The Accountability Politics of Reducing Health Inequities: Learning from Brazil and Mozambique.

Lead Research Organisation: Institute of Development Studies
Department Name: Research Department

Abstract

Health inequities - that is, inequalities in health which result from social, economic or political factors and unfairly disadvantage the poor and marginalised - are trapping millions of people in poverty. Unless they are tackled, the effort to fulfill the promise of universal health coverage as part of the fairer world envisaged in the post-2015 Sustainable Development Goals may lead to more waste and unfairness, because new health services and resources will fail to reach the people who need them most. In Mozambique, for example, the gap in infant mortality between the best-performing and worst-performing areas actually increased between 1997 and 2008, despite improvements in health indicators for the country as a whole. However, while many low- and middle-income countries are failing to translate economic growth into better health services for the poorest, some - including Brazil - stand out as having taken determined and effective action. One key factor that differentiates a strong performer like Brazil from a relatively weak performer like Mozambique is accountability politics: the formal and informal relationships of oversight and control that ensure that health system managers and service providers deliver for the poorest rather than excluding them. Since the mid-1990s, Brazil has transformed health policy to try to ensure that the poorest people and places are covered by basic services. This shift was driven by many factors: by a strong social movement calling for the right to health; by political competition as politicians realised that improving health care for the poor won them votes; by changes to health service contracting that changed the incentives for local governments and other providers to ensure that services reached the poor; and by mass participation that ensured citizen voice in decisions on health priority-setting and citizen oversight of services. However, these factors did not work equally well for all groups of citizens, and some - notably the country's indigenous peoples - continue to lag behind the population as a whole in terms of improved health outcomes.

This project is designed to address the ESRC-DFID call's key cross-cutting issue of structural inequalities, and its core research question "what political and institutional conditions are associated with effective poverty reduction and development, and what can domestic and external actors do to promote these conditions?", by comparing the dimensions of accountability politics across Brazil and Mozambique and between different areas within each country. As Mozambique and Brazil seek to implement similar policies to improve service delivery, in each country the research team will examine one urban location with competitive politics and a high level of economic inequality and one rural location where the population as a whole has been politically marginalised and under-provided with services, looking at changes in power relationships among managers, providers and citizens and at changes in health system performance, in order to arrive at a better understanding of what works for different poor and marginalised groups in different contexts.

As two Portuguese-speaking countries that have increasingly close economic, political and policy links, Brazil and Mozambique are also well-placed to benefit from exchanges of experience and mutual learning of the kind that Brazil is seeking to promote through its South-South Cooperation programmes. The project will support this mutual learning process by working closely with Brazilian and Mozambican organisations that are engaged in efforts to promote social accountability through the use of community scorecards and through strengthening health oversight committees, and link these efforts with wider networks working on participation and health equity across Southern Africa and beyond.

Planned Impact

The project's main impact goal is to help ensure that better-quality health services reach the poorest and most marginalised people in Brazil and Mozambique, by making use of the strong links with key policymakers and practitioners in both countries already developed by the research team (see CVs). It also includes strong engagement with academic, policy and practitioner audiences in other fields. The impact strategy will include the following key activities:

- Providing face-to-face briefings and printed summaries to Mozambican policymakers, practitioners and donor agencies active in the health and social accountability fields via a partnership agreement with the DFID-funded Citizen Engagement Programme (CEP) social accountability initiative which has offered to co-host the project's inception workshop in Maputo and contribute to its cost, in exchange for research team and Reference Group members' participation in its Annual Learning Event, which will bring together project partners (NGOs working on social accountability in health and education across Mozambique), donors (including DFID, DANIDA and IrishAid), the MoH and key government research institutions such as Brazil's Fiocruz and Mozambique's National Institute of Health (see letter of support) - Fernanda Farinha (team member), Denise Namburete (Co-I)

- Providing accessible printed and video material to Mozambican practitioners via the award-winning communication work of N'Weti, the NGO founded by Denise Namburete

- Presenting briefing papers and discussing lessons learned with Southern African participation and health equity policy and research audiences via ongoing dialogue and a joint workshop with EQUINET - Leslie London (UCT, Reference Group member), Rene Loewenson (TARSC, Reference Group member), Hayley MacGregor (IDS, team member)

- Presenting papers with findings to Brazilian / South American / Portuguese-speaking general health policy and research audiences via a strong link with Brazilian Public Health Association (ABRASCO), South American Institute of Health Governance (ISAGS), CPLP health institutes network and editorial board of Ciencia e Saude Coletiva - Jose Luiz Telles (team member) and Luiz Eduardo Fonseca (Fiocruz, Reference Group member)

- Presenting papers with findings to Brazilian / South American democracy, governance and participation policy and research audiences via a strong link with Brazilian Political Science Association (ABCP) and editorial board of Novos Estudos - Vera Schattan (Co-I) - and International Conference on Participation, Democracy and Policy - Alex Shankland (PI)

- Presenting briefing papers and discussing lessons learned with Brazilian and global indigenous health policy and research audiences via a strong link with MoH Special Secretariat for Indigenous Health - Luciana Benevides (team member) - NGOs and indigenous movement organisations - Alex Shankland - and global indigenous health networks - Walter Flores (CEGSS, Reference Group member)

- Presenting papers / articles with findings to worldwide Health Systems policy and research audiences via a strong link with Health Systems Global leadership - Gerry Bloom (Co-I) - and HSG Social Science, Participation and Power working groups - Alex Shankland and Vera Schattan - and submitting articles to Social Science & Medicine and Health Policy & Planning

- Engaging with global social accountability policymaker, practitioner and research audiences via strong links with the Open Government Partnership - Rosemary McGee (team member) - Transparency & Accountability Initiative - John Gaventa (IDS, Reference Group member) - and the Global Partnership for Social Accountability (Anuradha Joshi, team member) - and submitting publications to World Development

- Engaging with DFID advisors in London, Maputo, Brasilia and Pretoria

- Joint publications in English and Portuguese (IDS Bulletin / Novos Estudos and final monograph) to reach a wider academic audience
 
Title Holding a Health System to Account: Voices from Mozambique 
Description This is part of the IDS Bulletin on Accountability for Health Equity: Galvanising a Movement for Universal Health Coverage. In this documentary we hear directly from health service users and providers in the Mozambican capital city of Maputo on accountability gaps and challenges. These interviews capture the frustration and injustice of health inequities as they are experienced in day-to-day life. The film explores what strategies are possible to ensure that these issues are comprehensively dealt with by those with the power to remedy them. 
Type Of Art Film/Video/Animation 
Year Produced 2018 
Impact We have disseminated this film in the launch in Brazil and with the IDS (see engagement activities). 
URL https://youtu.be/4d7JyXEdv0M
 
Description As summarised in the original proposal, the project set out to meet three objectives:
- To strengthen the evidence base on which combinations of accountability approaches work best under which political and institutional conditions for reducing health inequities affecting different poor and marginalised groups;
- To advance the development of conceptual and methodological frameworks for analysing accountability and health system performance;
and
- To enhance mutual learning and effective collaboration across health and accountability research and policy communities in Brazil and Southern Africa.

In response to the first objective, the project has produced robust evidence for the importance of political and institutional determinants - and not only social determinants - in shaping health equity outcomes. A key conclusion from the evidence generated by the project is that one of the most effective pathways to improved health equity is via the institutionalisation of positive synergies between social, political, and managerial accountability. Poor health system performance often results from these elements operating at cross-purposes and/or at different levels, for example when elected politicians are expected to be accountable at the city level and service users are expected to participate at the health facility level but service contracting is actually managed by central government departments or international agencies who are not accountable at these levels. In response to the second objective, the project has significantly advanced the debate on accountability for health equity in the key areas of interdisciplinarity, methodology and conceptualisation. It has highlighted the value of interdisciplinarity by demonstrating the importance of historical analysis in understanding accountability relations.

Methodologically, the project has developed 'accountability mapping' as a tool for guiding interventions in local accountability ecosystems, subsequently taken up by researchers and practitioners in East and Southern Africa, South Asia and Latin America. Conceptually, the project developed the theory of 'accountability regimes', as new a way of guiding research into the complex interactions shaping accountability and its impact on progress towards greater equity that avoids the limitations of previous approaches based on typologies and directionalities of accountability. These advances have been summarised in a number of key publications, including the May 2018 Special Issue of IDS Bulletin, a May 2019 Special Issue of leading Brazilian social science journal Novos Estudos and a Special Collection of articles in the International Journal for Equity in Health (co-produced with the DFID-funded Future Health Systems research consortium and launched at the HSR2020 Global Symposium on Health Systems Research in February 2021).

In response to the third objective, a very productive South-South relationship was established between Brazilian and Mozambican research communities with support from IDS, from the Brazilian government health research agency Fiocruz and from the project's International Reference Group. The N'weti and CEBRAP study teams were able to exchange important information about how the Brazilian and Mozambican health systems work, how they have changed over the last twenty years, and what factors contributed to these changes (leading to collaborative and comparative publications), as well as to improve the quality of their research through mutual learning on data collection and analysis and on strategies for engaging with policy and practice. The team have drawn on this experience to develop a major South-South learning component of the proposal for Impact Enhancement funding that was submitted to the ESRC/DFID Joint Fund for Poverty Alleviation Research by CEBRAP Co-I Vera Schattan Coelho in December 2019. If successful, this would enable N'weti Co-I Denise Namburete to provide training for health system managers and service users in Brazil in the use of Community Scorecards (CSCs) to enhance social accountability, building on N'weti's success in securing the adoption of CSCs at scale in the World Bank-led Global Financing Facility health sector programme in Mozambique.
Exploitation Route The findings are directly relevant to international agencies seeking to strengthen health systems, as has been demonstrated by the World Bank incorporating social accountability approaches influenced by project research into the new Global Financing Facility health sector programme in Mozambique. National and local governments can also incorporate findings into the design of their service contracting and outsourcing arrangements, as is already happening with the municipal and state health secretariats in São Paulo. Social movements (like the indigenous peoples' movement in Brazil) and international civil society networks (like the COPASAH social accountability network) have already started to use project findings in developing their advocacy strategies for supporting improved access to health care for indigenous people and other marginalised minority groups. Practitioners and researchers designing local service improvement interventions have already started to use accountability mapping tools developed by the research team, and this trend has continued as project outputs (including accessible guidance for practitioners and policymakers as well as academic publications) have become more widely disseminated, including through the scale-up of civil-society-led community scorecard processes to more than 200 health facilities across Mozambique as part of the work led by Co-I Denise Namburete under the Global Financing Facility health sector programme.

