Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

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

21 views

Published on

Power of partnership conference: Presentation: The accountability politics of reducing health inequities: Learning from Brazil and Mozambique - Unequal Voices

Published in: Government & Nonprofit
  • Be the first to comment

  • Be the first to like this

Power of partnership conference: Presentation: 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 (Nweti - Mozambique), Gerry Bloom (IDS) ESRC-DFID Power of Partnerships Research to Alleviate Poverty New Delhi, 3 to 5 December 2018
  2. 2. Analytical Framework We approached the issue of the trajectories of health inequalities in Brazil and Mozambique as well as the socio-political-institutional conditions and arrangements that have enabled reducing inequalities in some cases and settings. What works for reducing health inequalities? We framed our analysis using a tripod for accountability for health equality, looking at how three types of accountability politics (political, social and managerial) were playing out in each setting and how can be strengthened to deliver better health services for poor and marginalised.
  3. 3. Research Question? • 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?
  4. 4. Trajectory matters 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
  5. 5. Trajectory matters • 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 failed to deliver on health equality
  6. 6. 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
  7. 7. 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
  8. 8. 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
  9. 9. Making knowledge works for accountability for universal health coverage • Policy Dialogue - critically engaging with local, national policy-makers, development partners and health managers in Brazil and Mozambique • Learning & Collaboration - creating spaces for mutual learning and effective collaboration across research and policy communities in the Global South Global South

×