Erica Nelson photo

Erica Nelson - Research Officer

Since the publication of the 2004 World Development Report a range of different attempts have been made to make the design, prioritisation and delivery of health services more accountable to different stakeholders. However, complex politics and power dynamics can limit or skew people's abilities to access services or hold them to account, particularly for poor and marginalized people.

More details

The Unequal Voices project - Vozes Desiguais in Portuguese - examines the politics of accountability in health systems in Brazil and Mozambique, exploring how accountability can be used to deliver better health services for citizens everywhere.

More details

This is the front cover to IDS Bulletin 49.2, 'Accountability for Health Equity: Galvanising
a Movement for Universal Health Coverage'.

Accountability for Health Equity: Galvanising a Movement for Universal Health Coverage

IDS Bulletin 49.2 (2018)

This issue of the IDS Bulletin is based around three principal themes that emerged from the workshop as needing particular attention. First, the nature of accountability politics ‘in time’ and the cyclical aspects of efforts towards accountability for health equity. Second, the contested politics of ‘naming’ and measuring accountability, and the intersecting dimensions of marginalisation and exclusion that are missing from current debates. Third, the shifting nature of power in global health and new configurations of health actors, social contracts, and the role of technology. More details

IDS publications on international development research

Strengthening Accountability for Health Equity at the Institute of Development Studies

‘Accountability for Health Equity’ is an approach that places relationships of power at the centre of our understanding of how health systems function – or don’t – for all levels of society. More details

IDS publications on international development research

“Unpicking Power and Politics for Transformative Change: Towards Accountability for Health Equity” Workshop Report

While “accountability” has become an increasingly popular buzzword in health systems debates and health service delivery, it has multiple – and contested – meanings. This is a report of an IDS international workshop which brought together 80-plus activists, researchers, public health practitioners and policy makers who critically examined the forces that shape accountability in health systems, from local to global levels. More details