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Conceptual framework: summary from literature and participants’ responses to questionnaire

Conceptual framework: summary from literature and participants’ responses to questionnaire. Walter Flores. Long and short route of Public Accountability (World Bank). World Bank Framework. Strengths: Recognizing poor population demands

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Conceptual framework: summary from literature and participants’ responses to questionnaire

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  1. Conceptual framework: summary from literature and participants’ responses to questionnaire Walter Flores

  2. Long and short route of Public Accountability (World Bank)

  3. World Bank Framework • Strengths: • Recognizing poor population demands • Need to have mechanisms to enforce response from providers and authorities and politicians • Limitations: • No analysis of contextual factors • May generate technocratic responses to complex political, social and economic issues • Over-emphasis on supervision and demands on frontline providers-might be disempowered to respond to demands

  4. Generic Framework Social Accountability Strong Voice Social Accoutabillity Strong Compact

  5. Generic Framework Social Accountability • Strengths • Very practical • Identified preconditions for strong voice • Limitations • Over-emphasis on voice without addressing the complexities of voice for poor or marginalized population groups

  6. Step 1 Government ensures the incorporation and implementation of accountability processes into all health policy. Step 2 Continuous monitoring by government and civil society to find out what is working, what is not and what needs to change Step 3 Mechanisms to assess the data; allow explanation and justification of deficiencies; and encourage better performance. these can be formal (for example, NHRIs) or informal (for example, public hearings). Step 4 Remedies if required: Restitution, rehabilitation, compensation, satisfaction, and guarantees of non-repetition. Right to health accountability process

  7. Right to health accountability framework • Strengths: • Relevance of monitoring mechanisms, remedies and participation • Limitations: • over-emphasis on legal mechanisms. In many context, legal provisions are not sufficient to generate a responsive state

  8. Accountability Citizenship Rights Resources Relationship between rights, resources, accountability and citizenship

  9. Strengths: • Challenges simple framework for highly complex issues • Makes explicit power relations as the key issue around accountability, access to resources and rights • Citizenship at the center of rights, resources and accountability • Limitations: • Analytical rather than implementing framework • Not specific for community monitoring

  10. Information from questionnaires • Most organizations responded not to have developed or adapted a specific framework • Two organizations use already available/adapted frameworks for citizen participation and participatory priority-setting • Some other makes references to principles and concepts in other known frameworks (popular education, rights based approaches, PAR, etc.) • Other presents the statements in organizations/project purposes/objectives/goals/outcomes as their conceptual framework

  11. Key questions • Do we need a specific framework for community monitoring? • If so, what would be the key characteristics of such framework?

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