In the context of the COVID-19 pandemic, insights drawing on project findings have been provided directly to local health system managers and community and civil society groups through the participation of team members in online support fora for local pandemic response. This included Co-I Vera Schattan Coelho and colleagues from the Cebrap Citizenship, Health and Development research group working with primary care network management organisation SPDM in São Paulo, and PI Alex Shankland and Amazon case study lead researcher Danilo Paiva Ramos working with the Rio Negro Indigenous Health Forum in Amazonas. Lessons from these engagements as well as from the original research have since been shared with global policy and practitioner audiences through activities such as the Health Systems Research 2020 panel organised with the Future Health Systems team from Johns Hopkins School of Public Health (which involved PI Alex Shankland, Co-I Vera Schattan, Mozambique case study lead researcher Cristiano Matsinhe and SPDM manager Mariane Ceron) and the January 2021 global workshop on community engagement and involvement organised by NIHR (led by project post-doctoral researcher Erica Nelson with inputs from project advisor Walter Flores and PI Alex Shankland).
Sectors Communities and Social Services/Policy,Healthcare,Government, Democracy and Justice
URL https://www.ids.ac.uk/projects/unequal-voices-the-politics-of-accountability-for-equity-in-health-systems/
 
Description The project's research outputs and engagement activities generated valuable findings on the determinants of effective use of service user feedback to drive accountability in a way that improves health equity. These are now been taken up at multiple levels, from the local to the national to the global. The most significant initial uptake was in Mozambique, where the Ministry of Health invited project Co-I Denise Namburete (N'weti) to join a working group preparing the establishment of a National Health Observatory and to advise on the incorporation of user perceptions of service quality into the health sector performance review framework. These inputs helped to shape the monitoring arrangements for the new World Bank-led Global Financing Facility programme, which has incorporated the Community Scorecard methodology pioneered by N'weti in Mozambique into its framework for service user engagement. As a result of N'weti's work, service user feedback via CSCs has now been incorporated into the monitoring framework that determines the release of release of GFF funding directly to health facilities; in 2020 and 2021 scorecards facilitated by Mozambican civil society groups in over 200 heath facilities recorded citizen feedback to inform a specific Disbursement Linked Indicator for the programme, creating a financial incentive to promote citizen voice and accountability. This experience and the insights from the original research have now helped to shape the 'Pro-Accountability Initiatives' supported by POTENCIAR, a new initiative in Mozambique (UK aid-funded under the FCDO Transparency and Accountability for Inclusive Development programme) for which project researcher Katia Taela is the research lead and for which PI Alex Shankland is a senior technical advisor. In the final phase of project activities in Brazil there was significant uptake of the research findings by health system policymakers and managers, service providers and civil society organisations. In São Paulo, engagement with the State and Municipal Health Secretariats led to the study team led by Co-I Vera Schattan (Cebrap) being invited to provide advisory and training support for a review of the accountability arrangements for outsourcing primary health care services to non-profit providers (known as OSS). SPDM, a key OSS responsible for service delivery in several areas or the São Paulo metropolitan region, invited the team to collaborate on an operational research initiative designed to improve responsiveness and communication with service users. In the Rio Negro health district (Amazonas), the findings feedback workshop with indigenous leaders led by PI Alex Shankland and study team anthropologist Danilo Paiva Ramos (SSL) led directly to measures for strengthening service user engagement and integration of indigenous medicine with primary care services being proposed and approved at the December 2018 District Health Conference, and to the team's being invited to provide advisory and training support for implementation. The organisers of the May 2020 National Indigenous Health Conference (which was due to set policy in this area for the next four years) invited the team's policy researcher Luciana Benevides (SSL) to convene a special conference session focused on integrating research findings into policy and practice in the national health system's Indigenous Health Subsystem (SASI-SUS), but this was put on hold when the conference was cancelled due to the COVID-19 pandemic. In 2020-21 research team members continued to support local health system managers and civil society partners who were involved in the research in São Paulo and Amazonas via virtual participation in local COVID-19 strategy support fora, ensuring that project findings have helped to influence health system responses to the pandemic. In Amazonas PI Alex Shankland and Amazon study team anthropologist Danilo Paiva Ramos worked closely with the Rio Negro Indigenous Health Forum on developing culturally appropriate communication strategies for COVID-19 response, and this engagement is now being taken forward through a rapid research and innovation project on 'Intercultural Communication for Effective COVID-19 response in the Brazilian Amazon', funded by the FCDO through the Covid Collective platform. This project was designed to build directly on the project's indigenous health case study by combining the use of social accountability and practitioner engagement tools developed by the project with a new digital platform launched in April 2022. This platform was presented to an audience of indigenous leaders, academics, civil society representatives and Ministry of Health policymakers at the National Indigenous Health Conference, which was finally held in Brasília in November 2022 after a delay of several years resulting from the pandemic and from changes in policy during the Bolsonaro government. The reception was extremely positive, and contributed to a motion being passed at the Conference which mandated the national policy on quality improvement of indigenous health services to incorporate a community monitoring component modelled on the Rio Negro pilot project. The research team have subsequently received a number of requests to support replication of the model in different Amazonian health districts, and funding for this is in the process of being agreed with the Ministry of Health. At the global level, following the highly successful international workshop on Accountability for Health Equity in July 2017 Co-I Gerry Bloom and post-doctoral researcher Erica Nelson engaged with the new WHO Health Systems Governance Collaborative and UHC2030 initiative and key donor agencies including DFID and SDC. These engagements intensified during the final year of the project, including through activities organised by research team members at the Health Systems Global HRS2018 Symposium in Liverpool in October 2018. Connections made at the Liverpool conference led to a joint proposal with the Future Health Systems team at Johns Hopkins School of Public Health for a session on institutionalising social accountability for the HSR2020 global conference; following the conference's shift online this went ahead as a virtual session in February 2021, involving project team members and partners from IDS, Brazil and Mozambique and reaching a global audience of policymakers and practitioners. The HSR2018 session on indigenous health co-led by PI Alex Shankland with International Reference Group member Walter Flores (CEGSS) led to collaboration on a specific Indigenous Health thematic strand of the COPASAH social accountability and health network. As part of this collaboration, PI Alex Shankland and Brazil indigenous health case study researcher Danilo Paiva Ramos both presented project findings at the COPASAH Global Symposium in New Delhi in October 2019, which brought together several hundred civil society activists, researchers and health practitioners from Asia, Africa and Latin America. Members of the COPASAH network provided inputs to the rapid research and policy recommendations briefing on 'Indigenous Peoples in COVID-19 Response and Recovery' developed by PI Alex Shankland and a team of IDS researchers for the Social Science and Humanitarian Action Platform (SSHAP). Since the July 2017 IDS Accountability for Health Equity workshop, Co-I Gerry Bloom has acted as facilitator and resource person for a series of major policy initiatives convened by UHC2030, Public Health Foundation of India and Amref Health Africa on addressing accountability issues and enhancing the contribution to health equity of technology, innovation and private sector engagement, which led to a session convened with UHC2030 for the UN General Assembly special session on universal health coverage in September 2019 as well as a number of high-profile activities with government and private sector partners around the HSR2020 global conference. The success of these activities has led to proposals for a series of further practitioner- and policymaker-facing events around the HSR2022 Global Symposium in Bogotá, with Co-Is Gerry Bloom and Vera Schattan Coelho continuing to feed insights from the research conducted under this project and subsequent follow-up work with SPDM in São Paulo into the 2021-22 activity programme of the HSG Thematic Working Group on the role of the Private Sector in Health Systems. Co-Is Gerry Bloom and Vera Schattan Coelho will also both play key roles in a new study of innovative responses to COVID-19 in São Paulo, Toronto and Brighton for which the proposal (led by PI Alex Shankland) was approved for funding by the ESRC, SSHRC and FAPESP via the Trans-Atlantic Platform (T-AP). The SPDM team who were involved in the Unequal Voices study in São Paulo, alongside a number of other key front-line practitioners and local health system managers, have agreed to participate as co-researchers in this innovative and ambitious study, which started in April 2022.
First Year Of Impact 2016
Sector Healthcare,Government, Democracy and Justice
Impact Types Policy & public services
 
Description Advisory support for mental health programme of indigenous health service
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
Impact Project partners SSL signed collaboration agreement with the Special Secretariat for Indigenous Health. Initial results suggest greater cultural sensitivity of mental health teams has been seen in their work with vulnerable Hupda people in responding to rise in number of indigenous suicides.
 
Description CoI Vera Coelho had meetings with public officials from OSS SPDM and the Sapopemba's Health Technical Supervision and outlined the findings of the Unequal Voices research. These findings are informing revisions to the training programmes for practitioners.
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
Impact CoI Vera Coelho had meetings with public officials from OSS SPDM and the Sapopemba's Health Technical Supervision and outlined the findings of the Unequal Voices research. These findings are informing revisions to the training programmes for practitioners.
 
Description Community Score Card training for the community health council - Amazon, Brazil
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact The local primary care team changed the scheduling of their community visits to allow for more time to provide consultations on women's health and dialogue with traditional practitioners, as a result of feedback from the Community Scorecard process in December 2018.
 
Description Community monitoring system adopted as national policy by Brazilian indigenous health system
Geographic Reach National 
Policy Influence Type Implementation circular/rapid advice/letter to e.g. Ministry of Health
Impact The implementation of the pilot has already improved information flows in a way that has supported rapid service quality improvement in regions inhabited by the most vulnerable indigenous groups in the Rio Negro region, and this experience is informing uptake by other health districts in Brazil.
 
Description Drawing on project discussions and analysis, Co-I Denise Namburete (Nweti) provided inputs to the performance review process for the health sector (Avaliação Conjunta Anual, Sector de Saúde) with a focus on reshaping the review methodology to include citizen perceptions of service quality
Geographic Reach National 
Policy Influence Type Contribution to a national consultation/review
 
Description Global Financing Facility
Geographic Reach National 
Policy Influence Type Contribution to a national consultation/review
 
Description Influence on Government of Mozambique decision to commit to 3.5% of GDP for health sector fianncing
Geographic Reach National 
Policy Influence Type Membership of a guideline committee
Impact Following advocacy efforts by N'weti and other organisations via the Health Parthners' group, for the first time, the Government of Mozambique has been persuaded to agree to commit a fixed percentage of GDP to health sector financing. This decision is expected to be formalised in the Health Sewctor Financing Strategy to bew published in 2020. This commitment should provide a firmer basis for effrots to secure Universal Health Coverage in the country.
 
Description Online advisory support for the COVID-19 response of primary care provider SPDM in São Paulo, Brazil (2020)
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact Project Co-I Vera Schattan Coelho coordinated the establishment of an advisory group (in which PI Alex Shankland also participated) working with the training department of primary care provider SPDM to support COVID-19 pandemic response in the Municipality of São Paulo. The group acted as a regular sounding board and capacity development resource for SPDM staff working across the city, using project research findings to inform the development of protocols and strategies for community engagement around COVID-19 prevention, surveillance and care.
URL http://novosestudos.com.br/pandemia-mobilizacao-social-e-atencao-primaria-a-saude-na-cidade-de-sao-p...
 
