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Key Considerations for Accountability and Gender in Health Systems in Low- and Middle-Income Countries

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Waldman, Linda, Theobald, Sally ORCID: https://orcid.org/0000-0002-9053-211X and Morgan, Rosemary (2018) 'Key Considerations for Accountability and Gender in Health Systems in Low- and Middle-Income Countries'. IDS Bulletin, Vol 49, Issue 2.

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Abstract

article poses questions, challenges, and dilemmas for health system researchers striving to better understand how gender shapes accountability mechanisms, by critically examining the relationship between accountability and gender in health systems. It raises three key considerations, namely that: (1) power and inequities are centre stage: power relations are critical to both gender and accountability, and accountability mechanisms can transform health systems to be more gender-equitable; (2) intersectionality analyses are necessary: gender is only one dimension of marginalisation and intersects with other social stratifiers to create different experiences of vulnerability; we need to take account of how these stratifiers collectively shape accountability; and (3) empowerment processes that address gender inequities are a prerequisite for bringing about accountability. We suggest that holistic approaches to understanding health systems inequities and accountability mechanisms are needed to transform gendered power inequities, impact on the gendered dimensions of ill health, and enhance health system functioning

Item Type: Article
Subjects: WA Public Health > WA 30 Socioeconomic factors in public health (General)
WA Public Health > Health Problems of Special Population Groups > WA 300 General. Refugees
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WA Public Health > Health Administration and Organization > WA 540 National and state health administration
WA Public Health > Health Administration and Organization > WA 546 Local Health Administration. Community Health Services
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.19088/1968-2018.137
SWORD Depositor: JISC Pubrouter
Depositing User: Stacy Murtagh
Date Deposited: 17 May 2018 13:41
Last Modified: 17 May 2018 13:41
URI: http://archive.lstmed.ac.uk/id/eprint/8609

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