Power, Participation, and Politics

October 10, 2014
Washington DC

Power, Participation, and Politics in the Health Sector: The Social Accountability Angle

Wednesday October 22, 2014 | 12:30-2:00pm Room J9-044 | 701 18th Street NW, Washington DC


The Global Partnership for Social Accountability, with Results for Development Institute and the Governance Global Practice and Health, Nutrition and Population Global Practice of the World Bank jointly invite you to Power, Participation, and Politics in the Health Sector: The Social Accountability Angle

A recording of this event will be published on this page shortly.

Opening Remarks
Olusoji Adeyi | Director, Health, Nutrition and Population Global Practice

Courtney Tolmie | Senior Program Director, Governance Program | Results for Development Institute


Hana Brixi
Program Leader for Governance, Education, Health, Social Protection, Labor and Gender for Gulf countries

Daniel Cotlear | Lead Economist, Health, Nutrition and Population Global Practice

Aly Lal | Expert, Concern Universal Mozambique

Roby Senderowitsch | Program Manager, Global Partnership for Social Accountability

Social Accountability (SAcc) approaches are increasingly seen as one potential solution to problems with service delivery because these approaches allow communities to identify breakdowns while also holding responsible agents or decision makers to account. Yet evidence about the effectiveness of these approaches is mixed. Some studies of SAc interventions show positive effects on community empowerment and health and education outcomes, while others show no impact. Moreover, those studies of effective interventions often have difficulty understanding why they worked, what aspects of the context played a role, and whether they truly empowered poor communities or were largely irrelevant to the deeper problems of power inequity, institutional failure, or social conflict that often foster slow and uneven development.

This BBL session will focus on the following questions based on experiences and lessons from the health sector:

  • How do you design social accountability to be flexible and appropriate to encourage citizen participation as well as adapt to different political and sector context factors? To what extent can we learn from the health sector?
  • How do you develop an evaluation that goes beyond showing whether an intervention is effective ? to answering questions about the role of context, empowerment, and the mechanisms through which SAc works or does not?
  • How do we ensure that evaluations like this are designed to help practitioners and funders of social accountability?

In this BBL, we will share the experience from first phase of the Transparency for Development (T4D) initiative, a mixed-method multi-country project that seeks to answer the questions of whether community-led transparency and accountability initiatives can improve health outcomes ? and in what context. A collaboration between the Harvard Kennedy School and Results for Development Institute, the project integrates the co-design of a flexible social accountability intervention with civil society partners and a quantitative and qualitative evaluation of the effectiveness and potential generalizability of this approach.

Courtney Tolmie is a Senior Program Director for R4Dês Governance Program and is a Research Fellow at the Harvard Kennedy School. She has ten years of experience in project management of both global research and capacity building projects, including leading the Strengthening Institutions to Improve Public Expenditure Analysis project for supporting think tanks and the Transparency and Accountability Program. Courtney is Research Manager for the Transparency for Development project, a portfolio of mixed-method impact evaluations led by the Harvard Kennedy School to identify the impact and role of context in the ability of transparency and accountability in achieving better health outcomes. Courtney has undertaken reviews and evaluations of the effectiveness of independent organizations in influencing policy and catalyzing citizen participation, including From the Ground Up (with S. Kosack and C. Griffin) and Lives in the Balance (with D. de Ferranti, C. Griffin, C. Bun, J. Jacinto, & G, Ramshaw).

Hana Brixi leads an operational, knowledge, learning and solutions program on governance and service delivery. In particular, she is leading the regional flagship initiative Trust, Voice and Incentives in Service Delivery in the Middle East and North Africa (MENA) Region; innovative engagement such the Local Governance Performance Index benchmarking activity; and the Bank Group Community of Practice on Governance for Service Delivery. At the global level, she led the World Bank Quality of Fiscal Adjustment Thematic Group, promoting innovation in fiscal risk management. She also taught as a Visiting Professor at Tsinghua University, School of Public Policy and Management, in Beijing.

Daniel Cotlear is the coordinator of the World Bank's Universal Health Coverage study series which recently published 24 studies analyzing how countries around the world are implementing Universal Health Coverage (UHC). He has held several positions within the World Bank, including as Lead Economist for the Health Nutrition and Population anchor. Prior to this, he worked in the Latin America region in various capacities, including leading a program on accountability and social policy that produced multiple publications and videos (RECURSO). His most recent book, Population Aging: Is Latin America Ready? was published in 2011. He holds a D.Phil. from Oxford University, and a BA from PUCP in Peru.

Olusoji Adeyi, MD, MBA, DrPH, is the Director of the Health, Nutrition and Population Global Practice at the World Bank Group. He has served as the World Bankês Sector Manager for Health, Nutrition and Population in Eastern and Southern Africa, with responsibilities for the institutionês support for policies, strategies and programs in the sub-region. Dr. Adeyi was founding Director of the Affordable Medicines Facility-malaria (AMFm) at the Global Fund to Fight AIDS, Tuberculosis and Malaria. He was formerly Coordinator of Public Health Programs at the World Bank, where he led a number of initiatives on global public health policies and strategies, and analyses of the integration of health systems and health interventions. Dr. Adeyi has extensive experience in policies, strategies and programs for health systems, service delivery and disease control at the global, regional and country levels in Africa, Eastern Europe and Central Asia. He has had responsibilities with the Federal Ministry of Health in Nigeria, WHO, UNAIDS and Harvard School of Public Health. He has authored research papers and books on service delivery, quality of care, maternal health, health financing, HIV/AIDS, tuberculosis, malaria and chronic non-communicable diseases.

Roby Senderowitsch currently serves as Program Manager of the Global Partnership for Social Accountability (GPSA). Previously he served as Country Manager of the World Bank in the Dominican Republic. A graduate of the Johns Hopkins University, his work in the Bank included a strong focus on political economy analysis, building coalitions for change, anti-corruption, and performance based management of public institutions. Before joining the Bank, Roby work with several NGOs in Argentina and Cuba, where he served as the Field Representative of the American Jewish Joint Distribution Committee. He has been a lecturer in Human Resource management in nonprofit organizations, as well as director of educational programs and community development and human resource management in the private sector. Roby holds a Bachelor of Science in Education from the University of Buenos Aires and a series of postgraduate courses at Harvard and Stanford University.