Description Presentation to the Sao Paulo State Secretariat of Health
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Contribution to a national consultation/review
 
Description Remote advisory support for COVID-19 pandemic response in the Upper Rio Negro Indigenous Health District, Amazonas, Brazil (2020)
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Participation in a guidance/advisory committee
Impact PI Alex Shankland and case study researcher Danilo Paiva Ramos participated in virtual meetings of the Rio Negro Indigenous Health Forum, a multi-stakeholder body created by the Federation of Indigenous Organisations of the Rio Negro with participation from the regional Indigenous Health System management team (DSEI-ARN), the federal government indigenous affairs service (FUNAI) and NGOs working on pandemic response. Their inputs drew on project research to inform the development of guidance for field teams engaging in COVID-19 prevention, surveillance and treatment activities among remote indigenous communities belonging to 22 different ethnic groups, strengthening the ability of the response to communicate intercultural and build trust with these communities and contributing to improved uptake of services.
 
Description The role of Nweti in the development of the National strategy against illicite charges in health service provision
Geographic Reach National 
Policy Influence Type Contribution to a national consultation/review
 
Description The role of Nweti in the development of the National strategy on Quality and Humanisation in Healthcare
Geographic Reach National 
Policy Influence Type Contribution to a national consultation/review
 
Description WHO Advisory Group on the Governance of the Private Sector for UHC
Geographic Reach Multiple continents/international 
Policy Influence Type Participation in a guidance/advisory committee
URL https://www.who.int/news-room/articles-detail/public-consultation-on-the-draft-who-roadmap-engaging-...
 
Description A multi-stakeholder approach towards operationalising antibiotic stewardship in India's pluralistic rural health system.
Amount £779,322 (GBP)
Funding ID MR/S013598/1 
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start 02/2019 
End 01/2022
 
Description Impact Initiative, IDS
Amount £1,408 (GBP)
Organisation Institute of Development Studies 
Sector Academic/University
Country United Kingdom
Start 12/2018 
End 12/2018
 
Description Impact Initiative, IDS
Amount £4,790 (GBP)
Organisation Institute of Development Studies 
Sector Academic/University
Country United Kingdom
Start 10/2018 
End 10/2018
 
Title Collection of primary research data on Dedoose platform 
Description Allows for metadata harmonisation, ethical compliance (anonymisation), collaborative coding and analysis of data collected across field sites in Amazonas, São Paulo, Maputo and Zambezia 
Type Of Material Database/Collection of data 
Year Produced 2017 
Provided To Others? No  
Impact The option for a shared online platform has been designed to enable researchers across the Unequal Voices research teams to analyse data collaboratively and compare findings. 
 
Title Database for basic consultations 
Description This database was established before the project but has been updated through Cebrap's work on Unequal Voices. This is to follow Primary care basic appointments (i.e. people going to the general practitioner) in Sao Paulo. 
Type Of Material Database/Collection of data 
Year Produced 2018 
Provided To Others? Yes  
Impact Public information. People can use it. 
 
Title Database of literature on health equity and accountability politics 
Description The project research team have compiled, abstracted and tagged a Zotero database consisting of more than 400 key references on accountability and health equity in English, Portuguese and Spanish. Project Research Assistant (RA) Natalia Herbst has also produced specific literature review outputs (thematic overview and key references) for each of the project's key study domains (social, managerial and political accountability). This database resulted from a combination of targeted literature review activities by Co-Is and background study authors with a systematic review of social accountability interventions in the health sector carried out by the RA jointly with Johns Hopkins School of Public Health under the project's collaboration agreement with the Future Health Systems Consortium. It is was used to prepare the first set of project papers (presented at the major international workshop in July 2017 and now being prepared for publication in a special issue), as well as by the research team supporting a joint USAID/WHO review of accountability and healthy system governance. 
Type Of Material Database/Collection of data 
Year Produced 2017 
Provided To Others? Yes  
Impact The database and accompanying guidance (on selection, tagging and systematic review inclusion/exclusion criteria) has been shared with the team working on a joint USAID/WHO review of accountability and health system governance; this work has since been presented at a series of events convened bu the new WHO Collaborative on Health System Governance. 
URL https://www.zotero.org/groups/811469/items
 
Title Database on Health Inequalities in São Paulo 
Description This database was established before the project (2004) but has been updated through Cebrap's work on Unequal Voices. It's a database covering hospital admissions in the public health care system in the city of São Paulo. 
Type Of Material Database/Collection of data 
Year Produced 2018 
Provided To Others? Yes  
Impact This database enables Cebrap (and others) to follow the distribution of hospital admissions in the city by different areas classified by their Human Development Index. 
 
Title Unequal Voices accountability for health equity: Maputo city 2016-2018 
Description This dataset comprises interviews conducted between 2016 and 2018 with health service users, health professionals and health system managers in Maputo, Mozambique. The Unequal Voices project - Vozes Desiguais in Portuguese - aimed to strengthen the evidence base on the politics of accountability for health equity via multi-level case studies of health systems in Brazil and Mozambique. The project conducted examined the trajectories of change in the political context and in patterns of health inequalities in Brazil and Mozambique, and carried out four cases studies to compare the operation of different accountability regimes across the two countries and between different areas within each country. The case studies tracked shifts in accountability relationships among managers, providers and citizens and changes in health system performance, in order to arrive at a better understanding of what works for different poor and marginalised groups in different contexts. In each country the research team studied one urban location with competitive politics and a high level of economic inequality and one rural location where the population as a whole has been politically marginalised and under-provided with services. 
Type Of Material Database/Collection of data 
Year Produced 2020 
Provided To Others? Yes  
Impact Available for consultation and download via the ReShare service 
URL https://reshare.ukdataservice.ac.uk/853783/
 
Title Unequal Voices accountability for health equity: Rio Negro indigenous health district 2016-2018 
Description This dataset comprises interviews conducted between 2016 and 2018 with health service users, health professionals and health system managers in the Rio Negro Indigenous Health District, Amazonas State, Brazil. It focuses in particular on the primary health care services covering approximately 30 communities in the Middle Tiquié region. The Unequal Voices project - Vozes Desiguais in Portuguese - aimed to strengthen the evidence base on the politics of accountability for health equity via multi-level case studies of health systems in Brazil and Mozambique. The project conducted examined the trajectories of change in the political context and in patterns of health inequalities in Brazil and Mozambique, and carried out four cases studies to compare the operation of different accountability regimes across the two countries and between different areas within each country. The case studies tracked shifts in accountability relationships among managers, providers and citizens and changes in health system performance, in order to arrive at a better understanding of what works for different poor and marginalised groups in different contexts. In each country the research team studied one urban location with competitive politics and a high level of economic inequality and one rural location where the population as a whole has been politically marginalised and under-provided with services. 
Type Of Material Database/Collection of data 
Year Produced 2020 
Provided To Others? Yes  
Impact Available for consultation and download via the ReShare service 
URL https://reshare.ukdataservice.ac.uk/853782/
 
Title Unequal Voices accountability for health equity: São Paulo municipality 2016-2018 
Description This dataset comprises interviews conducted between 2016 and 2018 with health service users, health professionals and health system managers in the Municipality of São Paulo, Brazil. The interviews focused in particular on the primary health care services covering two of the poorest sub-municipal districts, Cidade Tiradentes and Sapopemba. The Unequal Voices project - Vozes Desiguais in Portuguese - aimed to strengthen the evidence base on the politics of accountability for health equity via multi-level case studies of health systems in Brazil and Mozambique. The project examined the trajectories of change in the political context and in patterns of health inequalities in Brazil and Mozambique, and carried out four case studies to compare the operation of different accountability regimes across the two countries and between different areas within each country. The case studies tracked shifts in accountability relationships among managers, providers and citizens and changes in health system performance, in order to arrive at a better understanding of what works for different poor and marginalised groups in different contexts. In each country the research team studied one urban location with competitive politics and a high level of economic inequality and one rural location where the population as a whole has been politically marginalised and under-provided with services. 
Type Of Material Database/Collection of data 
Year Produced 2020 
Provided To Others? Yes  
Impact Available for consultation and download via the ReShare service. 
URL https://reshare.ukdataservice.ac.uk/853780/
 
Title Unequal Voices accountability for health equity: Zambezia province 2016-2018 
Description This dataset comprises interviews conducted between 2016 and 2018 with health service users, health professionals, civil society representatives and health system managers in Zambézia Province, Mozambique. The Unequal Voices project - Vozes Desiguais in Portuguese - aimed to strengthen the evidence base on the politics of accountability for health equity via multi-level case studies of health systems in Brazil and Mozambique.The project conducted examined the trajectories of change in the political context and in patterns of health inequalities in Brazil and Mozambique, and carried out four cases studies to compare the operation of different accountability regimes across the two countries and between different areas within each country. The case studies tracked shifts in accountability relationships among managers, providers and citizens and changes in health system performance, in order to arrive at a better understanding of what works for different poor and marginalised groups in different contexts. In each country the research team studied one urban location with competitive politics and a high level of economic inequality and one rural location where the population as a whole has been politically marginalised and under-provided with services. 
Type Of Material Database/Collection of data 
Year Produced 2020 
Provided To Others? Yes  
Impact Available for consultation and download via the ReShare service 
URL https://reshare.ukdataservice.ac.uk/853784/
 
Description Accountability for Health Equity Programme 
Organisation Future Transport Systems
Country United Kingdom 
Sector Private 
PI Contribution The initiative to launch the Accountability for Health Equity Programme as a collaborative venture between the Unequal Voices project and the Future Health Systems consortium was led by project Co-I Gerry Bloom (head of the health systems research group in the IDS Health and Nutrition Research Cluster) and PI Alex Shankland. It has provided an opportunity for brokering of new research and policy engagement collaborations, including active engagement with Health Systems Global thematic working groups on social science research and the private sector, and with the Open Society Foundations on the design of their new Global Governance for Health programme. Specific areas for collaboration between partners in the Future Health Systems consortium and this project's international CoIs and their respective organisations include mutual learning on community score cards (via joint webinars and exchange of research protocols and initial findings) and collaboration on other accountability related research agendas which are complementary to the research and impact objectives of this project. The programme convened a major international workshop at the Institute of Development Studies in July 2017 entitled 'Unpicking Power and Politics for Transformative Change: Towards Accountability for Health Equity'. This meeting brought together 90 key researchers, practitioners, advocates, opinion formers and policy influencers from Africa, Asia, Latin America, the UK and the US.
Collaborator Contribution Research team members from the IDS Health and Nutrition Cluster are part of both Future Health Systems and Health Systems Global and there are common research and policy engagement interests between them and this project's partners, particularly in terms of work in East and Southern Africa, community score cards, communication for health, and health accountability. The agreement to launch a formal collaborative programme in this field was intended to provide a platform both for more systematic exchange and collaboration and for engagement with wider research and policy actors and agendas working on health systems and global health research. Support from the ESRC-DFID Impact Initiative and Open Society Foundations enabled Unequal Voices researchers to work with work with partners to convene the major international event in July 2017.
Impact Agreement to collaborate with Open Society Foundations on a global convening process centred on a major international event on accountability for health equity held at IDS in July 2017. "Unpicking Power and Politics for Transformative Change: Towards Accountability for Health Equity" Workshop Report. Special Issue produced for publication in 2018. Multiple blogs and other online outputs. Policy-oriented collaboration between the Unequal Voices project team and the new WHO Collaborative on Health Systems Governance.
Start Year 2016
 
