FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2469905218> ?p ?o ?g. }

• W2469905218 abstract "<h3>Background</h3> Community empowerment is being increasingly recognised as a critical component towards enhancing accountability of and equitable access to health care. In India, a participatory process termed ‘Social audit’ has emerged as an effective model for ensuring accountability and equity in the Employment Guarantee scheme. In Maharashtra, a group of Civil Society Organizations (CSOs), implementing Community-Based Monitoring and Planning (CBMP) of health services under the National Rural Health Mission (NRHM) since 2007, considered <i>Rogi Kalyan Samities</i> (RKS, Patient Welfare Committees) as an important gateway to ensure effective and equitable utilisation of flexible funds under what is now the Nation Health Mission (NHM), and initiated a Participatory Audit and Planning (PAP) process. <h3>Methods</h3> Retaining the core of social audit with appropriate modifications in the context of RKS funds, a PAP was conducted in 9 health facilities from three tribal districts of Maharashtra between December 2014 and March 2015. In a preparatory phase, RKS expenditure data of the year 2013–2014 were analysed and public report cards were prepared. The PAP then involved examination of financial documents, physical verification of purchases and report cards. Multiple stakeholders (RKS members, elected representatives, health providers and CSO actors) were involved in the process. Eventually, in a dialogue among key stakeholders, identified issues would be discussed, decisions taken and future planning done accordingly. <h3>Findings</h3> Implementation of the PAP process yielded positive impact on accountability and effective utilisation of RKS funds based on peoples9 needs. The process enabled a better understanding of the functioning of RKS by making its expenditure public to all stakeholders in the form of report cards. According to our findings, RKS functioning however had a series of issues: committee members and coordinators appointed by NHM did not have clarity about their roles and responsibilities; most of the expenditures were done without prior sanctions from RKS; and decisions were in most instances autonomously taken by the medical officer. As revealed by the report cards, funds were predominantly spent on stationary, internet and telephone bills, purchase of equipment and medicines. During the stakeholder dialogue, findings and issue were discussed and decisions were taken. Up to 45% of the issues were resolved locally with follow-up by CSOs. These were mainly contributions to improved service delivery – like provision of curtains for women9s ward, of sitting arrangements for patients, of drinking water and food for patients and relatives, or corrections. An example of the latter is given by a stakeholder: “A fridge and cooler were purchased for health institution however kept in staff quarters. During the process concerned officer was asked to bring it back to the institute and this was done on the very same day”. Dissemination of the PAP process also had positive impact at state level, where two decisions were taken. One was to conduct a state-level workshop for RKS coordinators and accountants regarding their role and responsibilities. Second was to upscale the PAP process to a total of 140 health facilities across Maharashtra. So far, the PAP process was conducted in 65 health facilities in the year 2015–2016. <h3>Discussion & recommendations</h3> Before the PAP process was installed, RKS flexible funding only underwent a ‘technical’ financial audit by state government, without a mechanism in place for feedback of beneficiaries and with very limited community involvement. In comparison, the PAP process presents an effective pathway towards accountability with involvement of various RKS stakeholders, including active community members. As expected, the PAP process has contributed in increasing empowerment of RKS members and responsiveness of healthcare providers. Presenting report cards with expenditure patterns in a multi-stakeholder dialogue also helped in bringing transparency, thereby creating awareness among key stakeholders. The PAP process provided a foundation for community-based monitoring of actual utilisation of RKS flexible funds, for planning of expenditure taking into account peoples9 needs, and for dialogue among all key stakeholders. As such, the PAP process has the potential to contribute to improved service quality, to bring a sense of ownership amongst community and elected members, and eventually to increase accountability and equity of public service delivery. Based on our study findings, for a PAP process to become effective a series of conditions have to be in place: (1) bringing together a multiple-stakeholder group, including CSOs, health providers and elected members, and that is given authority to take decisions and actions; (2) a critical mass of active community members who can raise the issues; (3) a basic mandate at least in the form of orders from high-level officials to field-level staff, to ensure engagement of healthcare providers; and (4) sufficient and active response of the healthcare authorities, so as to maintain the motivation of community and other stakeholders. <i>Grant funding (International Budget Partnership, Washington DC, USA) for research but no other competing interests</i>." @default.
• W2469905218 created "2016-07-22" @default.
• W2469905218 creator A5035259682 @default.
• W2469905218 creator A5047620688 @default.
• W2469905218 creator A5081994933 @default.
• W2469905218 creator A5089083844 @default.
