Accountability mechanisms
Securing greater accountability is increasingly seen as an essential element in improving health system performance. However, there are different forms of accountability, which depend on different types (administrative, financial, political) and directions (horizontal, downwards, upwards) of accountability relations. These, in turn, imply specific configurations of power and particular roles for different stakeholders.
In the health sector, accountability relations between central and local/decentralised administrative units and among health professionals, service users and managers are particularly important. Strategies for reform therefore need to incorporate a clear vision of who they are seeking to make more accountable, for what and how.
- Scaling-up the HIV/AIDS response: from alignment and harmonisation to mutual accountability
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This briefing paper, from the Overseas Development Institute (ODI), argues that scaling-up towards universal access to treatment for HIV and AIDS depends on strengthening underlying processes upon which results are delivered. The paper discusses the relationship between the Three Ones and scaling up.
Recommended readings
- Accountability and health systems: overview, framework and strategies
- ( D. Brinkerhoff / Partners for Health Reformplus , 2003)
- What does ‘accountability’ mean? Recognition of failed accountability can prompt calls for reform, but what actions are needed to strengthen the accountability of health systems? This report from th...
- Accountability in health services: transforming relationships and contexts
- ( A. George / , 2003)
- Recommended reading
- Accountability mechanisms are increasingly being used in health programmes around the world – to what effect? In this working paper from the Harvard Centre for Population and Development Studies, the...
Latest Additions
- Pro-poor strategies for financing and delivering health services in mixed health systems
- ( D Donika;S Sealy;S Bergkvist / Results for Development Institute , 2009)
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In their efforts to improve health systems, developing countries face the challenge of integrating traditional government health resources with a large and growing private health sector, where many...
- Advancing universal access to reproductive health, family planning and HIV and AIDS services through more effective engagement with the private health sector in Africa
- ( Barbara O’Hanlon (ed) / Private Sector Partnerships-One , 2008)
- This report documents proceedings of a regional workshop co-sponsored by the World Health Organisation and US Agency for International Development (USAID) held May 7-10, 2008, in Addis Ababa, Ethiopia...
- Is there a relationship between low pay and corruption?
- ( W.D. Savedoff / Chr. Michelsen Institute, Norway , 2008)
- This paper analyses the relationship between low pay and corruption in developing countries, using studies from public hospitals in Latin America.One of the most important ways that pay can deter corr...
