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Scorecards and social accountability for improved maternal and newborn health services : a pilot in the Ashanti and Volta regions of Ghana

Blake, Carolyn and Annorbah-Sarpei, Nii Ankonu and Bailey, Claire and Ismaila, Yakubu and Deganus, Sylvia and Bosomprah, Samuel and Galli, Francesco and Clark, Sarah. (2016) Scorecards and social accountability for improved maternal and newborn health services : a pilot in the Ashanti and Volta regions of Ghana. International journal of gynecology & obstetrics, 135 (3). pp. 372-379.

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Official URL: http://edoc.unibas.ch/53597/

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Abstract

With the limited availability of quality emergency obstetric and newborn care (EmONC) in Ghana, and a lack of dialogue on the issue at district level, the Evidence for Action (E4A) program (2011-2015) initiated a pilot intervention using a social accountability approach in two regions of Ghana.; Using scorecards to assess and improve maternal and newborn health services, the intervention study evaluated the effectiveness of engaging multiple, health and non-health sector stakeholders at district level to improve the enabling environment for quality EmONC.; The quantitative study component comprised two rounds of assessments in 37 health facilities. The qualitative component is based on an independent prospective policy study.; Results show a marked growth in a culture of accountability, with heightened levels of community participation, transparency, and improved clarity of lines of accountability among decision-makers. The breadth and type of quality of care improvements were dependent on the strength of community and government engagement in the process, especially in regard to more complex systemic changes.; Engaging a broad network of stakeholders to support MNH services has great potential if implemented in ways that are context-appropriate and that build around full collaboration with government and civil society stakeholders.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Swiss Centre for International Health > Sexual and Reproductive Health (Zahorka)
UniBasel Contributors:Ismaila, Yakubu
Item Type:Article, refereed
Publisher:Harper
ISSN:0020-7292
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:20 Apr 2017 12:13
Deposited On:20 Apr 2017 12:13

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