Accountability mechanisms are governance tools which seek to regulate answerability between the health system and / or citizens and between different levels of the health system [ 3].
Accountability mechanisms are governance tools that seek to regulate answerability between the health system and the community (external accountability) and/or between different levels of the health system (bureaucratic accountability).
The vertical arrows linking providers to the state illustrate the relationships associated with bureaucratic accountability mechanisms, which function to promote answerability within the health system hierarchy.
Bishop Gregory also promised the laity that "we bishops will be answerable to you," that "answerability begins with openness" and that the charter would remove "the shroud of secrecy which has undermined your trust in us".
It requires a particular kind of organizational context, one in which answerability works to entice people to pay greater attention to system safety, reliability and sound design, in order to establish a culture of accountability.
Overall, we theorized that dynamic interactions between system hardware and system software influence mechanisms of answerability and enforceability, and through these, the production of accountability (administrative and social) in each health centre as a whole.
Weak health information systems and lack of performance data undermined providers' answerability to their employer and clients, and a lack of effective sanctions undermined supervisors' ability to hold providers accountable for these transgressions.
Accountability mechanisms could be key tools for ensuring the answerability of public primary health care facilities to central bureaucracies through the district health system, while at the same time providing the local decision-space that could increase citizen and patient responsiveness.
Administrative answerability in the ART clinics of all four health centres was initially strengthened via the considerable investment in health system 'hardware' as described in the previous section.
Sanction is preceded by standard-setting, investigation and answerability.
Accountability and answerability are two of the major themes now derived from Magna Carta.
