Service Accountability and Community Participation

MURTHY,R; KLUGMAN, B; WELLER, S; AIZENBERG, L

The right reforms? Health Sector Reforms and Sexual and Reproductive Health

The Women´s Health Project, School of Public Health

Lugar: Johannesburg ; Año: 2005; p. 264 - 317

Based on written material on the practice of community participation in health policy formulation and management, especially in the context of health sector reforms, as well as on nonparticipatory strategies for accountability to communities, the article examines the ways in which community participation and accountability have been implemented in developing country health sector reforms, focusing on sexual and reproductive health services. Findings include that community participation has usually been restricted to health programme management and service delivery, and has not been extended to the design of policies, legislation, and allocation of budgets. Also,it suggests that marginalised groups, and sexual and reproductive rights groups, have not been consulted as much as mainstream health organisations.