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171. How Can Evidence Bolster Citizen Action? Learning and Adapting for Accountable Public Health in Guatemala

Author:
Walter Flores
Publication Date:
02-2018
Content Type:
Special Report
Institution:
Accountability Research Center (ARC), American University
Abstract:
Most theories of change in the field of transparency and accountability assume that scientifically rigorous evidence increases the possibility of influencing officials and decision-makers. Generating this evidence has been the work of academic experts. Over the last decade, the Centro de Estudios para la Equidad y la Gobernanza de los Sistemas de Salud (the Center for the Study of Equity and Governance in Health Systems, or CEGSS) has considered the question of how to use evidence to influence authorities and promote participation by users of public services in rural indigenous municipalities of Guatemala. Our initial approach relied on producing rigorous evidence through the surveying of health care facilities using random samples. However, when presented to authorities, this type of evidence did not have any influence on them. In the follow-up phases, we gradually evolved our approach to employ other methods to collect evidence (such as ethnography and audiovisuals) that are easier to grasp by the non-expert public and the users of public services. The involvement of users of services in evidence collection was accompanied by civic action strategies to engage with authorities in the resolution of problems. Throughout a decade of work, we learned that methods for gathering evidence that draw in participation from the wider community, that help communities to tell their stories, and that facilitate collective action among service users tend to be the most powerful to influence responsiveness from authorities at local and regional levels of government. In addition, using participatory approaches to generating and interpreting evidence fosters pedagogical processes of civic action that empower service users by activating their roles as citizens and voters. This process has been used to open space for negotiating the allocation of public resources with authorities at different governance levels.
Topic:
Governance, Accountability, Transparency, and Public Health
Political Geography:
Central America and Guatemala

172. How a Community-Led Response to Sexual Exploitation in Uganda Led to Systemic World Bank Reform

Author:
Elana Berger
Publication Date:
06-2018
Content Type:
Special Report
Institution:
Accountability Research Center (ARC), American University
Abstract:
How can demands for accountability and redress for harm suffered in a particular case contribute to new institutional measures to prevent future abuse? This note describes how the small Ugandan community of Bigodi, together with local, national, and international allies, mobilized to demand redress for harm done by a World Bank-funded infrastructure project, and in doing so, catalyzed changes at the World Bank aimed at preventing similar abuses in the future. The Bigodi community’s 2015 request to the World Bank’s Inspection Panel, bolstered by international media coverage, led Bank management to respond both to the specific harms and to the underlying policy failures that made them possible. The community called for the World Bank to address cases of sexual exploitation of teenage girls by construction workers employed by a Bank-funded project, the Uganda Transport Sector Development Project (TSDP). This case is significant not only because World Bank funding for the project was cancelled, affected community members received needed support services, and a corrupt government agency was purged, but because the institutional changes made may prevent similar harms across future World Bank projects. The World Bank promotes a discourse of accountability, and yet obtaining redress when problems result from World Bank projects is difficult. This is often because, rather than treating requests from communities to the Inspection Panel as an opportunity to learn lessons and improve development outcomes, World Bank management generally responds defensively and treats the Panel investigation as an adversarial process in which they seek to prove the requestors wrong. As this case demonstrates, however, when management responds constructively to Panel investigations, genuine reform can take place. For this to happen, pressure from outside the Bank is needed to provide reformers within the Bank with the opportunity to make needed policy changes both at the project level and Bank-wide. The factors that led the Bank to respond constructively with a comprehensive response in the TSDP case included: – a strong community–NGO partnership which pursued justice for victims of sexual exploitation and abuse – sustained advocacy from national and international civil society – high-profile media attention on a topic that caused embarrassment for the Bank – a strong report from an independent accountability mechanism within the World Bank (the Inspection Panel) – pressure from the Bank’s Board of Directors, in particular frequent engagement from the US government with all levels of Bank management – high-level individuals within the Bank, including President Kim, were committed to making policy changes that would reduce the risk of gender-based violence in the future. This case embodies the potential for specific instances of harm to provide the necessary catalyst for improved accountability structures and system-wide change.
Topic:
Civil Society, World Bank, Reform, Sexual Violence, Accountability, Exploitation, and Community Engagement
Political Geography:
Uganda and Africa

