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dc.contributor.authorDias, Jose
dc.contributor.authorTomé, Tassiana
dc.coverage.spatialMozambiqueen
dc.date.accessioned2018-05-01T10:02:21Z
dc.date.available2018-05-01T10:02:21Z
dc.date.issued2018-05-01
dc.identifier.citationDias, J. and Tomé, T. (2018) 'Inverted State and Citizens’ Roles in the Mozambican Health Sector' in Nelson, E., Bloom, G and Shankland, A. (Eds) Accountability for Health Equity: Galvanising a Movement for Universal Health Coverage, IDS Bulletin 49.2, Brighton: IDSen
dc.identifier.urihttp://opendocs.ids.ac.uk/opendocs/handle/123456789/13684
dc.description.abstractThis article aims to understand the inversion of roles between the state and citizens, by exploring its historical roots and current implications for processes of social accountability in Mozambique, particularly in the health sector. This is a practice-based reflection grounded in the evidence collected through the implementation of Community Scorecards in the health sector in 13 districts of Mozambique. The evidence has revealed a transfer of responsibilities from local governance institutions and service providers to the communities; diluting the frontiers between the state and citizens’ duties and rights, resulting in the inversion of roles. This inversion results in the minimisation of the state’s performance of its duties and accountability in the health sector to respond to local communities’ needs, allegedly due to the lack of financial resources. It also leads to the overburdening of local communities, who assume the responsibility of meeting their own demands, risking participation fatigue.en
dc.description.sponsorshipOpen Society Foundations, Vozes Desiguais/Unequal Voices, Future Health Systems consortium, the Impact Initiative and Health Systems Globalen
dc.language.isoenen
dc.publisherInstitute of Development Studiesen
dc.relation.ispartofseriesIDS Bulletin;49.2
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original authors and source are credited. http://creativecommons.org/licenses/by/4.0/legalcodeen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectHealthen
dc.titleInverted State and Citizens’ Roles in the Mozambican Health Sectoren
dc.typeArticleen
dc.rights.holderInstitute of Development Studiesen
dc.identifier.teamHealth and Nutritionen
dc.identifier.doi10.19088/1968-2018.134
dcterms.dateAccepted2018-05-01
rioxxterms.funderDefault funderen
rioxxterms.identifier.projectDefault projecten
rioxxterms.versionVoRen
rioxxterms.funder.projectd218e59e-c0fb-4cb3-8a07-92a57da72cd1en


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This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original authors and source are credited. http://creativecommons.org/licenses/by/4.0/legalcode
Except where otherwise noted, this item's license is described as This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original authors and source are credited. http://creativecommons.org/licenses/by/4.0/legalcode