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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.

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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.

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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

Naming the moment

04 Oct 2017
By Erica Nelson