How does Social Accountability Contribute to 21st Century Quality Health Delivery?

Posted: 16 Jul 2019

Date Written: January 15, 2019


Citizens have a role to play in supporting access, quality and equality of health delivery. This note provides an overview of lessons from the evidence about how collaborative social accountability processes can strengthen cross-sector programs to delivery health. The note distinguishes different pathways to add value via collaborative social accountability: producing information, campaigning for accountability and programmatic problem-solving. The note underscores the potential of the latter approach to consider the full range of value additions of collaborative social accountability processes. The value add of these processes include: improving the quality of design of operations; mitigating risks associated with the implementation; strengthening health systems and governance. In so doing, collaborative social accountability can contribute towards strengthening programmatic gains. Some rules of thumb for future opportunities include connecting sectoral reforms and civil society led interventions throughout the life cycle of operations and investing in stocks of social and political capital for the sector. The note concludes with insights about the roles that international development partners can play to support locally-led process for health.

Keywords: social accountability, collaborative governance, programmatic approaches, health

Suggested Citation

Guerzovich, Maria F. and Poli, Maria, How does Social Accountability Contribute to 21st Century Quality Health Delivery? (January 15, 2019). Available at SSRN:

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