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Power of partnership conference: Poster: The accountability politics of reducing health inequities

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The Accountability Politics of Reducing Health Inequities: Learning from Brazil and Mozambique

Unequal Voices

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Power of partnership conference: Poster: The accountability politics of reducing health inequities

  1. 1. The Accountability Politics of Reducing Health Inequities: Learning from Brazil and Mozambique Unequal Voices PI: Alex Shankland (IDS) Co-leading: Vera Schattan Coelho (Cebrap – Brazil), Denise Namburete (N’Weti - Mozambique), Gerry Bloom (IDS) Unequal Voices created a new set of evidences on the politics of accountability for health equity via multi-level case studies in health systems in Brazil and Mozambique, exploring how multiple accountability regimes (electoral politics, public sector administration and social accountability) can be strengthened to deliver better health services for poor and marginalised. What can the megalopolis of Sao Paulo and the indigenous health district of Alto Rio Negro, in Brazil, and the capital Maputo and the Zambezia Province, in Mozambique, say about what combinations of accountability regimes work best under which political and institutional conditions for reducing health inequities? ✓ Brazil and Mozambique: Historical political commitment to universal health coverage more than 30 years ago. Advances and set-backs in planning, managing and operationalising health systems in highly unequal settings that can be useful to the growing universal health coverage movement ✓ National compacts: when, why and how universal health coverage became politically significant and the challenges to sustain the promises and operationalise inclusive health systems ✓ Politics of accountability: understanding the conditions under which the promises of bridging the health inequalities gap work or fail to deliver on health equality Views from Mozambique ✓ Dis-functional decentralisation in Maputo and Quilemane: blurred accountability lines ✓ Donor’s Babel Tower: Donor (des) harmonisation and little mutual accountability ✓ Whose voice? Moving beyond the gift-model and putting citizens at the centre Views from Brazil ✓ Increasing national and health sovereignty: government and civil society taking responsibility for expanding access to health coverage ✓ Sao Paulo: Political competition and the virtuous combination of pro-poor social mobilisation and management tools ✓ Rio Negro Special Indigenous Health District: The limits of the gift-model and mismatch between levels/spaces of/for accountability and governance Making knowledge works for accountability for universal health coverage ✓ Engaging an international network of experts in accountability and health to support the project ✓ Bridging knowledges and expertise: political scientists, anthropologists, public health experts, citizens and civil society organisations ✓ Critically engaging with local and national policy-makers and health managers in Brazil and Mozambique ✓ Creating spaces for mutual learning and effective collaboration across research and policy communities in the Global South Global South Links: IDS Bulletin “Accountability for Health Equity: Galvanising a Movement for Universal Health Coverage’: https://www.ids.ac.uk/news/accountability-for-health-equity-galvanising-a-movement- for-universal-health-coverage/ https://www.youtube.com/watch?v=Ez6IOQIj_cs UHC2030 IDS Webinar on Accountability for Health Equity May 2018 - https://www.youtube.com/watch?v=hRfuiyhkjOw Video “Holding a Health System to Account: Voices from Mozambique (A Documentary)” - http://bulletin.ids.ac.uk/idsbo/article/view/2962/Online%20article Contact: Denise Namburete (d.namburete@nweti.org.mz) or Laura Trajber Waisbich (laura.waisbich@gmail.com)

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