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Unpicking Power for Urban Health Governance:

Participatory Action Research

Ivy Chumo; Caroline Kabaria; Blessing Mberu

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Social accountability

  • Act, process, value
  • More then one party
    • Accounter (supply side
    • Accountee (demand side
  • Voice
  • Answerability
  • Enforceability

Social accountability triangle

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Study Sites

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1. Consultative meetings

Community Advisory Meeting

Community Consultation Meeting

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2. Mobilization & Sensitization meetings

Community Outreach

School Outreach

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Why Preliminary Activities

Community-Research Assistants

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Study Approach:

  • Participatory Focus Group Discussions
  • 20 FGDs in Korogocho & Viwandani among:
  • Community members (by Gender);
  • Ground truthing

Community Profiling

Ground truthing

  • Building up a picture of the nature and resources of a community with active participation of that community.

  • Useful first stage in any community planning process to establish a context which is widely agreed.

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Governance Diaries

  • Ethnographic approach

  • Basket of methods applied to identify social accountability mechanism

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Co-production

Brings together the demand side (“service user”) and the supply side (“service provider”) to create knowledge on social accountability

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Pocket Voting\ Charts

  • Pocket voting charts makes it possible to count the number of individuals who voted for a particular social accountability mechanisms

  • Pocket charts can also be used to identify prioritized social accountability mechanisms among different options

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Service Delivery Scorecards

  • Standard performance indicators/ score (0–5) with reasons/remarks

  • Brings together the demand side (“service user”) and the supply side (“service provider”) to understand issues underlying social accountability and find a way of addressing them.

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Reflexive workshops

It is an integral part of interpretive and collaborative approaches to evaluation, where it forms the basis for dialogue and validity testing

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Co-learning

  • Brings together the demand side (“service user”) and the supply side (“service provider”) to learn on best social accountability practices

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Informal Social Accountability Mechanisms for WASH

1. Discretionary actions

  • Rewards for WASH service provision
  • Sanctions for failure in WASH provision
  • Interpretation of WASH rules/policies to favor WASH provision

2. Norms and values

  • Respect demands for WASH
  • Value needs for WASH
  • Trust between actors

3. Facilitative behaviors

  • Sustained communication
  • Complains or reports
  • Responsiveness/reliability of service providers on WASH
  • Credibility and commitment to provision of WASH
  • Reciprocating favors in WASH

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Hope through Social Accountability

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Acknowledgement

Study Team

  • Study Communities
  • Study participants
  • Research Assistants

Supervisors

Prof. Penelope Phillips-Howard

Prof. Helen Elsey

Prof. Blessing Mberu

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Thank You

ivychumo@gmail.com

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