Funded by: Johns Hopkins Bloomberg School of Public Health
Social accountability (SA) initiatives facilitate engagement between service users and service providers to stimulate the responsiveness of public and private authorities. Global health and development initiatives have shown renewed interest in social accountability, though less has been documented about the feasibility of implementing social accountability interventions with fewer investments external to the community and greater emphasis on working through the existing structures and relationships that form the local 'accountability ecosystem'. In this collection, we summarize lessons from the DfID-funded Research Programme Consortium - Future Health Systems' experience of implementing community scorecards (CSCs) in Uganda and Bangladesh. In both contexts, we focus on questions about improving quality, accessibility, and utilization of primary health care services; stimulating community participation; contextual and process factors that support or hinder effective application of community scorecards; and early lessons about sustaining and integrating CSCs in the health system.
International Journal for Equity in Health publishes research which improves the understanding of issues that influence the distribution of health and healthcare within populations. Although there is a large amount of literature on the 'social determinants' of health, the journal focuses heavily on understanding what influences at the level of the individual, and, what influences at the community level.