Challenges of accountability in resource-poor contexts: lessons about invited spaces from Karnataka’s village health committees
- 16 November 2016
- journal article
- research article
- Published by Taylor & Francis Ltd in Oxford Development Studies
- Vol. 45 (4), 522-541
- https://doi.org/10.1080/13600818.2017.1313397
Abstract
Invited spaces have been discussed by development scholars and policymakers as a new and important means of promoting accountability in primary healthcare. Although numerous experiments have been initiated to establish such spaces in resource-poor contexts, we still have little understanding of how they are used and their effectiveness. Based on our longitudinal study of the Village Health Sanitation and Nutrition Committees in Karnataka, we trace changes that have occurred in the frequency and quality of interactions between state, political and civil society committee participants as they come to understand the possibilities afforded to them, work out tactics and develop a set of practices that make them accountable to each other for improving village health. Our findings suggest that strengthening accountability within invited spaces can form an important basis for improving the primary healthcare system with implications for research and policy.Keywords
Funding Information
- British Academy (IP110067)
This publication has 21 references indexed in Scilit:
- Community accountability at peripheral health facilities: a review of the empirical literature and development of a conceptual frameworkHealth Policy and Planning, 2012
- A systematic review of the literature for evidence on health facility committees in low- and middle-income countriesHealth Policy and Planning, 2011
- Invited Spaces, Invited Participation: Effects of Greater Participation on Accountability in Service DeliveryIndia Review, 2010
- Policy Alienation of Public ProfessionalsPublic Management Review, 2009
- ‘By papers and pens, you can only do so much’: views about accountability and human resource management from Indian government health administrators and workersThe International Journal of Health Planning and Management, 2009
- Decentralized Corruption or Corrupt Decentralization? Community Monitoring of Poverty-Alleviation Schemes in Eastern IndiaWorld Development, 2006
- Trust and health worker performance: exploring a conceptual framework using South African evidenceSocial Science & Medicine (1982), 2005
- Participatory Budgeting in Porto Alegre: Social Innovation and the Dialectical Relationship of State and Civil SocietyUrban Studies, 2005
- Introduction: New Democratic Spaces? The Politics and Dynamics of Institutionalised ParticipationIDS Bulletin, 2004
- Participation and accountability in development managementThe Journal of Development Studies, 2003