Citizen-led initiatives directly engage these conditions, enabling those affected to be active agents for change in the institutions and decisions that influence their lives, rather than passive recipients of aid and interventions. This is no easy task as health inequalities affecting subpopulations are often closely linked to intersecting conditions of geographical isolation, poverty, historically entrenched norms of social exclusion, and weak state institutions.
Ensuring accountability at the local and subnational levels of service delivery is crucial to attain the Sustainable Development Goals’ ethical imperative to “leave no one behind”. They contribute to redressing health inequalities by putting users of services, grassroots leaders and organizations on the frontlines of accountability, where they engage with state authorities as advocates for their own needs and rights. These kinds of initiatives may employ different tactics and approaches like citizen monitoring, community scorecards, campaigns, and advocacy to draw authorities’ attention and seek solutions to the neglected needs of disadvantaged communities. Citizen-led accountability initiatives are a critical strategy for strengthening collective efforts to redress the causes of health inequalities and promote better health system governance. Health inequalities are manifestations of underlying power imbalances and accountability failures. The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.
0 kommentar(er)