• W2469905218 date "2016-06-01" @default.
• W2469905218 modified "2023-09-25" @default.
• W2469905218 title "PARTICIPATORY AUDIT AND PLANNING OF FLEXIBLE FUNDS UNDER NATIONAL HEALTH MISSION IN MAHARASHTRA, INDIA" @default.
• W2469905218 doi "https://doi.org/10.1136/bmjgh-2016-ephpabstracts.22" @default.
• W2469905218 hasPublicationYear "2016" @default.
• W2469905218 type Work @default.
• W2469905218 sameAs 2469905218 @default.
• W2469905218 citedByCount "0" @default.
• W2469905218 crossrefType "proceedings-article" @default.
• W2469905218 hasAuthorship W2469905218A5035259682 @default.
• W2469905218 hasAuthorship W2469905218A5047620688 @default.
• W2469905218 hasAuthorship W2469905218A5081994933 @default.
• W2469905218 hasAuthorship W2469905218A5089083844 @default.
• W2469905218 hasBestOaLocation W24699052181 @default.
• W2469905218 hasConcept C121955636 @default.
• W2469905218 hasConcept C144133560 @default.
• W2469905218 hasConcept C162324750 @default.
• W2469905218 hasConcept C17744445 @default.
• W2469905218 hasConcept C199521495 @default.
• W2469905218 hasConcept C199539241 @default.
• W2469905218 hasConcept C199728807 @default.
• W2469905218 hasConcept C203663800 @default.
• W2469905218 hasConcept C20555606 @default.
• W2469905218 hasConcept C2776007630 @default.
• W2469905218 hasConcept C2779015095 @default.
• W2469905218 hasConcept C2908647359 @default.
• W2469905218 hasConcept C2986740045 @default.
• W2469905218 hasConcept C3116431 @default.
• W2469905218 hasConcept C39549134 @default.
• W2469905218 hasConcept C50522688 @default.
• W2469905218 hasConcept C513891491 @default.
• W2469905218 hasConcept C71924100 @default.
• W2469905218 hasConcept C94625758 @default.
• W2469905218 hasConcept C99454951 @default.
• W2469905218 hasConceptScore W2469905218C121955636 @default.
• W2469905218 hasConceptScore W2469905218C144133560 @default.
• W2469905218 hasConceptScore W2469905218C162324750 @default.
• W2469905218 hasConceptScore W2469905218C17744445 @default.
• W2469905218 hasConceptScore W2469905218C199521495 @default.
• W2469905218 hasConceptScore W2469905218C199539241 @default.
• W2469905218 hasConceptScore W2469905218C199728807 @default.
• W2469905218 hasConceptScore W2469905218C203663800 @default.
• W2469905218 hasConceptScore W2469905218C20555606 @default.
• W2469905218 hasConceptScore W2469905218C2776007630 @default.
• W2469905218 hasConceptScore W2469905218C2779015095 @default.
• W2469905218 hasConceptScore W2469905218C2908647359 @default.
• W2469905218 hasConceptScore W2469905218C2986740045 @default.
• W2469905218 hasConceptScore W2469905218C3116431 @default.
• W2469905218 hasConceptScore W2469905218C39549134 @default.
• W2469905218 hasConceptScore W2469905218C50522688 @default.
• W2469905218 hasConceptScore W2469905218C513891491 @default.
• W2469905218 hasConceptScore W2469905218C71924100 @default.
• W2469905218 hasConceptScore W2469905218C94625758 @default.
• W2469905218 hasConceptScore W2469905218C99454951 @default.
• W2469905218 hasLocation W24699052181 @default.
• W2469905218 hasOpenAccess W2469905218 @default.
• W2469905218 hasPrimaryLocation W24699052181 @default.
• W2469905218 hasRelatedWork W1748652574 @default.
• W2469905218 hasRelatedWork W2006560836 @default.
• W2469905218 hasRelatedWork W2015350800 @default.
• W2469905218 hasRelatedWork W2373581050 @default.
• W2469905218 hasRelatedWork W2588513572 @default.
• W2469905218 hasRelatedWork W2589111406 @default.
• W2469905218 hasRelatedWork W36026514 @default.
• W2469905218 hasRelatedWork W4236876770 @default.
• W2469905218 hasRelatedWork W4318067088 @default.
• W2469905218 hasRelatedWork W2964411784 @default.
• W2469905218 isParatext "false" @default.
• W2469905218 isRetracted "false" @default.
• W2469905218 magId "2469905218" @default.
• W2469905218 workType "article" @default.