There is nothing inherently inconsistent about a culture that is both collaborative and accountability-focused.
For example, this could link to our core competencies around accountability, collaborative team-working and effective communication.
Observations of how change is taking place suggest that a collaborative approach to accountability is just as likely as a confrontational approach in the local DRC context.
In this situation there is a room for the episodic external critical capacity to challenge the governance structure and enforce the accountability of collaborative networks.
RESULTS Priority values included humility, ethical awareness of power differentials, collaborative action, and "deep accountability" when working in low-resource settings in low- and middle-income countries and high-income countries.
That is, collaborative work maintains individual accountability.
It was necessary to create consciousness at all levels of the vital importance of a reliable database, both for learning within the collaborative as for program accountability.
Based on our findings, leadership in these settings will require a careful balancing of several juxtapositions including country ownership and external input, aspirational vision for the future and practical action in the present, and strong collaborative relationships yet individual accountability.
Strategies that had medium importance and feasibility ratings included: resolving concerns about liability and accountability in collaborative practice; recruiting international trained therapists; opportunity to work in different settings; interprofessional payment schemes; family leave; staff recognition and creating a position for a provincial health professional recruiter.
To do this, leaders need to follow through with change-focused initiatives, such as identifying and supporting active collaboration champions, and address authority levels and accountability for entering into collaborative relationships with suppliers.
A good example of how accountability can drive collaborative behavior is Amazon.
