Title: Women in the Lead: Monitoring Health Services in Bangladesh Authors: Sarita Barpanda, Samia Afrin, Abhijit Das
Naripokkho is the first non political organisation working on women’s rights, liberty and freedom in Bangladesh. It is a membership based organisation, which was started in 1983 and its 110 active members provide the impetus for its work which is primarily executed through networks and partnerships. It works in all the 64 districts of Bangladesh through an alliance named Doorbar where the primary focus is on political empowerment and prevention of violence against women (VAW). Simultaneously, Naripokkho works on reproductive health and rights in partnership with 37 NGOs in 29 districts.
Accountability and Social Action in Health - A Case Study on Solid Waste Management in Three Local Authority Areas of Zimbabwe Training and Research Support Centre (TARSC )with Civic Forum on Housing (CFH)
Solid waste management is a major challenge to most urban local authorities in Zimbabwe. Rapid urbanisation in the last decade, coupled with economic decline and social disruption, placed considerable strain on local authorities’ resources, resulting in their failure to provide adequate services to residents. By 2009, residents were discontent about waste management and the social problems created by waste dumping. To build capacity, strengthen accountability and facilitate sustainable options at the local level on solid waste management, Training and Research Support Centre (TARSC) and Civic Forum on Housing (CFH) used participatory research in 2010 to map the situation. Training and working with community-based researchers, TARSC and CFH identified actions for communities, the private sector and service organisations in three local authority areas of Zimbabwe (Chitungwiza, Epworth and Mutare). Researchers and civil society organisations met with the local authorities and industry and identified areas for follow-up action. Read more
Title: Citizen Monitoring to Promote the Right to Health Care and Accountability Authors: Ariel Frisancho and Maria Luisa Vasquez
CARE (Peru), ForoSalud and COPASAH have prepared the case study on citizen monitoring to promote the right to health care and accountability. In the context of Peru where transparency and accountability is still a challenge, citizen health care monitoring is promoted as a mechanism of citizen participation aimed at monitoring and verifying compliance with the duties, obligations and commitments of state authorities and public servants in the health care of the population. Citizen monitoring promotes transparency and accountability which are essential for good governance and democracy. The case-study is a demonstration of this process of citizen engagement in building accountable systems. The positive aspects of this case study is that it provides lessons for the of universal health care and it focuses on the key importance of strategic alliances with public and civil society actors to strengthen the capacity of rural women's agency and to address unequal power relations. Read more
Title: Claiming Entitlements: The Story of Women Leaders’ Struggle for the Right to Health in Uttar Pradesh, India Authors: Abhijit Das and Jashodhara Dasgupta
This is the story of the leaders of a women's organisation, Mahila Swasthya Adhikar Manch (Women's Health Rights Forum) in the state of Uttar Pradesh in India. It recounts how a group of women from the extremely marginalised sections of society have become empowered and are monitoring their entitlements around health services and other services which are related to the social determinants of health. It describes the evolution of the group, its activities and some of the results of their advocacy action with a focus on their empowerment process. Read more
Title: Community Based Monitoring and Planning in Maharashtra, India Authors: Abhay Shukla, Shelley Saha, Nitin Jadhav
Community based monitoring has emerged today as a powerful approach to make health services accountable and responsive. In India, the National Rural Health Mission has been supporting Community based monitoring and planning (CBMP) in several states since 2007, of which Maharashtra is one state where the process has developed with a definite rights based approach and has continuously expanded, based on a variety of innovations. As of now CBMP is being implemented in 13 districts, 35 blocks and 815 villages of the state, through the coordinated efforts of about 25 civil society organizations. Read more
Title: Empowering marginalized indigenous communities through the monitoring of public health care services in Guatemala
Authors: Walter Flores, Lorena Ruano
The result of this four-year process has helped CEGSS identify strategies that include systematic work at the community and health district level. In this report, we present the experience of our program for the period 2008-2011 and reflect on our strategies and decisions, accomplishments and the challenges faced. The document further discusses how the project is changing the existing power relationships and presents a possible way forward through the process of reflecting on the lessons we learned in the with an aim to highlight the sustainability of similar projects and the outcomes that can be expected.
Title: A March towards Dignified Life: A Case Study on advocacy processes and strategies of Manual Scavenging Community in Tumkur Karnataka (India) for Dignity and Freedom
Authors: Surekha Dhaleta, K. B. Obalesh, E. Premdas Pinto
The structurally marginalised and the disempowered groups often face challenges of claiming their entitlements, negotiating with service providers and in seeking responsiveness of the systems. Amidst the marginalised sections also, communities existing on extreme margins like sub-castes/categories of Dalits1, who are involved in work of manual scavenging, sweeping, sewage work/cleaning septic tanks, removing garbage and carcasses etc. are particularly vulnerable.
Title: Demanding Accountability for Well-being, Dignity and Justice for Dalit Women
Authors: E. Premdas Pinto, Surekha Dhaleta, Akhila Vasan and Chinnamma Muddanagudi
Health is increasingly being conceptualized as being socially determined. In the case of marginalized communities, social determinants of health are not confined only to the bio-medical factors that cause disease and morbidity alone. Most fundamentally, such disease and morbidity are themselves a product of the structural barriers that they face. Most often these structural barriers are experienced as discrimination and are referred through the concepts of marginalization and social exclusion.