Healthy Participation, Healthy People : A Review of Social Accountability Initiatives in Indonesian Policies and Programs
As social accountability (SA) initiatives in Indonesia continue to grow, evidence shows that mechanisms to engage citizens to monitor service provision and provide constructive feedback on large-scale programs in the public sector still need improv...
| Main Authors: | , , , |
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| Format: | Working Paper |
| Language: | English |
| Published: |
World Bank, Washington, DC
2019
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/156501545376524087/Healthy-Participation-Healthy-People-A-Review-of-Social-Accountability-Initiatives-in-Indonesian-Policies-and-Programs http://hdl.handle.net/10986/31215 |
| Summary: | As social accountability (SA)
initiatives in Indonesia continue to grow, evidence shows
that mechanisms to engage citizens to monitor service
provision and provide constructive feedback on large-scale
programs in the public sector still need improvement. SA, or
citizens’ ability to hold governing actors and their
partners accountable for their actions and commitments, is
recognized as a fundamental right and an indispensable means
of strengthening national health systems. The Government of
Indonesia’s commitment to improve basic service delivery to
poor and vulnerable populations represents an opportunity to
apply SA approaches to improve the access and quality of
health services. This report aims to inform efforts to
improve SA in Indonesia’s health sector, particularly
maternal and child health services. It gives an overview of
common approaches to building social accountability, using
examples from other comparable low- and middle-income
countries, to extract lessons learned. It then analyses
Indonesia’s national regulatory and policy framework related
to SA initiatives in the health sector. Next, it reviews
Indonesian initiatives that have included SA components to
identify programmatic opportunities, challenges, and
remaining gaps for improving SA in Indonesia’s health
sector. Finally, it provides evidence-based recommendations
for future SA policy and programming initiatives in
Indonesia. Three common thematic SA approaches emerged from
this review. These include: building awareness among
communities, creating voice, and empowering action. This
report finds that SA initiatives that include all three
elements through multiple mechanisms are more likely to
succeed. Programs need to develop comprehensive approaches
that fit local contexts, accommodate multi-sector
partnerships, and account for existing power dynamics and
risks associated with increased decision-making authority.
Efforts to prepare service providers and local officials to
solicit routine citizen feedback on services, and to work
with citizens to develop solutions that work for everyone,
should be mainstreamed into all health system strengthening programs. |
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