Description Centro de Estudos da Metrópole, Brazil 
Organisation Centre for Metropolitan Studies
Country Brazil 
Sector Charity/Non Profit 
PI Contribution CEBRAP has a strategic collaboration with Centro de Estudos da Metrópole (CEM) - otherwise know as the Centre for Metropolitan Studies. CEM is linked to the University of São Paulo. Through their work on the project, CEBRAP have introduced a specific research theme on health system management and inequality. This is influencing CEM's research agenda on health inequalities in Brazil.
Collaborator Contribution CEM are a communication partner for the project. CEM is a well established multi-institutional large scale collaborative research centre, which convenes a variety of academic and non academic audiences, and has an important media presence. Through their networks CEM will give the project more visibility and traction.
Impact The project is in its initial stage so no outputs or outcomes as of yet.
Start Year 2016
 
Description Citizen Engagement Programme 
Organisation Institute of Development Studies
Country United Kingdom 
Sector Academic/University 
PI Contribution The Citizen Engagement Programme (CEP), funded by DFID, DANIDA and Irish Aid, is the largest social accountability initiative working in the health sector in Mozambique, covering four provinces (including Zambézia, where one of the project case study sites is located) and serving as a hub for the country's growing social accountability community of practice. Linking with the research team for the first international project event in Mozambique provided CEP with connections to an international network of researchers and practitioners with whom their work could be shared, as well as providing opportunities for CEP colleagues to learn from the experiences shared by other contributors at the two international events. In December 2017 project researchers Alex Shankland, Denise Namburete, Katia Taela and Erica Nelson were invited speakers at CEP's concluding event, an International Seminar in Maputo on the theme of 'Citizenship and Participation in Health and Education: Progress Achieved and Future Agendas".
Collaborator Contribution The Citizen Engagement Programme contributed funding towards the International Workshop on Innovations in Social Accountability in Maputo in October 2016. Their contribution enabled the project to host a more ambitious event in Mozambique, and attract a wider audience than would otherwise have been possible.
Impact Conference proceedings (in Portuguese), blogs (e.g. http://www.ids.ac.uk/opinion/how-can-healthcare-be-more-equitable-and-accountable-in-mozambique), Storify documenting the final event (see http://www.ids.ac.uk/project/citizen-engagement-programme-cep), uptake of key messages by other Mozambican NGOs (see e.g. http://www.amodefa.org/vozes-desiguais) and incorporation of findings by DFID Mozambique in design of follow-up social accountability programme.
Start Year 2016
 
Description Public policy programme on the autonomy of local governance with UFABC 
Organisation Federal University of ABC
Country Brazil 
Sector Academic/University 
PI Contribution Cebrap is leading the health team for this collaborative programme led by the Federal University of the ABC Region and looking at health policy at a local level, drawing on Unequal Voices project research.
Collaborator Contribution Students through scholarships
Impact The expectation is that this work will impact policy at the state level.
Start Year 2017
 
Description Unpicking Power and Politics for Transformative Change: Towards Accountability for Health Equity 
Organisation Impact Initiative
Sector Public 
PI Contribution In July 2017, Unequal Voices researchers worked with partners to organise an event held at the Institute of Development Studies entitled 'Unpicking Power and Politics for Transformative Change: Towards Accountability for Health Equity'. The researchers helped shape this meeting which brought together 90 key researchers, practitioners, advocates, opinion formers and policy influencers from Africa, Asia, Latin America, the UK and the US.
Collaborator Contribution Our partners in the ESRC-DFID Impact Initiative helped organise an event held at the Institute of Development Studies entitled 'Unpicking Power and Politics for Transformative Change: Towards Accountability for Health Equity'.
Impact Impact Initiative blog (see http://www.theimpactinitiative.net/blog/blog-towards-accountability-health-equity). "Unpicking Power and Politics for Transformative Change: Towards Accountability for Health Equity" Workshop Report.
Start Year 2017
 
Description "Universal Health Coverage. Where did we get lost? By Denise Namburete" 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact "CoI Denise Namburete wrote a blog based on her keynote speech to the WEMOS 40th Anniversary Congress. 223 page views at 12.2.20
"
Year(s) Of Engagement Activity 2019
URL https://www.ids.ac.uk/opinions/universal-health-coverage-where-did-we-get-lost/
 
Description "Universal Health Coverage. Where did we get lost? By Denise Namburete" 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact "CoI Denise Namburete delivered a keynote speech at the WEMOS 40th Anniversary Congress, 'Global Health, everybody's concern and everybody's business'"
Year(s) Of Engagement Activity 2019
URL https://www.wemos.nl/en/a-days-worth-of-inspiration-at-our-40th-anniversary-congress-2/
 
Description 2nd International Network on Health Care Delivery Sciences Seminar 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Vera Schattan P. Coelho presented a paper on contracting out in Primary Health care at an international workshop entitled "II Seminário da rede Internacional de Conhecimento no Campo das Ciências do Planejamento e Organização Assistencial em Saúde" (2nd International Network on Health Care Delivery Sciences Seminar). This workshop is co-hosted by the Brazilian Ministry of Health. Participants include researchers, representatives of public health schools, policy makers and civil servants working on health issues from state and federal governments in Brazil, as well as from other countries.
Year(s) Of Engagement Activity 2017
URL http://www.conass.org.br/wp-content/uploads/2017/05/Programacao_II_Seminario_Internacional_Junho.pdf
 
Description 41st ANPOCS Annual Meeting 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Study participants or study members
Results and Impact Vera Schattan P. Coelho and others presented at the ANPOCS (National Association on Post Graduation of Social Sciences) 41st Annual meeting which was held from 23rd -27th October 2017. The presentation was on contractual arrangements for the provision of public health services and the strengthening of regionalization. (The title of the presentation was: 'Arranjos contratuais para a provisão de serviços públicos de saúde e o fortalecimento da regionalização'. )
Year(s) Of Engagement Activity 2017
URL http://www.anpocs.com/index.php/encontros/41-encontro-anual-2017
 
Description A quem interessa a despolitização do Estado? (Portuguese language blog) 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Third sector organisations
Results and Impact This is a Unequal Voices blog
Year(s) Of Engagement Activity 2017
URL https://blogdocebrap2.wordpress.com/2017/10/
 
Description ABC lecture series 2019 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact CoI Vera SP Coelho delivered a series of lectures on the theme of 'Including the Outsiders' for the Department of Comparative Social Policies, Federal University of ABC post graduate program on Public Policies.
Year(s) Of Engagement Activity 2019
 
Description ABC lecture series 2020 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact CoI Coelho is lecturing on 'Participatory Institutions and Collective Action' for the Federal University of ABC post graduate program on Public Policies (February-April)
Year(s) Of Engagement Activity 2020
 
Description Accountability for Health Equity workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact In July 2017, Unequal Voices - in partnership with the Future Health Systems research programme consortium, the Open Society Foundation, and the ESRC-DFID Impact Initiative - organised an event held at the Institute of Development Studies entitled 'Unpicking Power and Politics for Transformative Change: Towards Accountability for Health Equity'. IDS, Cebrap and N'weti helped shape this meeting which brought together 90 key researchers, practitioners, advocates, opinion formers and policy influencers from Africa, Asia, Latin America, the UK and the US.
Year(s) Of Engagement Activity 2017
 
Description Accountability responses to the spread of health markets 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Third sector organisations
Results and Impact This is a blog about the Accountability for Health Equity workshop that Unequal Voices co-organised. It has received 600 page views, 254 unique page views
Year(s) Of Engagement Activity 2017
URL http://www.healthsystemsglobal.org/blog/218/Accountability-responses-to-the-spread-of-health-markets...
 
Description Advocacy for the inclusion of SC in the GFF platform in Mozambique 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact This intervention led by CoI Denise Namburete was a response to an invitation from the World Bank and designed to address the challenge of the establishment of a functioning Multi-Stakeholder Country Platform for the Global Financing Facility health sector programme. This platform is supposed to be led by the Ministry of Health but has hitherto had limited engagement from CSOs. The establishment of a functioning Multi-Stakeholder Country-Platform has helped to ensure valuable input from variety of sources, and has led to the inclusion of the Community Scorecard (a social accountability tool) for the implementation of the Disbursement Linked Indicator (DLI) related to the quality of health centres.
Year(s) Of Engagement Activity 2017,2018
 
Description Blog entitled towards-whole-system-approach-meeting-health-needs-time-covid-19 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Blog on the website of the Health Systems Governance Collaborative at WHO entitled towards-whole-system-approach-meeting-health-needs-time-covid-19
Year(s) Of Engagement Activity 2020
URL https://hsgovcollab.org/en/blog/towards-whole-system-approach-meeting-health-needs-time-covid-19
 
Description Blog on IDS website entitled: lessons-from-covid-19-building-more-effective-health-services-for-a-complex-future 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Blog entitled: lessons-from-covid-19-building-more-effective-health-services-for-a-complex-future posted in IDS website
Year(s) Of Engagement Activity 2020
URL https://www.ids.ac.uk/opinions/lessons-from-covid-19-building-more-effective-health-services-for-a-c...
 
