Scholars suggest that accountability is related to who pays the CHW (Bender and Pitkin 1987) and that unless accountability of the CHW is primarily to the community, especially the poor (Sanders 1990) they will be relegated to being the lowest rung of the health department (van Ginneken et al. 2010).
This is not to suggest that accountability structures of the past were somehow stronger, or that public actors like the WHO or states are implicitly more accountable or legitimate.
Establishment of military, rather than independent, courts of inquiry to investigate some army and navy actions suggests true accountability will not be forthcoming from within Sri Lanka.
Global experiences suggest that social accountability tools can help ensure that governments, public service providers, and donors do more than pay lip service to their commitments by fostering genuine citizen-state collaboration.
The experience of HIV advocates in pushing for global solutions based on right to health principles, including participation, solidarity and accountability; suggest potential avenues for utilising right to health based arguments to push for policy priority for universal access to emergency obstetric care in the post-2015 globagendandagenda
Findings in this section suggest that while accountability processes might be operationalized within interpersonal relationships, these relationships in turn are governed by a series of beliefs that operate at the social or organisational level which structure ways of being and ways of interacting.
Overall, the evidence which was gathered as part of the initial review of the AHSC at Imperial College London [ 55], discussions to create ICHP [ 29], and the experience of its implementation, suggest that stronger accountability would be best achieved through alignment in a number of ways at different levels of the partnership.
For all the talk of autonomy, central government micromanagement and (often misused) accountability measures suggest that there isn't really trust in the professionals.
She added their campaigning was designed to deliberately misrepresent her role by greatly exaggerating her power in the GM debate and suggest a lack of accountability.
"Most of the cabinet has not really digested the notion that this is no longer a command economy".Close observers of the government suggest that the limited accountability of the cabinet, exacerbated by personal animosity among ministers, has become a serious shortcoming.
