from advocacy to accountability: empowering communities throughout the uhc process
TRANSCRIPT
From Advocacy to Accountability:Empowering communities throughout the UHC Process
Ricardo Valladares Cardona, HEP+ Guatemala
Prince Mahidol Award Conference, January 29, 2017
• Introduce conceptual framework for civilsociety engagement
• Explore how civil society and communityorganizations have successfully engaged inthe policy process in Guatemala
• Way forward for civil society organizations(CSOs) and community engagement givenhealth reform proposals
2
Objectives
3
A Conceptual Framework for CSOand Community Engagement
Source: Fox, 2016
CSO tactics vs. strategies
Tactics
• Tool-led interventions (oftenexternal)
• Limited to citizen voice efforts• Information provision• Limited to “local” arenas
Strategies
• Multiple, coordinated tactics• Enabling environments for
collective action to reduceperceived risk
• Citizen voice coordinated withgovernmental reforms thatbolster public sectorresponsiveness
• Multi-level• Campaigns rather than
interventions
Applying the Framework toGuatemala’s CSO Landscape
OSAR
National policy-making, budgets,
and plans
Sub-nationalpolicy-making,budgets, and
implementation
Local resourceallocation
ALIANMISAR
National policy-making, budgets,
and plans
Sub-nationalpolicy-making,budgets, and
implementation
Local resourceallocation
REDHOSEN
National policy-making, budgets,
and plans
Sub-nationalpolicy-making,budgets, and
implementation
Local resourceallocation
NationalConsultation:
CCM, NHC,COPAS
National policy-making, budgets,
and plans
CNAA
National policy-making,
budgets, andplans
Sub-nationalpolicy-making,budgets, and
implementationLocal resourceallocation
Communitycouncils
5
Key CSOs: Roles and Responsibilities
OSAR:Reproductive
HealthObservatory
ALIANMISAR:IndigenousWomen’sAlliance
REDHOSEN:Men’s Network
for Health,Education, and
Nutrition
• Reducing healthdisparities forindigenouspopulations
• Promoting culturalappropriateness inhealthcare facilitiesand services
• Informing compliance of legalframework on reproductive health
• Analyzing sexual and reproductivehealth situation and causes ofdisparities by gender, ethnic group,age, and social stratum
• Promoting new“masculinities” andgender equity amongthe youth
• Advocating for maleengagement inhealth, education,and nutritionactivities
CSO Spotlight:ALIANMISAR
Mission:• Ensure compliance with sexual and
reproductive rights with culturalrelevance through advocacy andpolitical dialogue
Strategic Objectives:• Demand public resources for
reproductive health for indigenouspopulations with higher maternalmortality rates
• Watch over the government’s obligationto women’s rights to accessible,effective, and culturally appropriatehealth services, especially familyplanning and maternal neonatal health
• Health communication for behaviorchange on sexual and reproductivehealth
103Organizations
8 Networks
National Alliance
Silvia Xinico
Guatemala’s SNIS HealthIndicators System: Available to All
• One entry-point
• Statistics andindicators
• Early-warningsystems
• Management-level decision-making support
• Available to CSOsto use foradvocacy
8
Aligning CSO engagement with health financing over time
Source: HEP+
• Social participation in Guatemala has facedchallenges due to political instability andconflict
• CSOs engage at all levels of policy and planning
• Social participation in auditing and publicoversight contributes to fighting publiccorruption
• New goals for CSO networks as a result of thehealth reform process– New capacities and new scale of participation
9
Conclusions
Health Policy Plus (HP+) is a five-year cooperative agreement funded by the U.S. Agency for International Development under Agreement No. AID-OAA-A-15-00051, beginning August 28, 2015. The project's HIV-related activities are supported by the U.S. President's Emergency Plan for AIDS Relief(PEPFAR). HP+ is implemented by Palladium, in collaboration with Avenir Health, Futures Group Global Outreach, Plan International USA, PopulationReference Bureau, RTI International, the White Ribbon Alliance for Safe Motherhood (WRA), and ThinkWell.
The information provided in this document is not official U.S. Government information and does not necessarily represent the views or positions of theU.S. Agency for International Development.
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