Description Blog on the HSR2018 session on 'Overcoming recognition, participation and accountability barriers to UHC for indigenous peoples: lessons from Guatemala, Brazil and India" 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Blog on the HSR2018 session on 'Overcoming recognition, participation and accountability barriers to UHC for indigenous peoples: lessons from Guatemala, Brazil and India" written by Alex Shankland and Karine Gatellier (IDS) with a focus on lessons learnt from Unequal Voices . The blog links out to a Talking Head video of Maximiliano Correa Menezes Tukano (FOIRN) which was developed for the project. The blog was shared through IDS channels including social media (Twitter with 62.9K followers) and the IDS Health and Nutrition newsletter which as 3,339 subscribers. To date it has been viewed 115 times.
Year(s) Of Engagement Activity 2018
URL https://www.ids.ac.uk/opinions/health-systems-that-deliver-for-indigenous-peoples/
 
Description Brazil Reference Group meeting 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Study participants or study members
Results and Impact This was a meeting with other academics to get feedback on the preliminary Unequal Voices results from Brazil.
Year(s) Of Engagement Activity 2017
 
Description CEBRAP seminar on Conflicts, Contracts and Cooperation in the SUS (Brazilian Unified Health System) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Study participants or study members
Results and Impact This Cebrap internal seminar entitled "Conflitos, Contratos e Cooperação no Sistema Único de Saúde (SUS)" was on a study by Cebrap, coordinated by Vera Schattan Coelho, to analyze the impact of the hiring of Social Health Organization in the process of regionalization of health system management in state of São Paulo. Currently the state has 17 regional networks, 67 health regions to deal with the health demands of 645 municipalities.
Year(s) Of Engagement Activity 2017
 
Description CEM/CEBRAP Seminar 'Política e Gestão na Redução das Desigualdades em Saúde' in Sao Paulo 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Within the context of the 40 years of Alma Ata and the 30 years of the SUS, this event on 'The role of politics and management in the reduction of inequalities in health in Brazil' focused on the contribution of the public health system to the reduction of inequalities in health in Sao Paulo. This event fits into a longer process of engagement with the municipality over the course of the Unequal Voices project, as a result of which CoI Vera Coelho was asked to carry out an evaluation of the contracting process for health services in the State of Sao Paulo. The event was broadcast live.
Year(s) Of Engagement Activity 2018
URL http://web.fflch.usp.br/centrodametropole/1338
 
Description Centre for Metropolitan Studies Annual International Seminar 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact CoI Vera SP Coelho delivered a presentation on 'Accountability against health inequalities: The São Paulo case study' at the Centre for Metropolitan Studies Annual International Seminar.
Year(s) Of Engagement Activity 2019
 
Description Centre of Sustainability Studies presentation 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact Vera Coelho presented her work on 'SUS Governance: Relational and Structural Dimensions' at Getúlio Vargas Foundation, Centre of Sustainability Studies
Year(s) Of Engagement Activity 2019
 
Description Collaborative Research on Democracy workshop 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact Vera Coelho delivered a presentation on 'Tackling Health Inequalities in Highly Unequal Societies' at the Collaborative Research on Democracy workshop, University of York (UK)
Year(s) Of Engagement Activity 2019
 
Description Creating Inclusive and Resilient Cities event in Bellagio, Italy 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This international workshop was organised by the CORD network with the support of the Rockefeller Foundation Bellagio Center. It was co-convened by Co-I Vera Schattan and included inputs from PI Alex Shankland and Co-I Denise Namburete.
Year(s) Of Engagement Activity 2017
 
Description Deliberative Democracy Consortium presentation 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact CoI Vera SP Coelho gave a presentation on 'Participation and Contracts in the Brazilian Public Health Care System' at the Deliberative Democracy Consortium Online Conference
Year(s) Of Engagement Activity 2019
 
Description Dialogue with the Sao Paulo Municipal Secretariat of Health 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Policymakers/politicians
Results and Impact Vera Schattan Coelho and her team in CEBRAP held a working meeting with the unit responsible for monitoring and data within the Municipal Secretariat of Health in order to better understand the methodologies used by the Secretariat for calculating primary health care hospitalisation rates.
Year(s) Of Engagement Activity 2018
 
Description Dialogue with the Sao Paulo state Secretary of Health 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact The Health Secretariat of the state of Sao Paulo called a dialogue with the Cebrap team and other researchers to get feedback on 12 projects, one of which was on the use of contracts - which Cebrap presented. It was only with public officials from the Health Secretary. The Health Secretariat called for this as they want to review the policy of engaging primary care with more complex levels of care. The expectation is that they will reorient their regional policy with a better use of contracts. i.e. better integration of primary care and more complex levels of care.
Year(s) Of Engagement Activity 2017
 
Description District health conference for the Rio Negro region (Amazonas, Brazil) 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact A team including PI Alex Shankland and case study researchers Luciana Benevides and Danilo Paivo Ramos participated in this regional health policy conference, providing technical inputs, rapporteuring and support to participating indigenous leaders from the case study site. Two resolutions mandating changes to health policy in the district were approved, and Benevides, Ramos and two of the indigenous leaders from the study area were elected as delegates to the national indigenous health conference in May 2019.
Year(s) Of Engagement Activity 2018
 
Description Engagement meetings with District Health Councils in Brazil 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact The CEBRAP research team in Brazil participated in two health council meetings for the Cidade Tiradentes and Sapopemba municipal districts within the municipality of São Paulo. The health council is a regular institutional space for dialogue between stakeholders around improving health services, and the meetings provided a key opportunity for the research team to present the research project to community representatives, health service providers, and other stakeholders from those two districts. The aim was to get these stakeholders to engage with the research. As a result, the team now has support within the districts and authorisation to proceed with the research.
Year(s) Of Engagement Activity 2017
 
Description Engagement with the National Council of State Health secretariats (CONASS) 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Luciana Benevides Ferreira from SSL participated in a seminar to discuss the findings of an article published in CONASS's right to health collection, based on the Unequal Voices study. Bringing together the Secretaries of State for Health, as official managers of the State Secretaries of Health (SES) and the Federal District, CONASS, through this publication,will help managers understand the challenges of inter-institutional articulation for integral care health of the indigenous population.
Year(s) Of Engagement Activity 2018
URL http://www.conass.org.br/biblioteca/boas-praticas-e-dialogos-institucionais-2/
 
Description Equipes brasileiras do Projeto Vozes Desiguais se reúnem em São Paulo (Portuguese language blog) 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Third sector organisations
Results and Impact This is a Unequal Voices blog
Year(s) Of Engagement Activity 2017
URL https://blogdocebrap2.wordpress.com/2017/12/
 
Description Face to face meeting of SDC Health Network 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact The Learning Trajectory (LT) on equity and inclusion is part of a wider collaboration with SDC. The LT was co-led by Unequal Voices PI Alex Shankland and also involved CoI Gerry Bloom and research advisor Hayley McGregor. Hayley attended the face to face meeting of the SDC Health Network in November 2017, during which she presented the results of the LT which included drawing on examples from the Unequal Voices project. The SDC Health Advisor who organised the meeting has indicated an intention to expand the collaboration to other regions where the agency works.
Year(s) Of Engagement Activity 2017
 
Description Federal University of ABC presentation 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact Vera Coelho presented her report on 'Elections, Councils and Contracts in the State of São Paulo, Impacts on SUS' to the Public Policy Post Graduation Committee, Federal University of ABC
Year(s) Of Engagement Activity 2019
 
Description Feedback workshop with local indigenous health council in Brazil 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Policymakers/politicians
Results and Impact This workshop was held in December back in the indigenous village where the accountability-claiming episode on which we focused for the Amazon component began. This included role-playing the journey of a letter that a group of indigenous leaders wrote protesting at the lack of government action in response to a malaria outbreak all the way from the village to the National Health Council in Brasília, and the way that different actors influenced what did (and didn't) get done in response to it. It also included providing training in community scorecards approaches for monitoring service quality which led to immediate improvements in the health care provision of the local primary health team (see Influence on Policy and Practice section). It also led to indigenous leaders formulating a motion that was passed at the district health conference in December 2018, which is now being incorporated into the next district health service planning cycle.
Year(s) Of Engagement Activity 2018
 
Description Formalised accountability claims and informalised power networks: indigenous movement organisations and the political system in Northwestern Amazonas 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact PI Alex Shankland presented in the Politics and self-censorship panel at the Brazilian Studies conference in Oxford. He shared findings on accountability and indigenous movements drawing on the Amazonas case study.
Year(s) Of Engagement Activity 2020
 
Description Has politics shaped the terms 'accountability' and 'participation'? 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Third sector organisations
Results and Impact 423 page views on IDS blog. Reposted on Unequal Voices blog. https://blogdocebrap2.wordpress.com/2017/08/
Year(s) Of Engagement Activity 2017
URL http://www.ids.ac.uk/opinion/has-politics-shaped-the-terms-accountability-and-participation
 
Description Health Systems Global Private Sector in Health Thematic Working Group meeting at HSR2016 Vancouver 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The project's international Co-I Gerald Bloom (IDS) is co-facilitator for the HSG Private Sector in Health TWG. He chaired the Health Systems Global Private Sector in Health Thematic Working Group (TWG) session on the role of health markets in managing antibiotic use and addressing antimicrobial resistance at HSR2016 Vancouver, which was followed by a business meeting to plan the TWG's future priorities. This well-attended session discussed some important accountability challenges relating to the role of the private sector, and a major outcome was an agreement on future activities focusing on the role of health accountability in formal and informal private sector engagement in health systems, which will be one of the key themes explored in a July 2017 event on health accountability to be held at the Institute of Development Studies which will include some of the key policymakers, academics and practitioners who participated in the TWG meetings.
Year(s) Of Engagement Activity 2016
URL http://www.healthsystemsglobal.org/blog/111/Join-us-at-HSR2016-in-Vancouver-to-discuss-the-role-of-h...
 
Description Health Technical Supervision of Sapopemba project launch 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact CoI Vera Coelho attended the launch of the research project 'Promoting Care in Vulnerable Areas of São Paulo' at the Health Technical Supervision of Sapopemba together with health professionals and public officials.
Year(s) Of Engagement Activity 2019
 
Description History and language: keywords for health and accountability 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Third sector organisations
Results and Impact This is a blog about the Accountability for Health Equity workshop that Unequal Voices co-organised. 593 views
Year(s) Of Engagement Activity 2017
URL https://www.ids.ac.uk/opinion/history-and-language-keywords-for-health-and-accountability
 
Description IDS Bulletin Seminar: Accountability for Health Equity: Galvanising a Movement for Universal Health Coverage 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact This seminar discussed the main themes of the IDS Bulletin: The nature of accountability politics 'in time' and the cyclical aspects of efforts towards accountability for health equity; The contested politics of 'naming' and measuring accountability, and the intersecting dimensions of marginalisation and exclusion that are missing from current debates; and The shifting nature of power in global health and new configurations of health actors, social contracts, and the role of technology. Speakers were Erica Nelson, Denise Namburete, N'weti, Vera Schattan Coelho, Cebrap, with Discussant Gerry Bloom. 40 people attended the seminar.
Year(s) Of Engagement Activity 2018
URL https://www.ids.ac.uk/events/accountability-for-health-equity-galvanising-a-movement-for-universal-h...
 
