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Journal Article

IDS Bulletin 49.2

Key Considerations for Accountability and Gender in Health Systems in Low- and Middle-Income Countries

Published on 8 May 2018

This article poses questions, challenges, and dilemmas for health system researchers striving to better understand how gender shapes accountability mechanisms, by critically examining the relationship between accountability and gender in health systems.

It raises three key considerations, namely that: (1) power and inequities are centre stage: power relations are critical to both gender and accountability, and accountability mechanisms can transform health systems to be more gender-equitable; (2) intersectionality analyses are necessary: gender is only one dimension of marginalisation and intersects with other social stratifiers to create different experiences of vulnerability; we need to take account of how these stratifiers collectively shape accountability; and (3) empowerment processes that address gender inequities are a prerequisite for bringing about accountability. We suggest that holistic approaches to understanding health systems inequities and accountability mechanisms are needed to transform gendered power inequities, impact on the gendered dimensions of ill health, and enhance health system functioning.

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This article comes from the IDS Bulletin 49.2(2018) Key Considerations for Accountability and Gender in Health Systems in Low- and Middle-Income Countries

Cite this publication

Waldman,L. Theobald, S. and Morgan, R. (2018) 'Key Considerations for Accountability and Gender in Health Systems in Low- and Middle-Income Countries' 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: IDS

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Authors

Image of Linda Waldman
Linda Waldman

Director of Teaching and Learning

Sally Theobald
Rosemary Morgan

Publication details

published by
Institute of Development Studies
doi
10.19088/1968-2018.137
language
English

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