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Moreover, the complex remuneration of health workers in many low-income settings presents specific challenges in that multiple payers and lines of accountability exist, with potentially clashing agendas that influence the activities health workers perform.
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When verification and accountability exists, it can be presumed that harmful behaviors such as abuse and trolling will curb.
Given the fact that Makerere Medical School now called the Makerere College of Health Sciences (MakCHS) for several decades was the only medical training institution in the region by default, it served the purpose of providing health workers especially doctors who served competently in many of the facilities in the region and beyond yet no documentation on social accountability exists.
Its accountability to members is not very apparent and the plan to merge the DMHIS will undermine whatever local accountability systems exist at district level (these are very variable in practice – strong in some areas but close to non-existent in others).
Accountability systems exist to ensure the quality of those systems and their proper usage.
Camp 2: Transparency of Results Complete accountability must exist across all programs.
It would be naïve to suggest that effective mechanisms of accountability already exist, but it's not too soon to begin designing and testing alternatives to find ones that work.
This is an important gap given that webs of accountability relationships exist within every health system.
Slum dwellers, who have often been denied access to civic engagement, have no effective means to protect themselves and demand for services to be provided and for accountability to exist for those who provide them [ 31, 32].
For accountability to exist, voters need to be aware of publicly available information about their representatives' conduct, but the literature suggests two main reasons why such awareness may be low.
Despite regular use of language and ideology of rights, solidarity and concepts of accountability, tension exists between the philosophy and practical incorporation of accountability into operations.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com