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dc.contributor.authorFlores, Walter
dc.contributor.authorHernández, Alison
dc.date.accessioned2018-05-01T10:52:47Z
dc.date.available2018-05-01T10:52:47Z
dc.date.issued2018-05-01
dc.identifier.citationFlores, W. and Hernández, A. (2018) 'Health Accountability for Indigenous Populations: Confronting Power through Adaptive Action Cycles', 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.urihttps://opendocs.ids.ac.uk/opendocs/handle/20.500.12413/13685
dc.description.abstractHealth-care providers are powerful figures in society. An informed service user may be able to identify regulatory non-compliance and abuses by these actors, but reporting them is not a mere administrative procedure. It is an act that stirs existing power relations and social hierarchies. This article argues that the essence of an accountability intervention is the process through which service users collect and analyse evidence that is then used to confront power at different governance levels. The response from authorities is assessed and strategies adjusted accordingly in adaptive cycles of accountability action. Based on ten years’ experience supporting indigenous citizen-led accountability action in Guatemala, the authors describe how their approach evolved from an emphasis on technical components to a politically informed approach with interdisciplinary collaboration and explicit engagement with power. This article summarises lessons learned and their relevance for organisations working in health accountability in highly unequal settings.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.titleHealth Accountability for Indigenous Populations: Confronting Power through Adaptive Action Cyclesen
dc.typeArticleen
dc.rights.holderInstitute of Development Studiesen
dc.identifier.teamHealth and Nutritionen
dc.identifier.doi10.19088/1968-2018.133
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