Accountability
Publications
Local health governance in Tajikistan: accountability and power relations at the district level
Relationships of power, responsibility and accountability between health systems actors are considered central to health governance. Despite increasing attention to the role of accountability in health governance a gap remains in understanding how local accountability relations function within the health system in Central Asia. This study addresses this gap by exploring local health governance in two districts of Tajikistan using principal-agent theory.
The results of the study:
- provide insight into the complexity of local governance relations and constraints to formal accountability processes;
- underline the importance of informal accountability tools and the political-economic context in shaping principal-agent relations;
- serve to demonstrate the use and limitations of agency theory in health governance analysis;
- point to the importance of entrenched positions of power in local health systems.
Evaluación PEFA de la gestión de finanzas publicas en gobiernos subnacionales del Perú
These Public Expenditure and Accountability (PEFA) evaluation reports are the results of a joint project carried out by evaluators, authorities and regional government officials to systematically measure the quality of public finance management in different regions of Peru.
The quality control process followed for the preparation of this report complies with all the requirements of the Secretariat for the Public Expenditure and Accountability Program (PEFA) in Peru.
Evaluations are available (in Spanish) for the regions of Apurímac, Cusco, Lambayeque, La Libertad, San Martín and Piura, for the province of Abancay and for the municipalities of Cusco, Chiclayo, Trujillo and San Martín.
These evaluations and reports were developed in the context of the Subnational Public Finance Management Strengthening Programme in Peru, funded by the State Secretariat for Economic Affairs of Switzerland (SECO) and implemented by the Basel Institute on Governance through its Peru office. View all publications of the Programa GFP Subnacional en el Perú.
Strengthening Health System Accountability: a WHO European Region Multi-Country Study
This publication is the output of the latest collaborative project between the Basel Institute on Governance and the World Health Organisation Regional Office for Europe.
The document, which is co-edited by Juan Tello of WHO and Claudia Baez Camargo of the Basel Institute, offers a comprehensive view of the various manners in which different WHO member states have strived to improve their governance performance and specially throws light as to how different strategies to improve accountability have been rolled out responding to variations across institutional frameworks.
Working Paper 10: Accountability for better healthcare provision
Strengthening accountability in public service provision is increasingly recognized as a precondition to improve the performance of the health sector in low-income countries. However, progress in this field has been hampered to a great extent because of empirical difficulties in measuring and assessing accountability.
This article provides a clear operational definition of the concept and discusses how and why accountability in public health service provision presents distinct challenges to the institutional capabilities of most developing countries. On the basis of both elements a set of guidelines to empirically assess accountability in health services is offered.
About this Working Paper
This paper is part of the Basel Institute on Governance Working Paper Series, ISSN: 2624-9650.
Corruption and Transparency in the Water Sector
This article sets out the experience of Transparency International (TI) in fighting corruption worldwide in the water sector. It focuses on identifying the sources of corruption in the sector and the available toolkits (best practice) for combating it.
Case studies from Cambodia, Japan, Colombia and Pakistan are used to illustrate some of the major points.
The article highlights the importance of forming inclusive multistakeholder approaches to fight corruption, involving government, regulators, utilities, the private sector and civil society organizations (CSOs) and uses as an example the Water Integrity Network (WIN) - a recent initiative to set up a network to combat corruption in the water sector.
It appeared as chapter 16 in Llamas, M. R., Martinez-Cortina, L., and Mukherji, A. (eds.) 2009.* Water Ethics: Marcelino Botin Water Forum 2007. *CRC Press.
