evidence of social accountability_caroline poirrier_5.7.14
TRANSCRIPT
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Building evidence and supporting effective social accountability
Results for Development Institute
Washington, D.C.
May 6th, 2014
Name of presenter(s)
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Agenda
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1. R4D’s Social Accountability Experience
2. Transparency for Development (T4D)
3. Social Accountability Atlas & Center
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R4D’s Social Accountability Experience
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Context & R4D’s Social Accountability Work
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Since 2006, R4D has been providing direct support to civil society organizations carrying out SAc projects
Financial and technical support; peer learning PETS; absenteeism studies; CRC; CSC
Take-aways:
1. More evidence is needed about when and how SAc has an impact
2. Evidence and experience need to be shared & leveraged for better SAc
Evaluation work & Social Accountability Atlas
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R4D’s Evaluation and Evidence Work: Transparency for Development (T4D)
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• Practical information about effective design features for different contexts
• Smarter, more effective SAc
CSOs
• Evidence about SAc’s impact on health outcomes
• SAc for strengthened health delivery
Health sector experts and
policymakers • SAc interventions with high
potential for impact• Investing in better and
smarter SAc
Donors
• Help shape the agenda for the next generation of research around SAc
• More actionable evidence
Academics
T4D Goal: To generate actionable evidence on whether and how a well-designed social accountability intervention can improve health outcomes.
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T4D basics
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• Partner: Harvard Kennedy School• Funding from Hewlett Foundation, Gates
Foundation, DfID• 5 year project, 2014-8
• Focus countries: Tanzania and Indonesia• Community scorecard “plus” (CSC-plus)• Health Focus: Maternal & Newborn Health• Two phases; mixed methods
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T4D : Methods and Research Questions
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RCTs: What is the effect of the intervention on the quality of
health service delivery? What is the effect of the intervention on individual health
outcomes?
Case Study/ Qualitative Research: What are the mechanisms through which these occur? What is the role of context in shaping these effects? How do interventions affect citizen’s perceptions of
empowerment & efficacy? How can the design of the intervention be improved?
Cost-Effectiveness Analysis Research Questions: How do SAc interventions compare to alternatives in terms
of cost-effectiveness?
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T4D intervention – “CSC plus”
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Intervention Builds upon existing literature and experience Co-designed with local partners
Information Gathering
about outcomes
and problems in maternal
and newborn health
Community Meeting
to (1) review information
and (2) decide on
community action
Social Actionbased on
discussions, community will
decide social action to take
to improve health
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T4D intervention – “CSC plus”
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Information Gathering
about outcomes and
problems in maternal and
newborn health
1. Collect data on potential health and service delivery problems
• information on community health status and health outcomes
• issues with facilities - resource and staffing levels, absentee rates, client satisfaction, or comparative
2. Generate a simple scorecard • Analyze data • Summarize key findings
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Example of a “levers” scorecard
Indicator Local statistics
First antenatal visit in first trimester
Quality of Antenatal care
Giving birth in a health facility
Seeing health worker within 2 days of birth
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Example of a “levers and barriers” scorecard - giving birth in a facility
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T4D intervention – “CSC plus”
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Community Meeting
to (1) review information
and (2) decide on
community action
CSO Facilitators
• Present information to communities• Facilitate discussion by communities
and possible actions to take to overcome the problems
• Each community will make a decision about what “social” action they want to take
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T4D intervention – “CSC plus”
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Community Meeting
to (1) review information
and (2) decide on
community action
Communities
The intervention incorporates a flexible social action or “accountability” component, selected by community • Carry out (independently) the Social
Action they choose based on context• monitoring problems at the facility
level, • interface meetings with midwives
to improve service, • going to sub-district health
officers; • public hearings; • petitioning of policymakers; etc.
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R4D’s: Social Accountability Atlas & Center
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Social Accountability Atlas– Goal & approaches
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Goal: To improve the quality and impact of SAc interventions
By creating a dynamic & user-friendlyonline platform that will• provide accessible, credible information on actual SAc
interventions facilitate knowledge sharing and collaboration between and among CSOs, funders, researchers and policymakers
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Social Accountability Atlas and Center basics
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• Pilot in South East Asia• Pilot funded by USAID• Timeline: soft launch Summer 2014
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Thank you!
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