Improving social accountability processes in the health sector in sub-Saharan Africa: a systematic review

摘要: Social accountability is a participatory process in which citizens are engaged to hold politicians, policy makers and public officials accountable for the services that they provide. In Fifteenth Ordinary Session of Assembly African Union, leaders recognized need strong, decentralized health programs with linkages civil society private sector entities, full community participation program design implementation, adaptive approaches local political, socio-cultural administrative environments. Despite increasing use social accountability, there limited evidence on how it has been used sector. The objective this systematic review was identify conditions facilitate effective sub-Saharan Africa. Electronic databases (MEDLINE, PsycINFO, Sociological Abstracts, Sciences Abstracts) were searched relevant articles published between 2000 August 2017. Studies eligible inclusion if peer-reviewed English language publications describing intervention Qualitative quantitative study designs eligible. Fourteen studies included review. findings indicate interventions involve leveraging partnerships building coalitions; being context-appropriate; integrating data information collection analysis; clearly defined roles, standards, responsibilities leaders; meaningful citizen engagement. Health system barriers, corruption, fear reprisal, funding appear be major challenges interventions. Although global standards play an important guiding role, successful implementation initiatives depend national contexts.