173. Learning to Sustain Change: Mitanin Community Health Workers Promote Public Accountability in India

Author:
Samir Garg and Suchi Pande
Publication Date:
08-2018
Content Type:
Special Report
Institution:
Accountability Research Center (ARC), American University
Abstract:
Can community health workers (CHWs) act as agents of change in enhancing the public accountability of government, despite being state-funded actors themselves? CHW programs worldwide face challenges in achieving public accountability. They face a tension between upward accountability (to higher officials within the health system) and public accountability (to the people who access and use public health services), especially with respect to their potential to play a role as agents of public accountability (Schaaf et al. 2018). This Accountability Note illustrates how the CHW program of the Chhattisgarh state government in central India— known as Mitanin—has, over time, developed a learning strategy that permits CHWs (Mitanins) to enable sustained action on public accountability, whilst simultaneously providing health services and education, and linking communities with government healthcare services. The main proposition of this note is that this evolving learning strategy enabled state and civil society actors to design institutions and processes appropriate for accountability. Our focus is on understanding how learning has lent the program the ability to evolve ways for continuously managing the essential tensions inherent in its design, and how this has been key to developing sustainable accountability strategies. We discuss examples of how the Mitanins’ evolving learning strategy has contributed to their efforts to ensure public accountability of the health system to people who use public health services. These examples are grouped under five propositions about the roles CHWs can play in sustainable public accountability: 1. Community health workers can simultaneously act as service providers and agents of public accountability. 2. Community health workers can set agendas for advocacy on issues of accountability by building virtuous cycles of action and learning. 3. Community health workers can build countervailing power at multiple levels. 4. Community health workers can demand both rights for communities, and better working conditions for themselves. 5. ‘Action-strategists’ can create an appropriate state-civil society organization to facilitate community health workers’ action. This note offers insights from the Mitanin experience on these five ways that CHWs can build and sustain accountability, and illustrates how the program has taken a movement-building approach to public health, and thus avoided becoming a narrow technocratic intervention.
Topic:
Civil Society, Health, Accountability, Public Health, and Community Engagement
Political Geography:
South Asia and India

174. Movement-building for Accountability: Learning from Indonesian Women’s Organizing

Author:
Nani Zulminarni, Valerie Miller, Alexa Bradley, Angela Bailey, and Jonathan Fox
Publication Date:
10-2018
Content Type:
Working Paper
Institution:
Accountability Research Center (ARC), American University
Abstract:
Perempuan Kepala Keluarga (Women-Headed Family Empowerment, known as PEKKA) is an Indonesian organization whose work is rooted in a vision of women’s collective power and participation for social change. Since 2001, PEKKA has addressed entrenched social exclusion through popular education, intensive leadership development, and social accountability and policy advocacy. Thousands of marginalized women have overcome stigma and entered the public sphere to engage in politically savvy, sustainable collective action. This emphasis on autonomous grassroots voice is grounded in 2,559 village-level cooperatives that are also scaled up to district, provincial and national levels (PEKKA 2017). PEKKA’s combination of national advocacy with grassroots organizing and countervailing power has influenced national social programs and broadened women’s access to the legal system. Improved access to the courts allows women to obtain legal documentation of their own civil status. This allows women to legalize a marriage that was valid under Islamic law or file a divorce case that will enable her to be recognized as the head of her family. The experience of gaining legal documents may build the knowledge and confidence required to obtain a birth certificate for their children, thereby securing opportunities and access to social services, including education, for the next generation. PEKKA engages in cross-sector alliance-building with local government, Islamic authorities, national policymakers, and international development agencies. This creates the political space and legitimacy needed to navigate complex cultural and political dynamics and deflect those forces opposed to public accountability and social inclusion. PEKKA’s grassroots members promote social accountability, monitoring access to services and solving problems through collaborative engagement with authorities—though without using those terms. What makes PEKKA’s approach to social accountability distinctive is its emphasis on building a broad, autonomous social base as the foundation for projecting grassroots women’s voices, combined with its multi-level approach to advocacy. PEKKA takes scale into account by engaging with authorities from the village level to national and international levels. PEKKA’s long-term efforts to build a broad-based organization with more than 31,447 members have brought fresh and reimagined language, analysis, and strategy ideas to the transparency, participation, and accountability (TPA) field. Key lessons from PEKKA’s accountability strategies include the following: Address underlying institutional and cultural causes of social exclusion to create the confidence and space needed for women to exercise their voices and take collective action. Use economic empowerment to build social foundations for autonomous voice and civic engagement. Build countervailing power through action strategies that scale up member voice, leadership skills, and opportunities for participation in all aspects of the work. Produce diverse forms of evidence for multiple audiences to advance advocacy strategies and maximize impact. Cultivate allies and relationships inside and outside government, and at multiple levels, to expand impact and deflect opposition.
Topic:
Social Movement, Women, Accountability, Community Organizing, and Grassroots Organizing
Political Geography:
Indonesia and Southeast Asia

