<div dir="ltr">From: <b class="gmail_sendername">Walter Flores</b> <span dir="ltr"><<a href="mailto:waltergflores@gmail.com">waltergflores@gmail.com</a>></span><br><div class="gmail_quote"><br><div dir="ltr"><div><p style="margin:0px;font-stretch:normal;font-size:18px;line-height:normal;font-family:Helvetica">Health Accountability for Indigenous Populations: Confronting Power through Adaptive Action Cycles</p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica"><b><br></b></p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica"><b>Abstract:</b> Health-care providers are powerful figures in society. An informed</p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica">service user may be able to identify regulatory non-compliance and abuses</p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica">by these actors, but reporting them is not a mere administrative procedure.</p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica">It is an act that stirs existing power relations and social hierarchies. This</p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica">article argues that the essence of an accountability intervention is the</p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica">process through which service users collect and analyse evidence that is</p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica">then used to confront power at different governance levels. The response</p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica">from authorities is assessed and strategies adjusted accordingly in adaptive</p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica">cycles of accountability action. Based on ten years’ experience supporting</p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica">indigenous citizen-led accountability action in Guatemala, the authors</p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica">describe how their approach evolved from an emphasis on technical</p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica">components to a politically informed approach with interdisciplinary</p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica">collaboration and explicit engagement with power. This article summarises</p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica">lessons learned and their relevance for organisations working in health</p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica">













</p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica">accountability in highly unequal settings.</p><p style="margin:0px;font-stretch:normal;line-height:normal;font-family:Helvetica">To download the article, press here: <a href="https://opendocs.ids.ac.uk/opendocs/bitstream/handle/123456789/13685/IDSB492_10.190881968-2018.133.pdf?sequence=1&isAllowed=y" style="font-family:arial,sans-serif" target="_blank">https://opendocs.ids.ac.<wbr>uk/opendocs/bitstream/handle/<wbr>123456789/13685/IDSB492_10.<wbr>190881968-2018.133.pdf?<wbr>sequence=1&isAllowed=y</a></p></div></div>
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