It can be thought of as a way of removing asymmetric information and thereby, empowering citizens with information, who can be expected to be in a better bargaining position than before. Also, presence of a large number of citizens in the public hearing creates a collective pressure on the public officials, who respond to the grievances expressed by the citizens and try to address these.
In the public hearings, usually a Corruption Prevention Committees (CPCs) invites public officials of a few government agencies and the citizens of the same locality and allows the citizens to express grievances regarding public service delivery to the concerned government officials, and service providers take necessary measures to resolve it. The committee consists of people from across the society including teachers, religious leaders and former government officials. However, there is almost no empirical research on the reach, process, and consequences of the hearings for evidence-informed evaluation.
The combination of these two analyses is expected to chart a clear pathway towards accountability and good governance in the delivery of UZ health services and reduce/alleviate corruption in its various forms.