175. Key Issues and Policy Recommendations, Conference 4

Author:
Philipp H. Fluri, Oleksiy Melnyk, and Nazli Yildirim
Publication Date:
01-2017
Content Type:
Special Report
Institution:
Razumkov Centre
Abstract:
This publication offers the Key Issues and Policy Recommendations based on the results of the Forth International Conference “Security Sector Governance: the Role of the Media”. In established democracies, free and independent media play a crucial role in the democratic oversight of the security sector, allow for channels of communication to be established between government and society, and present a crucial foundation for guaranteeing and protecting human rights and freedoms. This security sector reform conference was unique in that journalists were invited as not just reporters but the main participants of the debates. The dialogue had a multi-dimensional, multi-levelled character that touched upon national and international questions of security as it pertains to information warfare, particularly in Ukraine.
Topic:
Civil Society, International Organization, Media, Accountability, Institutions, Transparency, and Oversight
Political Geography:
Europe, Ukraine, and Global Focus

176. Parliamentary Ethics Ukraine

Author:
I. Suslova, Philipp H. Fluri, and Valentyn Badrack
Publication Date:
12-2017
Content Type:
Special Report
Institution:
Razumkov Centre
Abstract:
This is a research focused on the Ukrainian context, aimed at providing guidance on existing codes of conduct in the context of the latest efforts to approve such a code in the Verkhovna Rada of Ukraine.
Topic:
Governance and Accountability
Political Geography:
Ukraine and Global Focus

177. Key Issues and Policy Recommendations, Conference 3

Author:
Philipp H. Fluri, Oleksiy Melnyk, and Nazli Yildirim
Publication Date:
01-2017
Content Type:
Special Report
Institution:
Razumkov Centre
Abstract:
This publication offers the Key Issues and Policy Recommendations based on the results of the Third International Conference “Governance and Reform of State Security Services: Best Practices”. Conference Three – the third in a series of eight – focused exclusively on the SSU reform process; aiming to unpack the issues raised during the first two events: the SSU’s military status, pre-trial investigation powers and its oversight and accountability. Building on the findings and recommenda- tions of the previous conferences, this Conference aimed to identify current reform priorities, discuss relevant European good practices and assess capacity development needs for intelligence governance in Ukraine.
Topic:
Security, Intelligence, Legislation, Accountability, and Institutions
Political Geography:
Europe, Ukraine, and Eastern Europe

178. Fighting Corruption in Albania: Improving the Efficiency of Internal Auditing

Author:
Redion Qirjazi
Publication Date:
12-2017
Content Type:
Policy Brief
Institution:
Institute for Democracy and Mediation (IDM)
Abstract:
This policy brief discusses the causes of the limited efficiency of the IAUs that is primarily related to the lack of independence from institutional leadership resulting in limited capacities to provide effective ‘checks and balances’ and hold institutions accountable and transparent. It then argues for the establishment of an Independent Commissioner of the Internal Audit to best tackle these problems and uphold the principle of ‘independent but accountable’ IAUs.
Topic:
Corruption, Government, Regulation, Accountability, Legal Sector, and Audit
Political Geography:
Albania

179. Working with people and communities in urban humanitarian crises

Author:
Leah Campbell
Publication Date:
06-2017
Content Type:
Working Paper
Institution:
ALNAP: Active Learning Network for Accountability and Performance
Abstract:
This Working Paper explores the topic of working with urban populations and communities. It draws on practical challenges and approaches in relation to targeting and communication with urban populations, and in the mobilisation of urban communities.
Topic:
Communications, Media, Crisis Management, Accountability, Urban, Participation, and Humanitarian Response
Political Geography:
Global Focus

180. Beyond the Card Reader: Elections Rigging as an Emerging National Security Threat in Nigeria

Author:
Ufo Okeke Uzodike and Hakeem Onapajo
Publication Date:
09-2017
Content Type:
Working Paper
Institution:
African Heritage Institution (AfriHeritage)
Abstract:
This paper provides an evaluation of the existing technological strategies in the Nigerian electoral process with a view to ascertain their reputed efficacy for solving the problem of electoral malpractices in the country. Are the devices really fit for purpose? Will they address the accreditation problems and prevent multiple voting and other forms of elections rigging and malpractices? Is Nigeria technically ready and able to manage effectively electronic devices that have the potential of being used to unleash massive electoral fraud that could completely undermine peaceful coexistence within its fragile and sensitive electoral context? It then provides policy recommendations on advancing the measures to improve the credibility of elections in Nigeria.
Topic:
Corruption, Governance, Developing World, Elections, Democracy, and Accountability
Political Geography:
Africa and Nigeria