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dc.contributor.authorNaher, Nahitun
dc.contributor.authorBalabanova, Dina
dc.contributor.authorHutchinson, Eleanor
dc.contributor.authorMarten, Robert
dc.contributor.authorHoque, Roksana
dc.contributor.authorTune, Samiun Nazrin Bente Kamal
dc.contributor.authorIslam, Bushra Zarin
dc.contributor.authorAhmed, Syed Masud
dc.date.accessioned2022-05-24T07:53:15Z
dc.date.available2022-05-24T07:53:15Z
dc.date.copyright2020
dc.date.issued2020-11-09
dc.identifier.citationNaher, N., Balabanova, D., Hutchinson, E., Marten, R., Hoque, R., Tune, S. N. B. K., . . . Ahmed, S. M. (2020). Do social accountability approaches work? A review of the literature from selected low- and middle-income countries in the WHO south-east Asia region. Health Policy and Planning, 35, I76-I96. doi:10.1093/heapol/czaa107en_US
dc.identifier.urihttp://hdl.handle.net/10361/16663
dc.descriptionThis article was published in Health Policy and Planning by Oxford Academic [ The Author(s) 2020. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine] and the definite version is available at: https://doi.org/10.1093/heapol/czaa107 The Journal's website is at: https://academic.oup.com/heapol/article/35/Supplement_1/i76/5960441en_US
dc.description.abstractGovernance failures undermine efforts to achieve universal health coverage and improve health in low- and middle-income countries by decreasing efficiency and equity. Punitive measures to improve governance are largely ineffective. Social accountability strategies are perceived to enhance transparency and accountability through bottom-up approaches, but their effectiveness has not been explored comprehensively in the health systems of low- and middle-income countries in south and Southeast Asia where these strategies have been promoted. We conducted a narrative literature review to explore innovative social accountability approaches in Bangladesh, Bhutan, India, Indonesia, the Maldives, Myanmar and Nepal spanning the period 2007–August 2017, searching PubMed, Scopus and Google Scholar. To augment this, we also performed additional PubMed and Google Scholar searches (September 2017–December 2019) to identify recent papers, resulting in 38 documents (24 peer-reviewed articles and 14 grey sources), which we reviewed. Findings were analysed using framework analysis and categorized into three major themes: transparency/governance (eight), accountability (11) and community participation (five) papers. The majority of the reviewed approaches were implemented in Bangladesh, India and Nepal. The interventions differed on context (geographical to social), range (boarder reform to specific approaches), actors (public to private) and levels (community-specific to system level). The initiatives were associated with a variety of positive outcomes (e.g. improved monitoring, resource mobilization, service provision plus as a bridge between the engaged community and the health system), yet the evidence is inconclusive as to the extent that these influence health outcomes and access to health care. The review shows that there is no common blueprint which makes accountability mechanisms viable and effective; the effectiveness of these initiatives depended largely on context, capacity, information, spectrum of actor involvement, independence from power agendas and leadership. Major challenges that undermined effective implementation include lack of capacity, poor commitment and design and insufficient community participation.en_US
dc.language.isoen_USen_US
dc.publisherOxford Academicen_US
dc.relation.urihttps://academic.oup.com/heapol/article/35/Supplement_1/i76/5960441
dc.subjectHealth systemsen_US
dc.subjectSocial accountability approachesen_US
dc.subjectTransparencyen_US
dc.subjectAccountabilityen_US
dc.subjectCommunity participationen_US
dc.subjectGovernanceen_US
dc.titleDo social accountability approaches work? A review of the literature from selected low- and middle-income countries in the WHO South-East Asia regionen_US
dc.typeJournal Articleen_US
dc.description.versionPublished
dc.contributor.departmentBrac James P. Grant School of Public Health
dc.identifier.doihttps://doi.org/10.1093/heapol/czaa107
dc.relation.journalHealth Policy and Planning


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