Working Paper
Integrating Social Accountability in Healthcare Delivery : Lessons Drawn from Kenya
poor performance health care providers waste public officials communities health service providers participatory approaches risks health service delivery reproductive health health extension financing financial management income quality of health care poor management performance criteria citizen voice data collection community health primary care services health care health care workers local governance health care facilities incentives health project health care • quality corruption national level oversight health facilities community participation public health quality of health health sector knowledge finance management community members pharmacies health ministries institutions leprosy exercises community development health status public information training aid effectiveness patients civil society organisations contracts citizen participation civil society community health services citizen health care services health management access to health services family care indicators service delivery social development posters health information design equity accountability medical research workers social justice transparency right to health care surveillance participation public policies care gender health policy homes medical services demand health outcomes urban area medical supplies expenditures youth decision making access to health care services regulation community activities primary health care citizens waste disposal governance health system insurance local community human rights ambulance essential drugs health care delivery security health care service delivery disease control working conditions evaluation dispensaries health providers public participation equality rural areas financial information integration crematoria social cohesion facilities political commitment interventions community strategy poor governance systemic corruption fees families hospitals health interventions ambulance services rural development health service health programs health services implementation service districts cleanliness health centres
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World Bank Group, Washington, DC
Africa | Kenya
2015-04-01T21:42:58Z | 2015-04-01T21:42:58Z | 2015-02
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.
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