Description IDS Conference: States, Markets and Society 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The project's PI and Co-Is were involved in the design and delivery of three panels at the IDS 50th anniversary conference which brought together approximately 200 researchers, policy actors, civil servants, practitioners, postgraduate students and members of the general public to discuss the role of states, markets and society in sustainable development. Denise Namburete (CoI from N'weti, Mozambique) participated in the panel exploring 'Are there legitimate roles for NGOs between society, markets and the state?', which was organised by PI Alex Shankland. Research findings from the work of Vera Schattan Coelho (CoI from Cebrap, Brazil) and PI Alex Shankland was presented at the panel 'Beyond Widgets: transforming accountability for better health and nutrition delivery'. Gerry Boom (Co-I from IDS) organised and chaired the panel 'Beyond "public" and "private" in health systems' and contributed to a plenary debate on the political economy of structural change in development. Their work generated particular interest from researchers, policy actors and prospective donors (including the Future Health Systems Consortium and the Open Society Foundations) on the possibilities for further development of the health accountability agenda, including future collaboration on this project's research and engagement agenda.
Year(s) Of Engagement Activity 2016
URL http://www.ids.ac.uk/events/states-markets-and-society-ids-50th-conference
 
Description Impact Initiative Meeting in Delhi, India 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Denise Namburette participated in the Impact Initiative 'Power of Partnership: Research to Alleviate Poverty' conference in Delhi, India, from 3-5 December 2018 on behalf of the Unequal Voices team. The event focused on the ESRC-DFID Joint Fund for Poverty Alleviation Research as it approaches its final phase. This was an event that was hosted for researchers funded by the ESRC-DFID joint fund. Denise was part of the opening plenary panel on PARTNERSHIPS: POWER, EQUITY AND SUSTAINABILITY, and presented on The accountability politics of reducing health inequities: learning from Brazil and Mozambique on the second day of the event in a session on GOVERNANCE. She established a connection with another organisation doing similar work, and they started a discussion on the possibility of designing a south to south project to build evidence on health inequities.
Year(s) Of Engagement Activity 2018
URL http://www.theimpactinitiative.net/power-of-partnership
 
Description Impact Initiative Satellite Session at HSR2018 on Making Universal Health Coverage a reality by 2030: evidence of what works 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact In her talk on Understanding power relationships within health systems in Mozambique, Denise Namburete (N'weti) argued that to improve service delivery, we need to understand the power relationships among managers, providers and citizens and at changes in health system performance, in different contexts. Prior to the event a video of Denise speaking on the topic was shared on social media. A participant who works for GAVI asked for more information on Unequal Voices /Nweti's work in Mozambique as the findings may be able to inform their programme in Mozambique.
Year(s) Of Engagement Activity 2018
URL http://www.theimpactinitiative.net/event/making-universal-health-coverage-reality-2030-evidence-what...
 
Description Indigenous and Vulnerable People thematic sessions of COPASAH Global Symposium 2019 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Unequal Voices PI Alex Shankland and Amazon case study lead Danilo Ramos presented findings from the Rio Negro to an audience of activitists and academics from Latin America, Asia, Africa and Australia.
Year(s) Of Engagement Activity 2019
URL https://www.copasah.net/newsletter-26.html
 
Description Integrated Approaches: The SBC Key to Community Health Conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact During the Institutionalizing Community Health Conference, Denise was invited to present to The CORE Group Spring 2017 Global Health Practitioner Conference. She made two presentations: one on how N'weti influences policy using evidence from social accountability in the health sector; and another on her experience from the Institutionalising Community Health Conference (i.e. what transpired from the conference, what impact it may have, etc.). Around 50-60 people - mainly from US-based NGOs and INGOs- attended each presentation. As a result, she was approached by a few organisations - such as CARE, WorldVision, and Children International - to share more evidence and experience and find ways to potentially collaborate.
Year(s) Of Engagement Activity 2017
 
Description International Reference Group meeting 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact The inaugural meeting of the International Reference Group for the project was held in Maputo as part of a broader programme of events linked to the project's research and policy engagement activities, bringing together leading experts from Brazil, Guatemala, India, South Africa, the US and the UK. Members of the Mozambican Reference Group also participated in order to discuss research, uptake and policy engagement strategies. The discussion offered an opportunity for the Reference Group members to advise the study team members on key policy agendas in Mozambique and worldwide, key research questions and evidence gaps, and key fields of practice to which the project should contribute. Expectations for Reference Groups' roles in different project phases and arrangements for future communication were also discussed.
Year(s) Of Engagement Activity 2016
URL https://vozesdesiguais.org/responsabilizacao-social-na-saude/
 
Description International Seminar on Accountability for Health Equity 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact This international high-level policy engagement event, led by Mozambique research partners N'weti, was designed to stimulate debate on strategies to reduce health inequalities and secure accountability for health equity. The seminar included keynote presentations and panel discussions providing key insights from recent experience with participation, accountability and the reduction of health inequalities in Mozambique, Brazil and internationally. The event included the Minister of Health and other senior figures from the Ministry of Health and a wide range of leading academics, civil society and policy actors from Mozambique, Southern Africa, Latin America and beyond.

Co-I Denise Namburete (N'weti) was subsequently invited by the National Institute of Health and MoH in Mozambique to become a founding member of the National Health Observatory and to provide inputs to the National Quality and Humanisation Strategy.
Year(s) Of Engagement Activity 2016
URL http://www.ids.ac.uk/opinion/how-can-healthcare-be-more-equitable-and-accountable-in-mozambique
 
Description International Workshop on Innovations in Social Accountability 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This workshop, held at Eduardo Mondlane University in Maputo and co-sponsored with the Citizen Engagement Programme (CEP) in October 2016, brought together international researchers, practitioners and Mozambique's rapidly growing social accountability community of practice. Government and donor agency representatives with a particular interest in health and governance issues also participated. The workshop included plenary debates and in-depth group discussion sessions designed to promote cross-learning between Mozambican and international experience and innovations in three fields:
1. Analysing and mapping power and accountability
2. Supporting spaces for institutionalised citizen engagement
3. Applying new tools, methods and technologies to accountability research and practice.
Year(s) Of Engagement Activity 2016
URL http://www.ids.ac.uk/opinion/how-can-healthcare-be-more-equitable-and-accountable-in-mozambique
 
Description International seminar on the health of vulnerable people 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact Vera Schattan P. Coelho presented the results of the Unequal Voices Trajectory Study on Health Inequalities in Brazil at the international seminar on the health of vulnerable people (II Seminário Internacional Saúde de Populações em Vulnerabilidade - Vulnerabilidades Contemporâneas). This event was organised by the Observatorio de Saude de Populacoes em vulnerabilidade and held at the University of Brasilia. Participants include Global South researchers, Brazilian social movements' representatives and politicians and policy makers, from Brazilian Health, Human Rights and Racial Equality Ministries.
Year(s) Of Engagement Activity 2017
URL http://obvul.org/evento-camptix
 
Description International workshop on Multilevel Governance 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact Vera Schattan P. Coelho presented a paper at an international workshop entitled 'Multilevel Governance em prol do desenvolvimento regional sustentável nas aglomerações urbanas do Ruhr (Alemanha) e do Grande ABC Paulista' which was organised by the Universidade Federal Do ABC from 19th-21st September. Her presentation was on 'Local Governance and Democracy - Between Municipalities and the State: challenges on building health regions'. Publications are planned as a result of the workshop which brought together researchers from Germany and Brazil on regional issues. Participants included local health government officials and academics from the university.
Year(s) Of Engagement Activity 2017
URL http://dwih.com.br/pt-br/eventos/seminario-multilevel-governance-em-prol-do-desenvolvimento-regional...
 
Description Is accountability for health equity a blaming dance? 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Third sector organisations
Results and Impact This is an Unequal Voices blog
Year(s) Of Engagement Activity 2017
URL https://blogdocebrap2.wordpress.com/artigos/
 
Description Launch of the Health Systems Governance Collaborative at the International Partnership for UHC2030 event 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Gerald Bloom (Institute of Development Studies, UK), international Co-I on this project, participated in two days of deliberation at the WHO in Geneva, in December 2016, in the context of the International Partnership for UHC2030 event. This meeting included a special network meeting devoted to the launch of the Health Systems Governance Collaborative; with critical thinkers, practitioners, policy actors and representatives from international organisations, all with a strong interest in governance in the context of universal health coverage and several of whom have agreed to participate in the project's major event on accountability for health equity planned for July 2017. One of the unforeseen outcomes of this meeting is that the project team has been put in touch with a working group working on accountability which is part of a joint USAID WHO programme on governance and accountability. As a result, Unequal Voices is influencing USAID work on social accountability including through sharing analysis, conceptual frameworks and the project's literature database with them.
Year(s) Of Engagement Activity 2016
URL https://www.internationalhealthpartnership.net/en/news-videos/ihp-news/article/uhc2030-meeting-worki...
 
Description Learning from Brazil and Mozambique on universal health coverage and accountability politics 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact IDS website news story showcased the special edition of Novos Estudos (see publications section) which features five articles on issues of accountability and health inequalities in Brazil and Mozambique. 148 page views at 12.2.20
Year(s) Of Engagement Activity 2019
URL https://www.ids.ac.uk/news/learning-from-brazil-and-mozambique-on-universal-health-coverage-and-acco...
 
