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Improving maternal health through social accountability: A case study from Orissa, India

机译:通过社会责任改善孕产妇健康:以印度奥里萨邦为例

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摘要

As maternal health specialists accelerate efforts towards Millennium Development Goal Five, attention is focusing on how to best improve service accountability to target communities as a strategy for more effective policy implementation. We present a case study of efforts to improve accountability in Orissa, India, focusing on the role of local women, intermediary groups, health providers and elected politicians. We highlight three drivers of success: (1) the generation of demand for rights and better services, (2) the leverage of intermediaries to legitimise the demands of poor and marginalised women and (3) the sensitisation of leaders and health providers to women's needs. We use the concepts of critical consciousness, social capital and 'receptive social spaces' to outline a social-psychological account of the pathways between accountability and service effectiveness.
机译:随着孕产妇保健专家加快实现千年发展目标五的努力,人们的注意力集中在如何更好地改善针对目标社区的服务问责制上,以作为更有效实施政策的战略。我们提供了一个案例研究,以努力改善印度奥里萨邦的问责制,重点是当地妇女,中介团体,卫生保健提供者和民选政治人物的作用。我们强调成功的三个驱动因素:(1)产生对权利和更好的服务的需求;(2)利用中介机构使贫穷和边缘化妇女的需求合法化;(3)使领导人和卫生保健人员对妇女的需求敏感。我们使用批判意识,社会资本和“接受性社会空间”的概念来概述对问责制和服务有效性之间的关系的社会心理学解释。

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