PHM-Exch> Health Accountability for Indigenous Populations: Confronting Power through Adaptive Action Cycles

[Claudio Schuftan]

From: Walter Flores <waltergflores at gmail.com>

Health Accountability for Indigenous Populations: Confronting Power through
Adaptive Action Cycles


*Abstract:* Health-care providers are powerful figures in society. An
informed

service user may be able to identify regulatory non-compliance and abuses

by these actors, but reporting them is not a mere administrative procedure.

It is an act that stirs existing power relations and social hierarchies.
This

article argues that the essence of an accountability intervention is the

process through which service users collect and analyse evidence that is

then used to confront power at different governance levels. The response

from authorities is assessed and strategies adjusted accordingly in adaptive

cycles of accountability action. Based on ten years’ experience supporting

indigenous citizen-led accountability action in Guatemala, the authors

describe how their approach evolved from an emphasis on technical

components to a politically informed approach with interdisciplinary

collaboration and explicit engagement with power. This article summarises

lessons learned and their relevance for organisations working in health

accountability in highly unequal settings.

To download the article, press here: https://opendocs.ids.ac.
uk/opendocs/bitstream/handle/123456789/13685/IDSB492_10.
190881968-2018.133.pdf?sequence=1&isAllowed=y
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