Description Meeting of WHO Advisory Group on the Governance of the Private Sector for Universal Health Coverage 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Gerald Bloom was invited to be a member of a WHO Advisory Group on the Governance of the Private Sector for Universal Health Coverage. It organised two two-day meetings in Geneva and has supported the production of a draft WHO road map. This work has drawn on the findings of several project on: (i) engaging with health markets in low and middle-income countries and stimulating technology innovation, (ii) ICT innovation and health system development, (iii) accountability and unequal voices and (iv) management of health system adaptation to changing contexts in China. The work of the WHO is particularly influential in ODA-eligible countries.
Year(s) Of Engagement Activity 2019
 
Description Meeting with Director of Institute of Health and Policy Research 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact CoI Coelho met with the Director of the Institute of Health Policy Research to discuss next steps on the research of performance contracts. She presented her findings on 'How Performance Contracts can be Better Used in Primary Care?'
Year(s) Of Engagement Activity 2020
 
Description Metropolitan Studies Centre (CEM-Cepid) General Meeting 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Study participants or study members
Results and Impact Research meeting where Vera Schattan Coelho presented on "Health and Inequality: what difference can programmes, politics and contracts make?", in the panel entitled "Sectoral Policies and Inequalities".
Year(s) Of Engagement Activity 2018
 
Description Multilevel governance workshop presentation 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Vera Coelho presentation the Brazil and Mozambique research findings of the Unequal Voices projects at a Multilevel Governance workshop, Political Science Department, University of São Paulo
Year(s) Of Engagement Activity 2019
 
Description Municipal Health Secretariat meeting in Brazil 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact The research team from CEBRAP in Brazil attended a Municipal Health Secretariat meeting in Brazil with the chief medical officers from Cidade Tiradentes and Sapopemba, the two study districts within the municipality. Other participants included senior technical staff, elected officials and other decision makers. The intended purpose of this meeting was to present the research objectives, the research focus, as well as to get feedback, buy-in and support from stakeholders. The key outcome from this meeting was support for the research to go ahead.
Year(s) Of Engagement Activity 2016
 
Description NEXO interview 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Media (as a channel to the public)
Results and Impact Vera Coelho was interviewed by the NEXO online newspaper about social participation in the Brazilian Public Health Care System as part of a special edition focussing on the Brazilian Health care system.
Year(s) Of Engagement Activity 2019
 
Description Naming the moment 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Third sector organisations
Results and Impact 279 views on the IDS website. This is also an Unequal Voices blog https://blogdocebrap2.wordpress.com/2017/10/11/naming-the-moment/
Year(s) Of Engagement Activity 2017
URL http://www.ids.ac.uk/opinion/naming-the-moment
 
Description Newspaper article on the HSR2018 session on Indigenous health 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Media (as a channel to the public)
Results and Impact Article in La Nación (a Costa Rican newspaper) written by Health Systems Global (HSG) award winning media fellow Irene Rodríguez who attended the Unequal Voices Indigenous Health session held at HSR2018. Title of the article : Pueblos indígenas luchan para que sus tradiciones se respeten e incluyan en los sistemas de salud.
Year(s) Of Engagement Activity 2018
URL https://www.nacion.com/ciencia/salud/pueblos-indigenas-luchan-para-que-sus-tradiciones/FCQIJRLPNRH67...
 
Description Online Discussion: Sharing Learning to Overcome Common Barriers to Research Impact 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact A member of the project team participated in an Impact Initiative e-discussion, entitled 'Sharing Learning to Overcome Common Barriers to Research Impact', which took place from 13th to 14th December 2016. Participants were mostly Impact Initiative grant holders, while others were from ESRC, DFID and the Impact Initiative. They were brought together in an online space to share experiences and best practices with regards to creating research impact. We presented this research project and shared our experiences so far.
Year(s) Of Engagement Activity 2016
 
Description Online workshop on Policy Capacity Framework and Health System Strengthening 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Workshop for researchers on the policy capacity framework and health system strengthening
Year(s) Of Engagement Activity 2020
URL https://photos.google.com/share/AF1QipNQyIQaNlJYj1_k-HEuHba8d9EwWdcxzWZtglIJJ7Tu3Lnhx2RrL2BuOzpqliOY...
 
Description PMNCH webinar on 'Challenging Questions of Accountability' 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Alex Shankland from IDS participated in the PMNCH webinar on Challenging Questions of Accountability. He shared Unequal Voices key findings and provoked a discussion about ensuring synergy between different types of accountability.
Year(s) Of Engagement Activity 2018
 
Description Panel discussion on digital health and health system governance 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Gerald Bloom collaborated with Priya Balasubramaniam, of the Public Health Foundation of India to organise a panel on digital health as part of a one day meeting on the governance of mixed health systems that took place as a side event of the conference of Health Systems Global in Bogota in late October/early November. The panelists included companies involved in digital health and health policy analysts. As a result of the discussion a number of people involved as funders of health system development requested further information and involvement. A report has been published on the day's discussion and a Spanish version will be published soon.
Year(s) Of Engagement Activity 2022
 
Description Participation in CORD working group in South Africa 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Vera Coelho from CEBRAP was part of a working group in South Africa organised by CORD. The presentation was on: The moral economy of including the excluded Preliminary reflections on the Brazilian public health system". The Workshop was entitled "Moral Economy of Protest and Participation". It was held at the University of Western Cape, Cape Town. This will lead a a book and research project.
Year(s) Of Engagement Activity 2018
 
Description Participation in a debate on public policies for health during the electoral process in Brazil 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Vera Coelho was invited to participate in a debate on Health financing management and regulation organised by online media outlet Nexo in collaboration with Insper Business School and Cebrap during the electoral process. A video was produced as an output.
Year(s) Of Engagement Activity 2018
URL https://www.nexojornal.com.br/video/video/Saúde-financiamento-gestão-e-regulação-em-debate
 
Description Participation in the Citizen Engagement Programme (CEP) workshop in Mozambique 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Members of Unequal Voices participated in the CEP final conference in Mozambique, which included representatives of the Mozambican MoH and DFID in-country representatives as well as over 50 researchers and civil society activists. Alex Shankland presented on participation and accountability in health systems, Denise N'weti presented on national-level health advocacy strategies, Katia Taela chaired a panel on gender and accountability Erica Nelson presented on Intersectionality and Social Accountability. Dr. Nelson's presentation was referred to in the closing remarks of the conference in a slide on recommended actions for future Social Accountability work and in the keynote speech given on the final day by Fletcher Tambo of the Making All Voices Count programme.
Year(s) Of Engagement Activity 2017
URL http://www.ids.ac.uk/project/citizen-engagement-programme-cep
 
Description Presentation at 12th ABRASCO Congress on Collective Health, Brazil, on Indigenous Health 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact This presentation on 'Analysing the implementation of the indigenous sub-health system' was part of the indigenous health workstream's plenary session. It was intended to stimulate debate on the relationship between social accountability and health system management in efforts to improve the appropriateness and effectiveness of primary health care for indigenous people's health. As a result the team (SSL/IDS) was invited to support the preparations for the National Indigenous Health Conference in May 2019. (this conference feeds into the National Health Conference). SSL has been invited to join ABRASCO's working group on indigenous health (predominantly a researchers' group). This creates the potential for new partnerships.
Year(s) Of Engagement Activity 2018
URL https://proceedings.science/saude-coletiva-2018/papers/controle-social--gestao-e-reducao-das-iniquid...
 
Description Presentation at SDC headquarters 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Supporters
Results and Impact Following the Accountability for Health Equity workshop co-organised by Unequal Voices; Erica Nelson was invited to SDC headquarters in October 2017 to deliver a seminar to staff on the results of the July workshop, key learnings on accountability relevant to future SDC work both in the fields of health and governance, and on SDC's contributions to panels on "Universality, Power and Marginalisation," and "Accountability Politics at the Local Level and Beyond."
Year(s) Of Engagement Activity 2017
 
Description Presentation at the 11th ABCP Meeting: Democracy and Representation , Brazil 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This presentation was part of a session organised by the ABCP working group stream on the politics of participation. The presentation was based on the Unequal Voices Sao Paulo and Amazonas case studies, and was well received. As a result, the team was invited by the chair of the ABCP working group to visit NEPAC - the Center for Research in Participation, Social Movements and Collective Action.
Year(s) Of Engagement Activity 2018
URL https://cienciapolitica.org.br/eventos/11o-encontro-abcp/programacao
 
Description Presentation of draft policy brief to Japanese policy makers 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Gerald Bloom participated in working group of leaders of think tanks on health and health systems reform that drafted a policy brief as part of the T20 linked to the meeting of the G20 in Osaka in May 2019. This provided an opportunity for mutual learning between think tanks in a number of countries in Asia, Africa and Europe. The draft policy brief was presented at a meeting with senior Japanese Government Officials who were responsible for preparing the draft communique for the meeting of the G20 in Osaka . He drafted analysis and recommendations concerning ICTs and health systems reform, including accountability arrangements..
Year(s) Of Engagement Activity 2019
 
Description Presentation on Mozambique case study by Dr Chavane 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Other audiences
Results and Impact Dr Chavane gave a seminar in the Economics Department Seminar Series at Eduardo Mondlane University (24 July 2019) presenting his Unequal Voices study with Celina Gonçalves (also recently published as an IDS Working Paper): "Inequalities in Maternal and Child Health in Mozambique: A Historical Overview."
Year(s) Of Engagement Activity 2019
 
Description Presentation on the experience of Nweti on monitoring the quality of health service provision in Mozambique at Institutionalizing Community Health Conference 2017 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact On March 20th - as part of conference Session 21 on Partnerships to Strengthen Community Voice and Accountability - Denise Namburete from N'weti presented their experience on monitoring the quality of health service provision in Mozambique, and on the use of evidence from the monitoring activities to involve policy change at central level. Over 100 participants were at this parallel session. Conference attendees included country government representatives, health decision makers, NGOs. The event was covered by the media and livestreamed. The immediate impact of this presentation was that Denise was invited to present at another international conference: Integrated Approaches: The SBC Key to Community Health from April 20 - 21, 2017 in Washington, DC organised by CORE Group. The agenda had already been finalised but they decided to find a slot for Denise.
Year(s) Of Engagement Activity 2017
URL http://www.ichc2017.org/
 
Description Presentation to Ministry of Health SWAP Group on Sector-Wide Approach to health sector financing by Andes Chivange (N'weti) 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Andres Chivangue presented the key fiindings of the N'weti study of sector-wide approaches to health sector financing
Year(s) Of Engagement Activity 2019
 
Description Presentation to a WHO workshop on governance of mixed health systems 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Gerald Bloom was invited to make a presentation to a workshop organised by the WHO as a side event to a major conference organised by Health Systems Global in Bogota in October 2022. The topic was the implications of the growing importance of digital health in health system governance. The head of the WHO programme on governance of the private sector stated that he was convinced that his team will need to pay more attention to this issue.
Year(s) Of Engagement Activity 2022
 
Description Presentation to civil society GFF platform meeting in Nairobi 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Andres Chivangue presented an analysis of the discourses used by parties to the agreement by Mozambique to subscribe to the GFF
Year(s) Of Engagement Activity 2019
 
Description Seminar given at Brighton Sussex Medical School 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Postgraduate students
Results and Impact Erica Nelson delivered this seminar: Examples taken from the FHS community scorecard research project (FHS Uganda and FHS Bangladesh) were incorporated into a seminar given at Brighton Sussex Medical School (November 2017) on 'Accountability for Health Equity'. This material is housed within the BSMS online system so not available via the FHS website.
Year(s) Of Engagement Activity 2017
 
Description Seminar on 'Mutual Learning for Universal Health Coverage in a rapidly changing word' 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact This CEBRAP seminar saw the launch of the IDS Bulletin Accountability for Health Equity: Galvanising a Movement for Universal Health Coverage in Brazil, which was introduced by PI Alex Shankland and CoI Gerry Bloom. CoIs Vera Coelho and Denise Namburete presented their findings in presentations entitled 'Reducing Health Inequalities in Brazil's Universal Health-Care System: Accountability Politics in São Paulo' and 'Holding a Health System to Account: Voices from Mozambique'
Year(s) Of Engagement Activity 2018
URL http://bulletin.ids.ac.uk/idsbo/article/view/2975
 
