Enhancing Healthcare Literacy and Services in South-West Ethiopia: Impact of Social Accountability for Improving the Demand and use of Family Planning and Maternal New-born Child Health Services

Nassir Ali, Geda Tolera, Galata Sitota

Abstract


The primary objective of this research was to assess the effectiveness of interventions aimed at improving healthcare literacy and services through the implementation of Social Accountability (SA) and Community Score Card (CSC) in three districts of the Southwest Ethiopia Peoples’ Region. The study gathered data from randomly selected community members residing in Elhanchano, Teracha Zuria, and Zaba Gazo districts of the Southwest Ethiopia region on two sessions. Quantitative data were analyzed using dependent t-tests, while information collected through interviews was analyzed using a narrative approach. The results indicate a significant positive impact of the interventions on healthcare services across all health centers. Consequently, considering the proven effectiveness of SA/CSC in enhancing healthcare services at primary health care units, it is strongly recommended that both the government and funding organizations continue their support for the implementation of SA/CSC in various sections of the country. This ongoing commitment will ensure that communities consistently receive improved healthcare services at their respective health care units, fostering a sustainable positive impact on the overall health system

Keywords


Community Score Card, Intervention, Primary Health Care Service, Social Accountability

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References


CIET International. (2002). “Social Audits: Fostering Accountability to Local Constituencies.” “Public Expenditure Review: Citizens’ Report Cards in India.” Capacity for ‘Voice’ Issue 15, October.

Federal Ministry of Health of Ethiopia (FMOH). (2016). Health and Health Related Indicators of Ethiopia for the Year 2016. FMOH.

Fox, J. (2014). Social Accountability: What Does the Evidence Really Say? Global Partnership for Social Accountability. Working Paper No1. http://gpsaknowledge.org/wpcontent/uploads/2014/09/Social-Accountability-WhatDoes-Evidence-Really-Say-GPSA-Working-Paper-1.pdf Accessed 7 May 2018.

Gaventa J. (2004). Towards participatory governance: assessing the transformative possibilities. In: Hickey S, & Mohan G, (Eds.), Participation: from tyranny to transformation (pp. 25–41). Zed Books.

Gaventa J., & McGee, R. (2013). The impact of transparency and accountability initiatives. Development Policy Review.

Gullo, S., Kuhlmann, A. S., Galavotti, C., Msiska, T., Nathan Marti, C., & Hastings, P. (2018). Creating spaces for dialogue: a cluster-randomized evaluation of CARE’s Community Score Card on health governance outcomes. BMC Health Services Research, 18(1), 1-12.

Post, D., Agarwal, S., & Venugopal, V. (2014). Rapid feedback: the role of community scorecards in improving service delivery. How-to Notes. Available at: https://openknowledge.worldbank.org.

Ravindra, A. (2004). An assessment of the impact of Bangalore citizen report cards on the performance of public agencies. Evaluation Capacity Development Working Paper, 12.

Sebert K. A. K., Gullo, S., Galavotti, C., Grant, C., Cavatore, M., & Posnock, S. (2017). Women’s and health workers’ Voices in open, inclusive communities and effective spaces (VOICES): measuring governance outcomes in reproductive and maternal health Programmes. Development Policy Review, 35(2), 289-311.




DOI: https://doi.org/10.7575/aiac.ijels.v.12n.2p.214

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