Integrating Social Accountability in Healthcare Delivery: Lessons Drawn from Kenya

Publication:
Integrating Social Accountability in Healthcare Delivery: Lessons Drawn from Kenya

dc.contributor.author	Wangũi Machira, Yvonne
dc.date.accessioned	2015-04-01T21:42:58Z
dc.date.available	2015-04-01T21:42:58Z
dc.date.issued	2015-02
dc.description.abstract	The Constitution of Kenya provides that most functions of the state are decentralized in a devolution process. The devolved health system is four tiered: community health services, primary care services, county referral services, and national referral services. However, even though roles and responsibilities are elaborately outlined, in practice the transition from national to county governments has been marred by inconsistency, poor understanding of the system, management challenges, and lack of coordination between the national and county governments. This policy note provides observations from a pilot that tested integration of social accountability mechanisms in healthcare delivery in Kenya between 2011 and 2013.	en
dc.identifier.doi	10.1596/21666
dc.identifier.uri	https://hdl.handle.net/10986/21666
dc.language.iso	en_US
dc.publisher	World Bank Group, Washington, DC
dc.rights	CC BY 3.0 IGO
dc.rights.uri	http://creativecommons.org/licenses/by/3.0/igo
dc.subject	poor performance
dc.subject	health care providers
dc.subject	waste
dc.subject	public officials
dc.subject	communities
dc.subject	health service providers
dc.subject	participatory approaches
dc.subject	risks
dc.subject	health service delivery
dc.subject	reproductive health
dc.subject	health extension
dc.subject	financing
dc.subject	financial management
dc.subject	income
dc.subject	quality of health care
dc.subject	poor management
dc.subject	performance criteria
dc.subject	citizen voice
dc.subject	data collection
dc.subject	community health
dc.subject	primary care
dc.subject	services
dc.subject	health care
dc.subject	health care workers
dc.subject	local governance
dc.subject	health care facilities
dc.subject	incentives
dc.subject	health
dc.subject	project
dc.subject	health care • quality
dc.subject	corruption
dc.subject	national level
dc.subject	oversight
dc.subject	health facilities
dc.subject	community participation
dc.subject	public health
dc.subject	quality of health
dc.subject	health sector
dc.subject	knowledge
dc.subject	finance management
dc.subject	community members
dc.subject	pharmacies
dc.subject	health ministries
dc.subject	institutions
dc.subject	leprosy
dc.subject	exercises
dc.subject	community development
dc.subject	health status
dc.subject	public information
dc.subject	training
dc.subject	aid effectiveness
dc.subject	patients
dc.subject	civil society organisations
dc.subject	contracts
dc.subject	citizen participation
dc.subject	civil society
dc.subject	community health services
dc.subject	citizen
dc.subject	health care services
dc.subject	health management
dc.subject	access to health services
dc.subject	family care
dc.subject	indicators
dc.subject	service delivery
dc.subject	social development
dc.subject	posters
dc.subject	health information
dc.subject	design
dc.subject	equity
dc.subject	accountability
dc.subject	medical research
dc.subject	workers
dc.subject	social justice
dc.subject	transparency
dc.subject	right to health care
dc.subject	surveillance
dc.subject	participation
dc.subject	public policies
dc.subject	care
dc.subject	gender
dc.subject	health policy
dc.subject	homes
dc.subject	medical services
dc.subject	demand
dc.subject	health outcomes
dc.subject	urban area
dc.subject	medical supplies
dc.subject	expenditures
dc.subject	youth
dc.subject	decision making
dc.subject	access to health care services
dc.subject	regulation
dc.subject	community activities
dc.subject	primary health care
dc.subject	citizens
dc.subject	waste disposal
dc.subject	governance
dc.subject	health system
dc.subject	insurance
dc.subject	local community
dc.subject	human rights
dc.subject	ambulance
dc.subject	essential drugs
dc.subject	health care delivery
dc.subject	security
dc.subject	health care service delivery
dc.subject	disease control
dc.subject	working conditions
dc.subject	evaluation
dc.subject	dispensaries
dc.subject	health providers
dc.subject	public participation
dc.subject	equality
dc.subject	rural areas
dc.subject	financial information
dc.subject	integration
dc.subject	crematoria
dc.subject	social cohesion
dc.subject	facilities
dc.subject	political commitment
dc.subject	interventions
dc.subject	community
dc.subject	strategy
dc.subject	poor governance
dc.subject	systemic corruption
dc.subject	fees
dc.subject	families
dc.subject	hospitals
dc.subject	health interventions
dc.subject	ambulance services
dc.subject	rural development
dc.subject	health service
dc.subject	health programs
dc.subject	health services
dc.subject	implementation
dc.subject	service
dc.subject	districts
dc.subject	cleanliness
dc.subject	health centres
dc.title	Integrating Social Accountability in Healthcare Delivery	en
dc.title.subtitle	Lessons Drawn from Kenya	en
dc.type	Working Paper	en
dc.type	Document de travail	fr
dc.type	Documento de trabajo	es
dspace.entity.type	Publication
okr.date.disclosure	2015-02-27
okr.date.doiregistration	2025-05-07T10:33:41.215413Z
okr.doctype	Economic & Sector Work
okr.doctype	Economic & Sector Work::Other Public Sector Study
okr.globalpractice	Governance
okr.globalpractice	Health, Nutrition, and Population
okr.identifier.report	94500
okr.language.supported	en
okr.region.administrative	Africa
okr.region.country	Kenya
okr.topic	Communities and Human Settlements::Housing & Human Habitats
okr.topic	Governance::Governance Indicators
okr.topic	Governance::Local Government
okr.topic	Governance::National Governance
okr.topic	Governance::Politics and Government
okr.topic	Health, Nutrition and Population::Health Economics & Finance
okr.topic	Health, Nutrition and Population::Health Monitoring & Evaluation
okr.topic	Health, Nutrition and Population::Health Systems Development & Reform
okr.topic	Public Sector Development::Decentralization
okr.topic	Social Development::Social Accountability
okr.unit	Urban, Rural & Soc Dev - GP (GSURR)