Description Seminar on Vulnerable Populations in Brasilia 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact The III International Seminar was organised by Observatório das Desigualdades at the University of Brasilia. Vera Coelho presented on how health policies are making a difference in health inequalities in Brazil.
Year(s) Of Engagement Activity 2018
 
Description Seminar on participation, accountability and health systems 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Postgraduate students
Results and Impact At the campus of Fiocruz (the research and training agency of the ministry of health) in Belo Horizonte, Minas Gerais. Presentation to municipal and state level practitioners and policy makers and CSO activists enrolled in professional masters and doctorate programmes at Fiocruz. Part of a programme convened by reference group member Romulo Paes de Sousa.
Year(s) Of Engagement Activity 2017
 
Description Seminar on the paper: 'Descentralização Doseada: Facetas Estruturantes das Inequidades em Saúde em Moçambique' 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact This seminar on Decentralisation was organised by the Centre for African Studies at the Universidade Eduardo Mondlane in Maputo, Mozambique. Participants provided valuable feedback on the article written on the topic which will be published in Novos Estudos.
Year(s) Of Engagement Activity 2018
 
Description Series of 3 blogs on Mozambique 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Denise Namburete of N'weti has written 3 blogs for the IDS website: 'When a health system turns into a Tower of Babel: Mozambique's experience'; 'Rethinking health accountability in Mozambique: Beyond donors and government?'; and 'Rethinking community participation in Mozambique's health service'. In this series, Denise delves into some of the challenges that the national health system in Mozambique faces, from the lack of a common health agenda which is mostly externally-driven and the lack of accountability of international actors, to the absence of participation by the citizen-user in the health system. The last blog links out to a Talking Head video of Denise on the topic developed for the project. This series of blogs was shared through IDS channels including social media (Twitter with 62.9K followers) and the IDS Health and Nutrition newsletter. The three blogs have to date recorded the following number of views: Rethinking community participation, 275; Rethinking health accountability, 137; When a health systems turns, 113.
Year(s) Of Engagement Activity 2018
URL https://www.ids.ac.uk/opinions/when-a-health-system-turns-into-a-tower-of-babel-mozambiques-experien...
 
Description Session at HSR2018 on 'Overcoming recognition, participation and accountability barriers to UHC for indigenous peoples: lessons from Guatemala, Brazil and India" 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Indigenous peoples face political as well as practical barriers to engaging with health systems, and as a result are among those most at risk of being left behind. This participatory session was led by indigenous leaders and health systems researchers who have developed innovative approaches to tackling these barriers.
Walter Flores from the Centre for Research on Equity and Governance in Health Systems (CEGSS) introduced the session. Maximiliano Correa Menezes Tukano (FOIRN) and Alex Shankland (IDS) shared lessons from the Unequal Voices project on engaging with local health system management in Brazil. This was one of three case studies on the topic.
Year(s) Of Engagement Activity 2018
URL https://www.ids.ac.uk/opinions/health-systems-that-deliver-for-indigenous-peoples/
 
Description Seven challenges for accountability 2.0 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Third sector organisations
Results and Impact This is a blog about the Accountability for Health Equity workshop that Unequal Voices co-organised. It has had 1041 views so far
Year(s) Of Engagement Activity 2017
URL https://www.ids.ac.uk/opinion/seven-challenges-for-accountability-2-0
 
Description Shaping Health event, Aberdeen 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Vera Schattan P. Coelho presented on the development of the Unequal Voices São Paulo case study at the 'Shaping Health' Event which was held from the 19th to 21st October and organised by the University of Aberdeen and the Training and Research Support Centre (TARSC). This event's aim was to discuss participation in health and create a network to promote participation in health.
Year(s) Of Engagement Activity 2017
 
Description Short film on Accountability for Health Equity 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact During the international workshop on Accountability for Health Equity held at IDS in July 2017, selected participants including Unequal Voices research team and advisory group members were interviewed their inputs were included in a short film documenting the event.
Year(s) Of Engagement Activity 2017
URL https://www.youtube.com/watch?v=ZFWoVvOFfBA
 
Description Storify: Unpicking Power and Politics for Transformative Change: Towards Accountability for Health Equity #IDSAHE2017 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This is a Storify (now Wakelet) about the Accountability for Health Equity workshop that Unequal Voices co-organised. 708 views (Feb 2018)
Year(s) Of Engagement Activity 2017
URL https://wakelet.com/wake/6c23c362-3533-463d-ac0c-474744754a45
 
Description Television and radio appearances by the Mozambique research team 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Co-I Denise Namburete (N'weti) was interviewed by leading independent TV networks in Mozambique, STV and Miramar, and state radio network Radio Mozambique on key issues discussed at the international seminar on accountability for health equity. The STV interview was watched by an audience of over a million people.
One of the N'weti researchers also appeared in a 90 mn STV TV debate discussing accountability for health equity. Extensive debate on social media also took place around this TV debate with 9,088 people having viewed the seven Facebook posts.
Year(s) Of Engagement Activity 2016
 
Description Towards accountability for health equity 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Third sector organisations
Results and Impact This is an Impact Initiative blog. 247 unique pageviews.
Year(s) Of Engagement Activity 2017
URL http://www.theimpactinitiative.net/blog/blog-towards-accountability-health-equity
 
Description Transforming accountabilities for health 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Third sector organisations
Results and Impact This is a blog about the Accountability for Health Equity workshop that Unequal Voices co-organised. 489 views
Year(s) Of Engagement Activity 2017
URL https://www.ids.ac.uk/opinion/transforming-accountabilities-for-health
 
Description Tweaking or transforming? Dancing around power and accountability 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Third sector organisations
Results and Impact This is a blog about the Accountability for Health Equity workshop that Unequal Voices co-organised. 378 views
Year(s) Of Engagement Activity 2017
URL https://www.ids.ac.uk/opinion/tweaking-or-transforming-dancing-around-power-and-accountability
 
Description UFABC postgraduate program on Public Policy 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Postgraduate students
Results and Impact Vera Schattan Coelho is a Professor at the UFABC "Programme for Public Policies Postgraduate Studies". She teaches a Social Policy course, where she has introduced a series of lectures on "comparative studies on health inequalities and health policies" and another "Strategies for social participation in health policies". Both lectures have been benefiting from the inputs coming from the Unequal Voices project. Those lectures are also an opportunity to disseminate the project's methodologies and findings with postgraduate students. Schattan is also supervising two Masters students on topics related to health policies in Brazil.
Year(s) Of Engagement Activity 2016,2017,2018
 
Description UHC Forum 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Gerry Bloom participated in the UHC Forum in Tokyo, Japan from 12-15 December, 2017. Gerry Bloom made a presentation to a workshop convened by WPRO and the Asian Development Bank for delegates from a number of countries on 'The Asia Pacific Pathway to Universal Health Coverage' in Tokyo in December and then participated in the meeting on UHC2030
Year(s) Of Engagement Activity 2017
 
Description UNB presentation 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact CoI Vera Coelho presented a seminar on 'Social Movements and State Interactions in Health Policy' at the State-Society Interaction in Public Policies Seminar. University of Brasília (UNB)
Year(s) Of Engagement Activity 2019
 
Description Vamos debater desigualdade em saúde? (Portuguese language blog) 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Third sector organisations
Results and Impact This is an Unequal voices blog
Year(s) Of Engagement Activity 2017
URL https://blogdocebrap2.wordpress.com/2017/10/11/vamos-debater-desigualdade-em-saude/
 
Description Virtual consultative meeting 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Industry/Business
Results and Impact The IDS, the Public Health Foundation of India and Amref Health Africa organised an online meeting on behalf of the thematic group of the Private Sector in Health of Health Systems Global entitled:Unlocking Private Enterprise for Public Good: Building Future Health Systems for Universal Health Coverage - redisigning health systems during COVID-19 and Beyond. The participants included senior government policy makers, heads of private health sector companies and officials of bilateral and multi-lateral health development agencies.
Year(s) Of Engagement Activity 2020
 
Description Vozes Desiguais - Reflexões sobre desigualdades, transparência e participação na saúde (Portuguese language blog) 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Vozes Desiguais was set up as a project engagement focussed blog to facilitate the exchange of ideas and perspectives across different Portuguese speaking audiences in Brazil, Mozambique and beyond.
Year(s) Of Engagement Activity 2016
URL https://vozesdesiguais.org/
 
Description Webinar for Future Health Systems on accountability mapping 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Development of Webinar: Accountability Mapping (Alex Shankland and Erica Nelson). This webinar was given to FHS Uganda and FHS Bangladesh partners, in collaboration with Johns Hopkins researchers Ligia Paina and Olakunle Alonge, on 21 June 2017. The Webinar provided an introduction to the why's and how-to's of Accountability Mapping, drawing on the Unequal Voices research framework and methodology.
Year(s) Of Engagement Activity 2017
 
Description Webinar to launch the IDS Bulletin Accountability for Health Equity: Galvanising a Movement for Universal Health Coverage 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact To mark the launch of the IDS Bulletin Accountability for Health Equity: Galvanising a Movement for Universal Health Coverage, and to consider the key learning and implications for actions to achieve Universal Health Coverage (UHC), UHC2030 and IDS hosted a webinar. Erica Nelson, Denise Namburete and Walter Flores spoke at the webinar.
Year(s) Of Engagement Activity 2018
URL https://www.ids.ac.uk/events/accountability-for-health-equity-webinar/
 
Description What does accountability for health equity mean in southern Africa? 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Third sector organisations
Results and Impact This is a blog about the Accountability for Health Equity workshop that Unequal Voices co-organised. This is based on a editorial written for Equinet and shared via the Equinet newsletter and website. 274 views (Feb 2018)
Year(s) Of Engagement Activity 2017
URL https://www.ids.ac.uk/opinion/what-does-accountability-for-health-equity-mean-in-southern-africa
 
Description Workshop on Accountability Mapping for Future Health Systems 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Alex Shankland and Erica Nelson planned and delivered a one-day workshop on Accountability Mapping at Jury's Inn, Brighton, with FHS Uganda and Bangladesh partners and Johns Hopkins University researchers on 16 July 2017. This workshop was developed in collaboration with JHU (Ligia Piana and Olakunle Alonge) and also with Linda Waldman (IDS) and Rosemary Morgan (JHU). The tools and methods discussed during the workshop are now being applied in case studies in Uganda and Bangladesh.
Year(s) Of Engagement Activity 2017